Evidence map›Paper›PMID 33845193›Full record

ArticleClinical immunology (Orlando, Fla.)2021

Genetic justification of severe COVID-19 using a rigorous algorithm.

Eleni Gavriilaki, Panagiotis G Asteris, Tasoula Touloumenidou, Evaggelia-Evdoxia Koravou, Maria Koutra, Penelope Georgia Papayanni, Vassiliki Karali, Apostolia Papalexandri, Christos Varelas, Fani Chatzopoulou and 22 more

Open access · greenAbstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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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

32 authors at 9 institutions in 4 countries.

Eleni GavriilakiHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece. Electronic address: elenicelli@yahoo.gr.
Panagiotis G AsterisComputational Mechanics Laboratory, School of Pedagogical and Technological Education, Athens, Greece.
Tasoula TouloumenidouHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Evaggelia-Evdoxia KoravouHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Maria KoutraHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Penelope Georgia PapayanniHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Vassiliki KaraliRheumatology and Clinical Immunology Unit, "Attikon" University Hospital, Athens, Greece.
Apostolia PapalexandriHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Christos VarelasHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Fani ChatzopoulouMicrobiology Department, Aristotle University of Thessaloniki, Greece.
Maria ChatzidimitriouBiomedical Sciences, Alexander Campus International Hellenic University, Thessaloniki, Greece.
Dimitrios ChatzidimitriouMicrobiology Department, Aristotle University of Thessaloniki, Greece.
Anastasia VeleniInfectious Disease Committee, G Papanicolaou Hospital, Thessaloniki, Greece.
Savvas GrigoriadisMedical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Evdoxia RaptiLaboratory of Hematology and Hospital Blood Transfusion Department, University General Hospital "Attikon", NKUA, Medical School, Greece.
Diamantis ChlorosPneumonology Department, G Papanicolaou Hospital, Thessaloniki, Greece.
Ioannis KioumisRespiratory Failure Department, G Papanicolaou Hospital-Aristotle University of Thessaloniki, Thessaloniki, Greece.
Evaggelos Kaimakamis1st Intensive Care Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Milly Bitzani1st Intensive Care Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Dimitrios BoumpasRheumatology and Clinical Immunology Unit, "Attikon" University Hospital, Athens, Greece.
Argyris TsantesLaboratory of Hematology and Hospital Blood Transfusion Department, University General Hospital "Attikon", NKUA, Medical School, Greece.
Damianos SotiropoulosHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Ioanna SakellariHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Ioannis G KalantzisGastroenterology Department, Hellenic Red Cross Hospital, Athens, Greece.
Stefanos T ParastatidisComputational Mechanics Laboratory, School of Pedagogical and Technological Education, Athens, Greece.
Mohammadreza KoopialipoorFaculty of Civil and Environmental Engineering, Amirkabir University of Technology, Tehran, Iran.
Liborio CavaleriDepartment of Civil, Environmental, Aerospace and Materials Engineering, University of Palermo, Palermo, Italy.
Danial J ArmaghaniDepartment of Civil Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
Anastasia PapadopoulouHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
Robert Alan BrodskyHematology Division, Department of Internal Medicine, Johns Hopkins University, Baltimore, USA.
Styliani KokorisLaboratory of Hematology and Hospital Blood Transfusion Department, University General Hospital "Attikon", NKUA, Medical School, Greece.
Achilles AnagnostopoulosHematology Department - BMT Unit, G Papanicolaou Hospital, Thessaloniki, Greece.
G. Papanikolaou General Hospital · GRUniversity General Hospital Attikon · GRAristotle University of Thessaloniki · GRSchool of Pedagogical and Technological Education · GRAmirkabir University of Technology · IRHellenic Red Cross · GRInternational Hellenic University · GRUniversity of Malaya · MYUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies suggest excessive complement activation in severe coronavirus disease-19 (COVID-19). The latter shares common characteristics with complement-mediated thrombotic microangiopathy (TMA). We hypothesized that genetic susceptibility would be evident in patients with severe COVID-19 (similar to TMA) and associated with disease severity. We analyzed genetic and clinical data from 97 patients hospitalized for COVID-19. Through targeted next-generation-sequencing we found an ADAMTS13 variant in 49 patients, along with two risk factor variants (C3, 21 patients; CFH,34 patients). 31 (32%) patients had a combination of these, which was independently associated with ICU hospitalization (p = 0.022). Analysis of almost infinite variant combinations showed that patients with rs1042580 in thrombomodulin and without rs800292 in complement factor H did not require ICU hospitalization. We also observed gender differences in ADAMTS13 and complement-related variants. In light of encouraging results by complement inhibitors, our study highlights a patient population that might benefit from early initiation of specific treatment.

Indexed as

ADAMTS13 ProteinAgedAlgorithmsComplement ActivationComplement C3Complement Factor HCOVID-19Critical CareFemaleGenetic Predisposition to DiseaseGenetic TestingHigh-Throughput Nucleotide SequencingHospitalizationHumansIntensive Care UnitsMaleADAMTS13 ProteinADAMTS13 protein, humanCFH protein, humanComplement C3Complement Factor HTHBD protein, humanThrombomodulinComplementCOVID-19EculizumabGenetic susceptibilityRigorous algorithmSARS-CoV2

Identifiers

PMID33845193
PMCPMC8043057
OpenAlexW3154180646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.