Evidence map›Paper›PMID 34179733›Full record

ArticleiScience2021

Multi-dimensional and longitudinal systems profiling reveals predictive pattern of severe COVID-19.

Marcel S Woo, Friedrich Haag, Axel Nierhaus, Dominik Jarczak, Kevin Roedl, Christina Mayer, Thomas T Brehm, Marc van der Meirschen, Annette Hennigs, Maximilian Christopeit and 10 more

Abstract read
In one paragraph

Article in iScience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
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  4. Review
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  8. Review
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

20 authors.

Marcel S WooInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), Center for Molecular Neurobiology Hamburg (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Friedrich HaagDepartment of Immunology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Axel NierhausDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Dominik JarczakDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Kevin RoedlDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Christina MayerInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), Center for Molecular Neurobiology Hamburg (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Thomas T BrehmI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Marc van der MeirschenI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Annette HennigsI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Maximilian ChristopeitDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Walter FiedlerDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section Pneumology, II. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Panagiotis KaragiannisDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section Pneumology, II. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Christoph BurdelskiDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Alexander SchultzeDepartment of Emergency Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Samuel HuberI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Marylyn M AddoI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Stefan SchmiedelI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Manuel A FrieseInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), Center for Molecular Neurobiology Hamburg (ZMNH), University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Stefan KlugeDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
Julian Schulze Zur WieschI. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 is a respiratory tract infection that can affect multiple organ systems. Predicting the severity and clinical outcome of individual patients is a major unmet clinical need that remains challenging due to intra- and inter-patient variability. Here, we longitudinally profiled and integrated more than 150 clinical, laboratory, and immunological parameters of 173 patients with mild to fatal COVID-19. Using systems biology, we detected progressive dysregulation of multiple parameters indicative of organ damage that correlated with disease severity, particularly affecting kidneys, hepatobiliary system, and immune landscape. By performing unsupervised clustering and trajectory analysis, we identified T and B cell depletion as early indicators of a complicated disease course. In addition, markers of hepatobiliary damage emerged as robust predictor of lethal outcome in critically ill patients. This allowed us to propose a novel clinical

Indexed as

Immunologysystems biologyVirology

Identifiers

PMID34179733
PMCPMC8213514

What OpenQuestion holds

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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.