Evidence map›Paper›PMID 34034806›Full record

ArticleClinical epigenetics2021

Blood DNA methylation and COVID-19 outcomes.

Joseph Balnis, Andy Madrid, Kirk J Hogan, Lisa A Drake, Hau C Chieng, Anupama Tiwari, Catherine E Vincent, Amit Chopra, Peter A Vincent, Michael D Robek and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
9.3field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 125 citations in OpenAlex.

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  6. Exploring the association between epigenetic age and intensive care unit delirium: a pilot feasibility study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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11 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

13 authors at 3 institutions in 1 country.

Joseph Balnis *Division of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Andy Madrid *Department of Neurological Surgery, University of Wisconsin, Madison, WI, USA.
Kirk J HoganDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
Lisa A DrakeDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Hau C ChiengDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Anupama TiwariDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Catherine E VincentDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Amit ChopraDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA.
Peter A VincentDepartment of Molecular and Cellular Physiology, Albany Medical College, Albany, NY, USA.
Michael D RobekDepartment of Immunology and Microbial Disease, Albany Medical College, Albany, NY, USA.
Harold A SingerDepartment of Molecular and Cellular Physiology, Albany Medical College, Albany, NY, USA.
Reid S AlischDepartment of Neurological Surgery, University of Wisconsin, Madison, WI, USA. alisch@neurosurgery.wisc.edu.
Ariel JaitovichDivision of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY, USA. jaitova@amc.edu.ORCID 0000-0003-4714-2260
Albany Medical Center Hospital · USUniversity of Wisconsin–Madison · USUniversity of Wisconsin System · US

Funding

Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Henrik Zetterberg · 2019 to 2026
$34.5M
CALCIUM/CALMODULIN ACTIVATED KINIASES IN SMOOTH MUSCLER01HL049426 · NHLBI · WEIS CENTER FOR RESEARCH-GEISINGER CLINC · PI SINGER, HAROLD A · 1994 to 2019
$6.2M
Blood DNA Methylation Biomarkers of Alzheimer's DiseaseR01AG066179 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ALISCH, REID SPENCER, HOGAN, KIRK J · 2020 to 2024
$3.0M
Mechanisms and clinical relevance of hypercapnia-induced skeletal muscle atrophy in Chronic Obstructive Pulmonary Disease (COPD)K01HL130704 · NHLBI · ALBANY MEDICAL COLLEGE · PI JAITOVICH, ADOLFO ARIEL · 2016 to 2021
$835k
NHLBI NIH HHS K01 HL130704NHLBI NIH HHS K01HL130704NHLBI NIH HHS R01 HL049426NHLBI NIH HHS R01HL049426NIA NIH HHS P30 AG062715NIA NIH HHS R01 AG066179NIA NIH HHS R01AG066179
6 · The paper itself

Abstract

backgroundThere are no prior reports that compare differentially methylated regions of DNA in blood samples from COVID-19 patients to samples collected before the SARS-CoV-2 pandemic using a shared epigenotyping platform. We performed a genome-wide analysis of circulating blood DNA CpG methylation using the Infinium Human MethylationEPIC BeadChip on 124 blood samples from hospitalized COVID-19-positive and COVID-19-negative patients and compared these data with previously reported data from 39 healthy individuals collected before the pandemic. Prospective outcome measures such as COVID-19-GRAM risk-score and mortality were combined with methylation data.

resultsGlobal mean methylation levels did not differ between COVID-19 patients and healthy pre-pandemic controls. About 75% of acute illness-associated differentially methylated regions were located near gene promoter regions and were hypo-methylated in comparison with healthy pre-pandemic controls. Gene ontology analyses revealed terms associated with the immune response to viral infections and leukocyte activation; and disease ontology analyses revealed a predominance of autoimmune disorders. Among COVID-19-positive patients, worse outcomes were associated with a prevailing hyper-methylated status. Recursive feature elimination identified 77 differentially methylated positions predictive of COVID-19 severity measured by the GRAM-risk score.

conclusionOur data contribute to the awareness that DNA methylation may influence the expression of genes that regulate COVID-19 progression and represent a targetable process in that setting.

Indexed as

AgedAged, 80 and overCOVID-19DNA MethylationFemaleHumansMaleMiddle AgedNew YorkProspective StudiesSARS-CoV-2Acute respiratory distress syndrome (ARDS)COVID-19DNA methylationGene expressionMortalityOutcomes

Identifiers

PMID34034806
PMCPMC8148415
OpenAlexW3165406600

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.