Evidence map›Paper›PMID 33986193›Full record

ArticleJCI insight2021

A specific low-density neutrophil population correlates with hypercoagulation and disease severity in hospitalized COVID-19 patients.

Samantha M Morrissey, Anne E Geller, Xiaoling Hu, David Tieri, Chuanlin Ding, Christopher K Klaes, Elizabeth A Cooke, Matthew R Woeste, Zachary C Martin, Oscar Chen and 15 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

86 citing papers in PubMed, 127 citations in OpenAlex.

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  4. Immune cell disorder in viral pneumonia.Journal of translational medicine · 2026
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26 more citing papers are in PubMed but not listed here.

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

25 authors at 5 institutions in 2 countries.

Samantha M MorrisseyDepartment of Microbiology and Immunology.
Anne E GellerDepartment of Microbiology and Immunology.
Xiaoling HuDivision of Immunotherapy, the Hiram C. Polk, Jr., MD, Department of Surgery, Immuno-Oncology Program, James Graham Brown Cancer Center.
David TieriDepartment of Biochemistry and Molecular Genetics.
Chuanlin DingDivision of Immunotherapy, the Hiram C. Polk, Jr., MD, Department of Surgery, Immuno-Oncology Program, James Graham Brown Cancer Center.
Christopher K KlaesDepartment of Oral Immunology and Infectious Diseases, School of Dentistry.
Elizabeth A CookeDepartment of Anesthesiology and Perioperative Medicine.
Matthew R WoesteDepartment of Microbiology and Immunology.
Zachary C MartinDepartment of Anesthesiology and Perioperative Medicine.
Oscar ChenDepartment of Anesthesiology and Perioperative Medicine.
Sarah E BushDepartment of Anesthesiology and Perioperative Medicine.
Huang-Ge ZhangDepartment of Microbiology and Immunology.
Rodrigo CavallazziDivision of Pulmonary, Critical Care and Sleep Disorders, Department of Medicine.
Sean P CliffordDepartment of Anesthesiology and Perioperative Medicine.
James ChenDepartment of Anesthesiology and Perioperative Medicine.
Smita GhareUniversity of Louisville Hepatobiology and Toxicology Center, Departments of Medicine and Pharmacology & Toxicology.
Shirish S BarveUniversity of Louisville Hepatobiology and Toxicology Center, Departments of Medicine and Pharmacology & Toxicology.
Lu CaiPediatric Research Institute, Department of Pediatrics.
Maiying KongDepartment of Bioinformatics and Biostatistics.
Eric C RouchkaDepartment of Computer Science and Engineering, and.
Kenneth R McLeishDivision of Nephrology and Hypertension, Department of Medicine, University of Louisville, Louisville, Kentucky, USA.
Silvia M UriarteDepartment of Oral Immunology and Infectious Diseases, School of Dentistry.
Corey T WatsonDepartment of Biochemistry and Molecular Genetics.
Jiapeng HuangDepartment of Anesthesiology and Perioperative Medicine.
Jun YanDepartment of Microbiology and Immunology.
James Graham Brown Foundation · USUniversity of Louisville · USLaboratory of Molecular Genetics · PLOffice of Infectious Diseases · USCalifornia Center for Sleep Disorders · US

Funding

WKU Lead Faculty AwardP20GM103436 · NIGMS · UNIVERSITY OF LOUISVILLE · PI ERIC C ROUCHKA · 2012 to 2026
$60.1M
Role of oxidized linoleic acid metabolites in the pathogenesis of alcoholic liver diseaseP20GM113226 · NIGMS · UNIVERSITY OF LOUISVILLE · PI GHARE, SMITA S · 2016 to 2025
$24.1M
The role of ECM-mediated mechanosignaling on regional immunosuppression in GBMP20GM135004 · NIGMS · UNIVERSITY OF LOUISVILLE · PI JUN YAN · 2020 to 2026
$21.1M
The Role of Nutrition in the Development/Progression of Alcohol-Induced Organ InjuryP50AA024337 · NIAAA · UNIVERSITY OF LOUISVILLE · PI SHIRISH S BARVE · 2016 to 2026
$17.9M
PILOT PROJECT PROGRAMP30GM106396 · NIGMS · UNIVERSITY OF LOUISVILLE · PI EATON, JOHN W · 2013 to 2017
$5.4M
NIAAA NIH HHS P50 AA024337NIGMS NIH HHS P20 GM103436NIGMS NIH HHS P20 GM113226NIGMS NIH HHS P20 GM135004NIGMS NIH HHS P30 GM106396
6 · The paper itself

Abstract

SARS coronavirus 2 (SARS-CoV-2) is a novel viral pathogen that causes a clinical disease called coronavirus disease 2019 (COVID-19). Although most COVID-19 cases are asymptomatic or involve mild upper respiratory tract symptoms, a significant number of patients develop severe or critical disease. Patients with severe COVID-19 commonly present with viral pneumonia that may progress to life-threatening acute respiratory distress syndrome (ARDS). Patients with COVID-19 are also predisposed to venous and arterial thromboses that are associated with a poorer prognosis. The present study identified the emergence of a low-density inflammatory neutrophil (LDN) population expressing intermediate levels of CD16 (CD16Int) in patients with COVID-19. These cells demonstrated proinflammatory gene signatures, activated platelets, spontaneously formed neutrophil extracellular traps, and enhanced phagocytic capacity and cytokine production. Strikingly, CD16Int neutrophils were also the major immune cells within the bronchoalveolar lavage fluid, exhibiting increased CXCR3 but loss of CD44 and CD38 expression. The percentage of circulating CD16Int LDNs was associated with D-dimer, ferritin, and systemic IL-6 and TNF-α levels and changed over time with altered disease status. Our data suggest that the CD16Int LDN subset contributes to COVID-19-associated coagulopathy, systemic inflammation, and ARDS. The frequency of that LDN subset in the circulation could serve as an adjunct clinical marker to monitor disease status and progression.

Indexed as

SARS-CoV-2AdultAgedAged, 80 and overBiomarkersBlood Coagulation DisordersCOVID-19CytokinesFemaleGPI-Linked ProteinsHospitalizationHumansInflammation MediatorsMaleMiddle AgedNeutrophilsBiomarkersCytokinesFCGR3B protein, humanGPI-Linked ProteinsInflammation MediatorsReceptors, IgGCoagulationCOVID-19ImmunologyNeutrophils

Identifiers

PMID33986193
PMCPMC8262329
OpenAlexW3162899664

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.