Evidence map›Paper›PMID 34075090›Full record

ArticleScientific reports2021

Targeting of the CD80/86 proinflammatory axis as a therapeutic strategy to prevent severe COVID-19.

Antonio Julià, Irene Bonafonte-Pardàs, Antonio Gómez, María López-Lasanta, Mireia López-Corbeto, Sergio H Martínez-Mateu, Jordi Lladós, Iván Rodríguez-Nunez, Richard M Myers, Sara Marsal

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. 2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Abatacept.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Guideline
  2. Article
  3. Review
  4. Article
  5. Protective Effect ofMicroorganisms · 2026
    Article
  6. ST2 Signaling Regulates Innate Immune Responses in Kidney Injury.bioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Accelerating and protective effects toward cancer growth in cGAS and FcgRIIb deficient mice, respectively, an impact of macrophage polarization.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. COVID-19 Treatment-Current Status, Advances, and Gap.Pathogens (Basel, Switzerland) · 2022
    Review
  15. Article
  16. Article
  17. Article
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

10 authors at 1 institution in 1 country.

Antonio JuliàRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain. toni.julia@vhir.org.
Irene Bonafonte-PardàsRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
Antonio GómezRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
María López-LasantaRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
Mireia López-CorbetoRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
Sergio H Martínez-MateuRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
Jordi LladósRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain.
Iván Rodríguez-NunezHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Richard M MyersHudsonAlpha Institute for Biotechnology, Huntsville, AL, USA.
Sara MarsalRheumatology Department and Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, 08035, Barcelona, Spain. sara.marsal@vhir.org.
HudsonAlpha Institute for Biotechnology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An excessive immune response known as cytokine storm is the hallmark of severe COVID-19. The cause of this cytokine rampage is yet not known. Based on recent epidemiological evidence, we hypothesized that CD80/86 signaling is essential for this hyperinflammation, and that blocking this proinflammatory axis could be an effective therapeutic approach to protect against severe COVID-19. Here we provide exploratory evidence that abatacept, a drug that blocks CD80/86 co-stimulation, produces changes at the systemic level that are highly antagonistic of the proinflammatory processes elicited by COVID-19. Using RNA-seq from blood samples from a longitudinal cohort of n = 38 rheumatic patients treated with abatacept, we determined the immunological processes that are significantly regulated by this treatment. We then analyzed available blood RNA-seq from two COVID19 patient cohorts, a very early cohort from the epicenter of the pandemic in China (n = 3 COVID-19 cases and n = 3 controls), and a recent and larger cohort from the USA (n = 49 severe and n = 51 mild COVD-19 patients). We found a highly significant antagonism between SARS-CoV-2 infection and COVID-19 severity with the systemic response to abatacept. Analysis of previous single-cell RNA-seq data from bronchoalveolar lavage fluid from mild and severe COVID-19 patients and controls, reinforce the implication of the CD80/86 proinflammatory axis. Our functional results further support abatacept as a candidate therapeutic approach to prevent severe COVID-19.

Indexed as

COVID-19 Drug TreatmentAbataceptAgedArthritis, RheumatoidB7-1 AntigenB7-2 AntigenBronchoalveolar Lavage FluidChinaCOVID-19Cytokine Release SyndromeFemaleHumansImmunosuppressive AgentsMaleMiddle AgedObservational Studies as TopicAbataceptB7-1 AntigenB7-2 AntigenCD80 protein, humanCD86 protein, humanImmunosuppressive Agents

Identifiers

PMID34075090
PMCPMC8169841
OpenAlexW3165592854

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.