Evidence map›Paper›PMID 34054876›Full record

ArticleFrontiers in immunology2021

Antibodies Against Angiotensin II Receptor Type 1 and Endothelin A Receptor Are Associated With an Unfavorable COVID19 Disease Course.

Jelle Miedema, Marco Schreurs, Simone van der Sar-van der Brugge, Marthe Paats, Sara Baart, Marleen Bakker, Rogier Hoek, Willem Arnout Dik, Henrik Endeman, Vincent Van Der Velden and 4 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article 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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Endotheliopathy in Acute COVID-19 and Long COVID.International journal of molecular sciences · 2023
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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

14 authors.

Jelle MiedemaDepartment of Pulmonology, Erasmus Medical Center, Rotterdam, Netherlands.
Marco SchreursDepartment of Immunology, Erasmus Medical Center, Rotterdam, Netherlands.
Simone van der Sar-van der BruggeDepartment of Pulmonology, Amphia Hospital, Breda, Netherlands.
Marthe PaatsDepartment of Pulmonology, Erasmus Medical Center, Rotterdam, Netherlands.
Sara BaartDepartment of Biostatistics, Erasmus Medical Center, Rotterdam, Netherlands.
Marleen BakkerDepartment of Pulmonology, Erasmus Medical Center, Rotterdam, Netherlands.
Rogier HoekDepartment of Pulmonology, Erasmus Medical Center, Rotterdam, Netherlands.
Willem Arnout DikDepartment of Immunology, Erasmus Medical Center, Rotterdam, Netherlands.
Henrik EndemanDepartment of Intensive Care Medicine, Erasmus Medical Center, Rotterdam, Netherlands.
Vincent Van Der VeldenDepartment of Immunology, Erasmus Medical Center, Rotterdam, Netherlands.
Adriaan van GammerenDepartment of Clinical Chemistry and Hematology, Amphia Hospital, Breda, Netherlands.
Antonius ErmensDepartment of Clinical Chemistry and Hematology, Amphia Hospital, Breda, Netherlands.
Joachim G AertsDepartment of Pulmonology, Erasmus Medical Center, Rotterdam, Netherlands.
Jan Von Der ThüsenDepartment of Pathology, Erasmus Medical Center, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lung histopathology demonstrates vasculopathy in a subset of deceased COVID19 patients, which resembles histopathology observed in antibody-mediated lung transplant rejection. Autoantibodies against angiotensin II type 1 receptor (AT1R) and Endothelin receptor Type A (ETAR) have been demonstrated in antibody-mediated rejection and may also be associated with severe COVID19 infection. Objective To assess AT1R and ETAR auto-antibodies in COVID19 patients and controls, and explore their association with disease course. Methods: 65 hospitalized patients with COVID19 infection were included. Clinical and laboratory findings were retrospectively assessed. Patients with unfavorable disease course, admitted at the intensive care unit and/or deceased during hospital admission (n=33) were compared to admitted COVID19 patients with favorable disease course (n=32). The presence of antinuclear antibodies (ANA) and auto-antibodies against AT1R or ETAR in peripheral blood were compared between COVID19 with unfavorable and favorable disease course and age matched controls (n=20). Results: The presence of ANA was not significantly different between COVID19 patients with unfavorable (n=7/33; 21%) and favorable disease course (n=6/32; 19%) (p= 0.804) and controls (n=3/20; 15%). Auto-antibodies against AT1R were significantly increased in unfavorable disease course (median 14.59 U/mL, IQR 11.28 - 19.89) compared to favorable disease course (median 10.67 U/mL, IQR 8.55 - 13.0, p< 0.01). ETAR antibody titers were also significantly increased in unfavorable disease course (median 7.21, IQR 5.0 - 10.45) as compared to favorable disease course (median 4.0, IQR 3.0 - 6.0, p <0.05). Conclusion: Auto-antibodies against AT1R and ETAR are significantly increased in COVID19 patients with an unfavorable disease course.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesCOVID-19FemaleHumansIntensive Care UnitsMaleMiddle AgedNetherlandsReceptor, Angiotensin, Type 1Receptor, Endothelin ARetrospective StudiesRisk AssessmentSeverity of Illness IndexAutoantibodiesReceptor, Angiotensin, Type 1Receptor, Endothelin AAngiotensin II Receptor type 1 AntibodyAntinuclear antibody (ANA)AutoimmunityCOVID19Endothelin Receptor Type A AntibodyPrognosis (D011379)

Identifiers

PMID34054876
PMCPMC8155664

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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.