Evidence map›Paper›PMID 34099652›Full record

ArticleNature communications2021

SARS-CoV-2 RNAemia and proteomic trajectories inform prognostication in COVID-19 patients admitted to intensive care.

Clemens Gutmann, Kaloyan Takov, Sean A Burnap, Bhawana Singh, Hashim Ali, Konstantinos Theofilatos, Ella Reed, Maria Hasman, Adam Nabeebaccus, Matthew Fish and 27 more

Open access · goldAbstract 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 118 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 6 pooled it
10.7field-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

118 citing papers in PubMed, 6 syntheses or guidelines pooled it, 168 citations in OpenAlex.

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  6. Novel inflammatory biomarkers in the prognosis of COVID-19.Therapeutic advances in respiratory disease
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58 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

37 authors at 7 institutions in 3 countries.

Clemens Gutmann *King's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0003-0675-8632
Kaloyan Takov *King's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0002-8642-6306
Sean A Burnap *King's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0002-3408-8608
Bhawana Singh *King's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0002-5834-8320
Hashim Ali *King's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Konstantinos TheofilatosKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0001-6799-0553
Ella ReedKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Maria HasmanKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Adam NabeebaccusKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Matthew FishPeter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0001-6462-3889
Mark Jw McPhailKing's College Hospital NHS Foundation Trust, London, UK.
Kevin O'GallagherKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Lukas E SchmidtKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0001-7565-1455
Christian CasselKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Marieke RienksKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0002-0590-9518
Xiaoke YinKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0002-5172-0935
Georg AuzingerKing's College Hospital NHS Foundation Trust, London, UK.
Salvatore NapoliDepartment of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Salma F MujibInstitute of Liver Studies, King's College Hospital, London, UK.
Francesca TrovatoKing's College Hospital NHS Foundation Trust, London, UK.
Barnaby SandersonDepartment of Intensive Care Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-9621-143X
Blair MerrickClinical Infection and Diagnostics Research group, Department of Infection, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-6061-6064
Umar NiaziNIHR Biomedical Research Centre, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, UK.ORCID http://orcid.org/0000-0001-7176-8883
Mansoor SaqiNIHR Biomedical Research Centre, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, UK.
Konstantina DimitrakopoulouNIHR Biomedical Research Centre, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, UK.
Rafael Fernández-LeiroStructural Biology Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.ORCID http://orcid.org/0000-0002-7941-0357
Silke BraunMedical Clinic I, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-2558-1521
Romy Kronstein-WiedemannExperimental Transfusion Medicine, Faculty of Medicine Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Katie J DooresPeter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5507-1725
Jonathan D EdgeworthPeter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.
Ajay M ShahKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.
Stefan R BornsteinDepartment of Internal Medicine III, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-5211-2536
Torsten TonnExperimental Transfusion Medicine, Faculty of Medicine Carl Gustav Carus, Technical University Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0001-9580-2193
Adrian C HaydayPeter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-9495-5793
Mauro GiaccaKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK.ORCID http://orcid.org/0000-0003-2927-7225
Manu Shankar-HariPeter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK. manu.shankar-hari@kcl.ac.uk.ORCID http://orcid.org/0000-0002-5338-2538
Manuel MayrKing's College London British Heart Foundation Centre, School of Cardiovascular Medicine and Sciences, London, UK. manuel.mayr@kcl.ac.uk.ORCID http://orcid.org/0000-0002-0597-829X
King's College London · GBGuy's and St Thomas' NHS Foundation Trust · GBUniversity Hospital Carl Gustav Carus · DEGerman Red Cross · DEKing's College Hospital · GBKing's College Hospital NHS Foundation Trust · GBSpanish National Cancer Research Centre · ES

Funding

British Heart Foundation CH/16/3/32406British Heart Foundation CH/1999001/11735British Heart Foundation FS/17/65/33481British Heart Foundation FS/18/60/34181British Heart Foundation FS/19/58/34895British Heart Foundation PG/17/48/32956British Heart Foundation RE/18/2/34213British Heart Foundation RG/16/14/32397British Heart Foundation RG/19/11/34633British Heart Foundation RM/17/3/33381British Heart Foundation SP/17/10/33219Cancer Research UKCancer Research UK FC001093Department of Health CS-2016-16-011Medical Research Council FC001093Medical Research Council MC/PC/15068Medical Research Council MC_PC_15068Medical Research Council MR/R017751/1Medical Research Council MR/V040162/1Wellcome Trust 106292/Z/14/ZWellcome Trust FC001093
6 · The paper itself

Abstract

Prognostic characteristics inform risk stratification in intensive care unit (ICU) patients with coronavirus disease 2019 (COVID-19). We obtained blood samples (n = 474) from hospitalized COVID-19 patients (n = 123), non-COVID-19 ICU sepsis patients (n = 25) and healthy controls (n = 30). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA was detected in plasma or serum (RNAemia) of COVID-19 ICU patients when neutralizing antibody response was low. RNAemia is associated with higher 28-day ICU mortality (hazard ratio [HR], 1.84 [95% CI, 1.22-2.77] adjusted for age and sex). RNAemia is comparable in performance to the best protein predictors. Mannose binding lectin 2 and pentraxin-3 (PTX3), two activators of the complement pathway of the innate immune system, are positively associated with mortality. Machine learning identified 'Age, RNAemia' and 'Age, PTX3' as the best binary signatures associated with 28-day ICU mortality. In longitudinal comparisons, COVID-19 ICU patients have a distinct proteomic trajectory associated with mortality, with recovery of many liver-derived proteins indicating survival. Finally, proteins of the complement system and galectin-3-binding protein (LGALS3BP) are identified as interaction partners of SARS-CoV-2 spike glycoprotein. LGALS3BP overexpression inhibits spike-pseudoparticle uptake and spike-induced cell-cell fusion in vitro.

Indexed as

AdultAnimalsAntibodies, NeutralizingAntigens, NeoplasmBiomarkers, TumorCOVID-19C-Reactive ProteinCritical CareExtracellular Matrix ProteinsFemaleHEK293 CellsHumansKaplan-Meier EstimateMaleMiddle AgedPentraxinsAntibodies, NeutralizingAntigens, NeoplasmBiomarkers, TumorC-Reactive ProteinExtracellular Matrix ProteinsLGALS3BP protein, humanPentraxinsRNA, ViralSerum Amyloid P-ComponentSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID34099652
PMCPMC8184784
OpenAlexW3170549259

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.