Evidence map›Paper›PMID 33852916›Full record

ArticleCell reports2021

Hypoxic and pharmacological activation of HIF inhibits SARS-CoV-2 infection of lung epithelial cells.

Peter A C Wing, Thomas P Keeley, Xiaodong Zhuang, Jeffrey Y Lee, Maria Prange-Barczynska, Senko Tsukuda, Sophie B Morgan, Adam C Harding, Isobel L A Argles, Samvid Kurlekar and 13 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 1% 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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Hypoxia inducible factors regulate pneumovirus replication by enhancing innate immune sensing.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  11. Emerging microbes & infections · 2025
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 7 institutions in 4 countries.

Peter A C WingNuffield Department of Medicine, University of Oxford, Oxford, UK; Chinese Academy of Medical Sciences (CAMS) Oxford Institute (COI), University of Oxford, Oxford, UK.
Thomas P KeeleyNuffield Department of Medicine, University of Oxford, Oxford, UK; Ludwig Institute for Cancer Research, University of Oxford, Oxford, UK.
Xiaodong ZhuangNuffield Department of Medicine, University of Oxford, Oxford, UK.
Jeffrey Y LeeDepartment of Biochemistry, University of Oxford, Oxford, UK.
Maria Prange-BarczynskaNuffield Department of Medicine, University of Oxford, Oxford, UK; Ludwig Institute for Cancer Research, University of Oxford, Oxford, UK.
Senko TsukudaNuffield Department of Medicine, University of Oxford, Oxford, UK.
Sophie B MorganRespiratory Medicine Unit and National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC), Nuffield Department of Medicine, Experimental Medicine, University of Oxford, Oxford, UK.
Adam C HardingSir William Dunn School of Pathology, University of Oxford, Oxford OX1 3RE, UK.
Isobel L A ArglesNuffield Department of Medicine, University of Oxford, Oxford, UK.
Samvid KurlekarNuffield Department of Medicine, University of Oxford, Oxford, UK.
Marko NoerenbergDepartment of Biochemistry, University of Oxford, Oxford, UK; MRC-University of Glasgow Centre for Virus Research, Glasgow, UK.
Craig P ThompsonPeter Medawar Building for Pathogen Research, Department of Zoology, University of Oxford, Oxford, UK.
Kuan-Ying A HuangResearch Center for Emerging Viral Infections, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Infectious Diseases, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Peter BalfeNuffield Department of Medicine, University of Oxford, Oxford, UK.
Koichi WatashiDepartment of Virology II, National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Department of Applied Biological Science, Tokyo University of Science, Noda 278-8510, Japan.
Alfredo CastelloDepartment of Biochemistry, University of Oxford, Oxford, UK; MRC-University of Glasgow Centre for Virus Research, Glasgow, UK.
Timothy S C HinksRespiratory Medicine Unit and National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC), Nuffield Department of Medicine, Experimental Medicine, University of Oxford, Oxford, UK.
William JamesSir William Dunn School of Pathology, University of Oxford, Oxford OX1 3RE, UK.
Peter J RatcliffeNuffield Department of Medicine, University of Oxford, Oxford, UK; Ludwig Institute for Cancer Research, University of Oxford, Oxford, UK; Francis Crick Institute, London, UK.
Ilan DavisDepartment of Biochemistry, University of Oxford, Oxford, UK.
Emma J HodsonFrancis Crick Institute, London, UK; Department of Experimental Medicine and Immunotherapeutics, University of Cambridge, Cambridge, UK.
Tammie BishopNuffield Department of Medicine, University of Oxford, Oxford, UK; Ludwig Institute for Cancer Research, University of Oxford, Oxford, UK.
Jane A McKeatingNuffield Department of Medicine, University of Oxford, Oxford, UK; Chinese Academy of Medical Sciences (CAMS) Oxford Institute (COI), University of Oxford, Oxford, UK. Electronic address: jane.mckeating@ndm.ox.ac.uk.
University of Oxford · GBChinese Academy of Medical Sciences & Peking Union Medical College · CNNational Institute for Health Research · GBChang Gung University · TWThe Francis Crick Institute · GBTokyo University of Science · JPUniversity of Cambridge · GB

Funding

Medical Research Council G0400802Medical Research Council G0801976Medical Research Council MC_PC_19026Medical Research Council MC_UU_12014/10Medical Research Council MR/R022011/1Wellcome Trust 200838/Z/16/ZWellcome Trust FC001501
6 · The paper itself

Abstract

COVID-19, caused by the novel coronavirus SARS-CoV-2, is a global health issue with more than 2 million fatalities to date. Viral replication is shaped by the cellular microenvironment, and one important factor to consider is oxygen tension, in which hypoxia inducible factor (HIF) regulates transcriptional responses to hypoxia. SARS-CoV-2 primarily infects cells of the respiratory tract, entering via its spike glycoprotein binding to angiotensin-converting enzyme 2 (ACE2). We demonstrate that hypoxia and the HIF prolyl hydroxylase inhibitor Roxadustat reduce ACE2 expression and inhibit SARS-CoV-2 entry and replication in lung epithelial cells via an HIF-1α-dependent pathway. Hypoxia and Roxadustat inhibit SARS-CoV-2 RNA replication, showing that post-entry steps in the viral life cycle are oxygen sensitive. This study highlights the importance of HIF signaling in regulating multiple aspects of SARS-CoV-2 infection and raises the potential use of HIF prolyl hydroxylase inhibitors in the prevention or treatment of COVID-19.

Indexed as

A549 CellsAnimalsCaco-2 CellsCell HypoxiaChlorocebus aethiopsCOVID-19COVID-19 Drug TreatmentEpithelial CellsGlycineHumansHypoxia-Inducible Factor 1, alpha SubunitIsoquinolinesLungMiceSARS-CoV-2Vero CellsGlycineHIF1A protein, humanHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitIsoquinolinesroxadustathypoxia, HIF, SARS-CoV-2, HIF prolyl hydroxylase inhibitor

Identifiers

PMID33852916
PMCPMC8020087
OpenAlexW3109009890

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.