Evidence map›Paper›PMID 33995410›Full record

Trial reportFrontiers in immunology2021

Plasma Lectin Pathway Complement Proteins in Patients With COVID-19 and Renal Disease.

Nicholas R Medjeral-Thomas, Anne Troldborg, Annette G Hansen, Jack Gisby, Candice L Clarke, Maria Prendecki, Stephen P McAdoo, Eleanor Sandhu, Liz Lightstone, David C Thomas and 5 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Observational
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

15 authors at 4 institutions in 2 countries.

Nicholas R Medjeral-ThomasCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Anne TroldborgDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Annette G HansenDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Jack GisbyCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Candice L ClarkeCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Maria PrendeckiCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Stephen P McAdooCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Eleanor SandhuCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Liz LightstoneCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
David C ThomasCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Michelle WillicombeCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Marina BottoCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
James E PetersCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Matthew C PickeringCentre for Inflammatory Disease, Imperial College London, London, United Kingdom.
Steffen ThielDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Imperial College London · GBNational Health Service · GBAarhus University · DKImperial College Healthcare NHS Trust · GB

Funding

Medical Research Council MC_PC_20060Medical Research Council MR/S004068/2Medical Research Council MR/V027638/1Medical Research Council MR/V028448/1Wellcome Trust
6 · The paper itself

Abstract

We do not understand why non-white ethnicity and chronic kidney disease increase susceptibility to COVID-19. The lectin pathway of complement activation is a key contributor to innate immunity and inflammation. Concentrations of plasma lectin pathway proteins influence pathway activity and vary with ethnicity. We measured circulating lectin proteins in a multi-ethnic cohort of chronic kidney disease patients with and without COVID19 infection to determine if lectin pathway activation was contributing to COVID19 severity. We measured 11 lectin proteins in serial samples from a cohort of 33 patients with chronic kidney impairment and COVID19. Controls were single plasma samples from 32 patients on dialysis and 32 healthy individuals. We demonstrated multiple associations between recognition molecules and associated proteases of the lectin pathway and COVID-19, including COVID-19 severity. Some of these associations were unique to patients of Asian and White ethnicity. Our novel findings demonstrate that COVID19 infection alters the concentration of plasma lectin proteins and some of these changes were linked to ethnicity. This suggests a role for the lectin pathway in the host response to COVID-19 and suggest that variability within this pathway may contribute to ethnicity-associated differences in susceptibility to severe COVID-19.

Indexed as

Complement Pathway, Mannose-Binding LectinAdultAgedAged, 80 and overCOVID-19FemaleHumansLectinsMaleMiddle AgedRenal Insufficiency, ChronicSARS-CoV-2Lectinschronic kidney diseasecomplementcoronavirusCOVID-19lectin

Identifiers

PMID33995410
PMCPMC8118695
OpenAlexW3158463534

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.