Evidence map›Paper›PMID 34021143›Full record

ArticleNature communications2021

Severe T cell hyporeactivity in ventilated COVID-19 patients correlates with prolonged virus persistence and poor outcomes.

Kerstin Renner, Tobias Schwittay, Sophia Chaabane, Johanna Gottschling, Christine Müller, Charlotte Tiefenböck, Jan-Niklas Salewski, Frederike Winter, Simone Buchtler, Saidou Balam and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. SARS-CoV-2-Specific Immune Response and the Pathogenesis of COVID-19.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. CD8Frontiers in immunology · 2022
    Review
  10. Review
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.

Kerstin RennerDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Tobias SchwittayDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Sophia ChaabaneDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Johanna GottschlingDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Christine MüllerDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Charlotte TiefenböckDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Jan-Niklas SalewskiDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Frederike WinterDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Simone BuchtlerDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Saidou BalamDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0002-7178-7758
Maximilian V MalfertheinerDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0002-6245-2614
Matthias LubnowDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Dirk LunzDepartment of Anesthesiology, University Hospital Regensburg, Regensburg, Germany.
Bernhard GrafDepartment of Anesthesiology, University Hospital Regensburg, Regensburg, Germany.
Florian HitzenbichlerDepartment of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.
Frank HansesDepartment of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.
Hendrik PoeckDepartment of Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Marina KreutzDepartment of Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Evelyn OrsóInstitute of Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, Regensburg, Germany.
Ralph BurkhardtInstitute of Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0003-1924-1202
Tanja NiedermairInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Christoph BrochhausenInstitute of Pathology, University of Regensburg, Regensburg, Germany.
André GessnerInstitute Clinical Microbiology and Hygiene, University Hospital Regensburg, Regensburg, Germany.
Bernd SalzbergerDepartment of Infection Prevention and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.
Matthias MackDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany. matthias.mack@klinik.uni-regensburg.de.ORCID 0000-0002-3157-7262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) can lead to pneumonia and hyperinflammation. Here we show a sensitive method to measure polyclonal T cell activation by downstream effects on responder cells like basophils, plasmacytoid dendritic cells, monocytes and neutrophils in whole blood. We report a clear T cell hyporeactivity in hospitalized COVID-19 patients that is pronounced in ventilated patients, associated with prolonged virus persistence and reversible with clinical recovery. COVID-19-induced T cell hyporeactivity is T cell extrinsic and caused by plasma components, independent of occasional immunosuppressive medication of the patients. Monocytes respond stronger in males than females and IL-2 partially restores T cell activation. Downstream markers of T cell hyporeactivity are also visible in fresh blood samples of ventilated patients. Based on our data we developed a score to predict fatal outcomes and identify patients that may benefit from strategies to overcome T cell hyporeactivity.

Indexed as

AdultAgedBasophilsCells, CulturedCOVID-19Dendritic CellsFemaleHumansInflammationLymphocyte ActivationMaleMiddle AgedMonocytesNeutrophilsPneumoniaSARS-CoV-2

Identifiers

PMID34021143
PMCPMC8140132

What OpenQuestion holds

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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.