Evidence map›Paper›PMID 33884644›Full record

ArticleAllergy2021

Profound dysregulation of T cell homeostasis and function in patients with severe COVID-19.

Sarah Adamo, Stéphane Chevrier, Carlo Cervia, Yves Zurbuchen, Miro E Raeber, Liliane Yang, Sujana Sivapatham, Andrea Jacobs, Esther Baechli, Alain Rudiger and 6 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
4.9field-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

56 citing papers in PubMed, 87 citations in OpenAlex.

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  20. T cells in health and disease.Signal transduction and targeted therapy · 2023
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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

16 authors at 6 institutions in 1 country.

Sarah AdamoDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Stéphane ChevrierDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Carlo CerviaDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Yves ZurbuchenDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Miro E RaeberDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Liliane YangDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
Sujana SivapathamDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Andrea JacobsDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Esther BaechliClinic for Internal Medicine, Uster Hospital, Uster, Switzerland.
Alain RudigerDepartment of Medicine, Limmattal Hospital, Schlieren, Switzerland.
Melina Stüssi-HelblingClinic for Internal Medicine, City Hospital Triemli Zurich, Zurich, Switzerland.
Lars C HuberClinic for Internal Medicine, City Hospital Triemli Zurich, Zurich, Switzerland.
Dominik J SchaerDepartment of Internal Medicine, USZ, Zurich, Switzerland.
Bernd BodenmillerDepartment of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Onur BoymanDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.ORCID 0000-0001-8279-5545
Jakob NilssonDepartment of Immunology, University Hospital Zurich (USZ), Zurich, Switzerland.
University Hospital of Zurich · CHUniversity of Zurich · CHTriemli Hospital · CHSpital Limmattal · CHSpital Uster · CHZurich University of Applied Sciences in Business Administration · CH

Funding

Clinical Research Priority Program of the University of Zurich for CRPP CYTIMM-ZInnovation grant of University Hospital ZurichSchweizerische Akademie der Medizinischen Wissenschaften 323530-177975Schweizerische Akademie der Medizinischen Wissenschaften 323530-191220Schweizerische Akademie der Medizinischen Wissenschaften 323530-191230Schweizerische Akademie der Medizinischen Wissenschaften Young Talents in Clinical Research FellowshipSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030-172978Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 4078P0-198431Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung R'Equip grant
6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and shows a broad clinical presentation ranging from asymptomatic infection to fatal disease. A very prominent feature associated with severe COVID-19 is T cell lymphopenia. However, homeostatic and functional properties of T cells are ill-defined in COVID-19.

methodsWe prospectively enrolled individuals with mild and severe COVID-19 into our multicenter cohort and performed a cross-sectional analysis of phenotypic and functional characteristics of T cells using 40-parameter mass cytometry, flow cytometry, targeted proteomics, and functional assays.

resultsCompared with mild disease, we observed strong perturbations of peripheral T cell homeostasis and function in severe COVID-19. Individuals with severe COVID-19 showed T cell lymphopenia and redistribution of T cell populations, including loss of naïve T cells, skewing toward CD4

conclusionOur study suggests that severe COVID-19 is characterized by extensive T cell dysfunction and T cell apoptosis, which is associated with signs of homeostatic T cell proliferation and T cell recovery.

Indexed as

COVID-19Cross-Sectional StudiesHomeostasisHumansLymphocyte ActivationSARS-CoV-2COVID-19lymphopeniaSARS-CoV-2T cells

Identifiers

PMID33884644
PMCPMC8251365
OpenAlexW3155858101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.