Evidence map›Paper›PMID 33947467›Full record

ArticleGut pathogens2021

Role of interferon gamma in SARS-CoV-2-positive patients with parasitic infections.

Enas Fakhry Abdel-Hamed, Mohamed N Ibrahim, Nahed E Mostafa, Howayda S F Moawad, Nahla E Elgammal, Ehab M Darwiesh, Dina S El-Rafey, Nissreen E ElBadawy, Emad Ali Al-Khoufi, Salwa I Hindawi

Open access · goldAbstract read
In one paragraph

Article in Gut pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Surface displayed porcine epidemic diarrhea virus membrane epitopes onJournal of animal science and technology · 2025
    Article
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  5. Review
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  7. Article
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  9. Review
  10. Review
  11. Article
  12. IFN-American journal of respiratory cell and molecular biology · 2023
    Article
  13. Article
  14. Review
  15. Review
  16. Evidence-based complementary and alternative medicine : eCAM · 2022
    Article
  17. 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

10 authors at 4 institutions in 2 countries.

Enas Fakhry Abdel-HamedMedical Parasitology Department, Faculty of Medicine, Zagazig University, El Kawmia Square, Zagazig, 44511, Sharkia Governorate, Egypt. enas_refae1983@yahoo.com.ORCID http://orcid.org/0000-0002-4039-2710
Mohamed N IbrahimClinical Laboratories Department, College of Applied Medical Sciences, Jouf University, Al-Jouf, 77451, Saudi Arabia.
Nahed E MostafaMedical Parasitology Department, Faculty of Medicine, Zagazig University, El Kawmia Square, Zagazig, 44511, Sharkia Governorate, Egypt.
Howayda S F MoawadMedical Parasitology Department, Faculty of Medicine, Zagazig University, El Kawmia Square, Zagazig, 44511, Sharkia Governorate, Egypt.
Nahla E ElgammalTropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, 44511, Egypt.
Ehab M DarwieshTropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, 44511, Egypt.
Dina S El-RafeyCommunity, Environmental and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, 44511, Egypt.
Nissreen E ElBadawyMicrobiology Department, Faculty of Medicine, Zagazig University, Zagazig, 44511, Egypt.
Emad Ali Al-KhoufiInternal Medicine Department, College of Medicine, King Faisal University, 31982, Al-Ahsa, Saudi Arabia.
Salwa I HindawiHaematology and Transfusion Medicine, King Abdulaziz University, Jeddah, 21577, Saudi Arabia.
Zagazig University · EGJouf University · SAKing Abdulaziz University · SAKing Faisal University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy 27 June 2020, almost half a million people had died due to COVID-19 infections. The susceptibility and severity of infection vary significantly across nations. The contribution of chronic viral and parasitic infections to immune homeostasis remains a concern. By investigating the role of interferon (IFN)-γ, we conducted this study to understand the connection between the decrease in numbers and severity of COVID-19 cases within parasitic endemic regions. Our research included 375 patients referred to hospitals for diagnosis of COVID-19 infection. Patients were subjected to full investigations, in particular severe acute respiratory syndrome coronavirus-2 nucleic acid and Toxoplasma IgM and IgG antibody detection, stool examination, and quantitative IFN-γ measurement.

resultsThe majority of the studied cases had chest manifestation either alone (54.7%) or in association with gastrointestinal (GIT) manifestations (19.7%), whereas 25.6% had GIT symptoms. We reported parasitic infections in 72.8% of mild COVID-19 cases and 20.7% of severe cases. Toxoplasma gondii, Cryptosporidium, Blastocyst, and Giardia were the most common parasitic infections among the COVID-19 cases studied.

conclusionThe remarkable adaptation of human immune response to COVID-19 infection by parasitic infections with high levels of IFN-γ was observed in moderate cases compared with low levels in extreme cases. The potential therapeutic efforts aimed at the role of parasitic infection in immune system modulation are needed if this hypothesis is confirmed.

Identifiers

PMID33947467
PMCPMC8096133
OpenAlexW3157433186

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.