Evidence map›Paper›PMID 34128960›Full record

ArticleThe Journal of experimental medicine2021

Dynamic innate immune response determines susceptibility to SARS-CoV-2 infection and early replication kinetics.

Nagarjuna R Cheemarla, Timothy A Watkins, Valia T Mihaylova, Bao Wang, Dejian Zhao, Guilin Wang, Marie L Landry, Ellen F Foxman

Open access · greenAbstract readVideo-Audio Media
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 153 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 1 pooled it
11.4field-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

153 citing papers in PubMed, 1 synthesis or guideline pooled it, 210 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

93 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Nagarjuna R CheemarlaDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-8860-2457
Timothy A WatkinsDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-1607-1335
Valia T MihaylovaDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0003-2285-0324
Bao WangDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-6472-2307
Dejian ZhaoDepartment of Genetics, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-2105-3799
Guilin WangDepartment of Genetics, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-7835-3186
Marie L LandryDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0001-5543-8366
Ellen F FoxmanDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0001-9767-9942
Yale University · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
INTERDISCIPLINARY IMMUNOLOGY TRAINING PROGRAMT32AI007019 · NIAID · YALE UNIVERSITY · PI Carrie L. Lucas, David G. Schatz · 1985 to 2026
$14.4M
Predoctoral Training Program in VirologyT32AI055403 · NIAID · YALE UNIVERSITY · PI KUMAR, PRITI, MOTHES, WALTHER H · 2003 to 2024
$3.6M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS T32 AI007019NIAID NIH HHS T32 AI055403
6 · The paper itself

Abstract

Initial replication of SARS-CoV-2 in the upper respiratory tract is required to establish infection, and the replication level correlates with the likelihood of viral transmission. Here, we examined the role of host innate immune defenses in restricting early SARS-CoV-2 infection using transcriptomics and biomarker-based tracking in serial patient nasopharyngeal samples and experiments with airway epithelial organoids. SARS-CoV-2 initially replicated exponentially, with a doubling time of ∼6 h, and induced interferon-stimulated genes (ISGs) in the upper respiratory tract, which rose with viral replication and peaked just as viral load began to decline. Rhinovirus infection before SARS-CoV-2 exposure accelerated ISG responses and prevented SARS-CoV-2 replication. Conversely, blocking ISG induction during SARS-CoV-2 infection enhanced viral replication from a low infectious dose. These results show that the activity of ISG-mediated defenses at the time of SARS-CoV-2 exposure impacts infection progression and that the heterologous antiviral response induced by a different virus can protect against SARS-CoV-2.

Indexed as

AdultAgedAged, 80 and overAngiotensin-Converting Enzyme 2Case-Control StudiesChemokine CXCL10COVID-19Disease SusceptibilityFemaleGene Expression ProfilingHost-Pathogen InteractionsHumansImmunity, InnateInterferonsMaleMiddle AgedACE2 protein, humanAngiotensin-Converting Enzyme 2Chemokine CXCL10CXCL10 protein, humanInterferons

Identifiers

PMID34128960
PMCPMC8210587
OpenAlexW3169110632

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.