Evidence map›Paper›PMID 34177139›Full record

ReviewIndian journal of clinical biochemistry : IJCB2021

Interleukin-6 Perpetrator of the COVID-19 Cytokine Storm.

Jyoti Shekhawat, Kavya Gauba, Shruti Gupta, Purvi Purohit, Prasenjit Mitra, Mahendra Garg, Sanjeev Misra, Praveen Sharma, Mithu Banerjee

Open access · bronzeAbstract readReview
In one paragraph

Review in Indian journal of clinical biochemistry : IJCB, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

54 citing papers in PubMed, 84 citations in OpenAlex.

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  16. Ketamine-based Sedation Use in Mechanically Ventilated Critically Ill Patients with COVID-19: A Multicenter Cohort Study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
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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

9 authors at 1 institution in 1 country.

Jyoti ShekhawatDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.ORCID 0000-0002-6787-3450
Kavya GaubaDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.ORCID 0000-0001-8625-6055
Shruti GuptaDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.ORCID 0000-0002-7435-3496
Purvi PurohitDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.
Prasenjit MitraDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.
Mahendra GargDepartment of Endocrinology, All India Institute of Medical Sciences, Jodhpur, 342005 India.
Sanjeev MisraDepartment of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, 342005 India.
Praveen SharmaDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.
Mithu BanerjeeDepartment of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005 India.ORCID 0000-0002-4107-3076
All India Institute of Medical Sciences Jodhpur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 has emerged as a global pandemic. It is mainly manifested as pneumonia which may deteriorate into severe respiratory failure. The major hallmark of the disease is the systemic inflammatory immune response characterized by Cytokine Storm (CS). CS is marked by elevated levels of inflammatory cytokines, mainly interleukin-6 (IL-6), IL-8, IL-10, tumour necrosis factor-α (TNF-α) and interferon-γ (IFN-γ). Of these, IL-6 is found to be significantly associated with higher mortality. IL-6 is also a robust marker for predicting disease prognosis and deterioration of clinical profile. In this review, the pivotal role played by IL-6 in the immuno-pathology of COVID-19 has been illustrated. The role of IL-6 as a pleiotropic cytokine executing both pro and anti-inflammatory activities has been reviewed. ADAM 10, a metalloproteinase switches the anti-inflammatory pathway of IL-6 to pro inflammatory hence blocking the action of ADAM 10 could be a new therapeutic strategy to mitigate the proinflammatory action of IL-6. Furthermore, we explore the role of anti-IL6 agents, IL-6 receptor antibodies which were being used for autoimmune diseases but now are being repurposed for the therapy of COVID-19.

Indexed as

ACE2 ReceptorCytokine stormInterleukin-6Monoclonal antibodiesSARS-CoV-2

Identifiers

PMID34177139
PMCPMC8216093
OpenAlexW3173560675

What OpenQuestion holds

Textmetadata
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.