Evidence map›Paper›PMID 33810394›Full record

ArticleBiomedicines2021

Growth Arrest-Specific Factor 6 (GAS6) Is Increased in COVID-19 Patients and Predicts Clinical Outcome.

Albert Morales, Silvia Rojo Rello, Helena Cristóbal, Aida Fiz-López, Elisa Arribas, Montserrat Marí, Anna Tutusaus, Paloma de la Cal-Sabater, Gerry A F Nicolaes, José T Ortiz-Pérez and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  6. Fucoidan sulfate fromJournal of Zhejiang University. Science. B · 2023
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  7. Acute bone loss following SARS-CoV-2 infection in mice.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
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  10. Observational
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  13. Dysregulation of Protein S in COVID-19.Best practice & research. Clinical haematology · 2022
    Review
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  18. Observational
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Albert MoralesDepartment of Cell Death and Proliferation, IIBB-CSIC, IDIBAPS, 08036 Barcelona, Spain.ORCID 0000-0001-8702-2269
Silvia Rojo RelloServicio de Microbiología, Hospital Clínico Universitario de Valladolid, 47003 Valladolid, Spain.
Helena CristóbalDepartment of Cell Death and Proliferation, IIBB-CSIC, IDIBAPS, 08036 Barcelona, Spain.
Aida Fiz-LópezMucosal Immunology Lab, Unidad de Excelencia Instituto de Biomedicina y Genética Molecular (IBGM), Universidad de Valladolid-CSIC, 47003 Valladolid, Spain.ORCID 0000-0003-2052-7996
Elisa ArribasMucosal Immunology Lab, Unidad de Excelencia Instituto de Biomedicina y Genética Molecular (IBGM), Universidad de Valladolid-CSIC, 47003 Valladolid, Spain.ORCID 0000-0002-4470-075X
Montserrat MaríDepartment of Cell Death and Proliferation, IIBB-CSIC, IDIBAPS, 08036 Barcelona, Spain.ORCID 0000-0002-6116-3247
Anna TutusausDepartment of Cell Death and Proliferation, IIBB-CSIC, IDIBAPS, 08036 Barcelona, Spain.ORCID 0000-0002-1133-321X
Paloma de la Cal-SabaterMucosal Immunology Lab, Unidad de Excelencia Instituto de Biomedicina y Genética Molecular (IBGM), Universidad de Valladolid-CSIC, 47003 Valladolid, Spain.
Gerry A F NicolaesDepartment of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6200 MD Maastricht, The Netherlands.
José T Ortiz-PérezClinic Cardiovascular Institute, Hospital Clinic Barcelona, 08036 Barcelona, Spain.
David BernardoMucosal Immunology Lab, Unidad de Excelencia Instituto de Biomedicina y Genética Molecular (IBGM), Universidad de Valladolid-CSIC, 47003 Valladolid, Spain.
Pablo García de FrutosDepartment of Cell Death and Proliferation, IIBB-CSIC, IDIBAPS, 08036 Barcelona, Spain.ORCID 0000-0003-1547-1190
Universidad de Valladolid · ESInstitut d'Investigacions Biomèdiques de Barcelona · ESHospital Clínic de Barcelona · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESHospital Clínico Universitario de Valladolid · ESMaastricht University · NL

Funding

CERCA Programme/Generalitat de Catalunya AGAUR 2017_SGR_177Consejo Superior de Investigaciones Científicas CSIC-COV19-016/202020E155European Union ERDF "A way to make Europe"Fundació la Marató de TV3 20153030 and 20153031Instituto de Salud Carlos III PI15/00531, PI19/01410Junta de Castilla y León 07.04.467B04.74011.0Ministerio de Ciencia e Innovación RTI2018-095672-B-I00
6 · The paper itself

Abstract

backgroundGrowth arrest-specific factor 6 (GAS6) and the Tyro3, AXL, and MERTK (TAM) receptors counterbalance pro-inflammatory responses. AXL is a candidate receptor for SARS-CoV-2, particularly in the respiratory system, and the GAS6/AXL axis is targeted in current clinical trials against COVID-19. However, GAS6 and TAMs have not been evaluated in COVID-19 patients at emergency admission.

methodsPlasma GAS6, AXL, and MERTK were analyzed in 132 patients consecutively admitted to the emergency ward during the first peak of COVID-19.

resultsGAS6 levels were higher in the SARS-CoV-2-positive patients, increasing progressively with the severity of the disease. Patients with initial GAS6 at the highest quartile had the worst outcome, with a 3-month survival of 65%, compared to a 90% survival for the rest. Soluble AXL exhibited higher plasma concentration in deceased patients, without significant differences in MERTK among SARS-CoV-2-positive groups. GAS6 mRNA was mainly expressed in alveolar cells and AXL in airway macrophages. Remarkably, THP-1 human macrophage differentiation neatly induces AXL, and its inhibition (bemcentinib) reduced cytokine production in human macrophages after LPS challenge.

conclusionsPlasma GAS6 and AXL levels reflect COVID-19 severity and could be early markers of disease prognosis, supporting a relevant role of the GAS6/AXL system in the immune response in COVID-19.

Indexed as

AXLCOVID-19GAS6immune responseimmunothrombosisMERTKviral infectionvitamin K

Identifiers

PMID33810394
PMCPMC8065652
OpenAlexW3150507951

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.