Evidence map›Paper›PMID 34235400›Full record

ArticleHemaSphere2021

COVID-19 in Patients Receiving CD20-depleting Immunochemotherapy for B-cell Lymphoma.

Erik Gaitzsch, Verena Passerini, Elham Khatamzas, Carolin D Strobl, Maximilian Muenchhoff, Clemens Scherer, Andreas Osterman, Michael Heide, Anna Reischer, Marion Subklewe and 29 more

Open access · goldAbstract read
In one paragraph

Article in HemaSphere, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.0field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 51 citations in OpenAlex.

  1. Convalescent plasma therapy in B-cell-depleted and B-cell sufficient patients with life-threatening COVID-19 - A case series.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2021
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  10. [Integration of Inventory Data from Cohort and Registry Studies into an Existing Research Network: National Pandemic Cohort Network (NAPKON)].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 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

39 authors at 13 institutions in 1 country.

Erik GaitzschDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Verena PasseriniDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Elham KhatamzasDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Carolin D StroblDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Maximilian MuenchhoffMax von Pettenkofer Institute & Gene Center, Virology, National Reference Center for Retroviruses, LMU München, Germany.
Clemens SchererCOVID-19 Registry of the LMU Munich (CORKUM), University Hospital, LMU Munich, Germany.
Andreas OstermanMax von Pettenkofer Institute & Gene Center, Virology, National Reference Center for Retroviruses, LMU München, Germany.
Michael HeideDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Anna ReischerDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Marion SubkleweDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Alexandra LeutbecherDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Benjamin TastDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Adrian RuhleGerman Center for Infection Research (DZIF), partner site Munich, Germany.
Tobias WeigleinDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Stephanie-Susanne StecherDepartment of Medicine II, University Hospital, LMU Munich, Germany.
Hans J StemmlerDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Martin DreylingDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Philipp GirlBundeswehr Institute of Microbiology, Munich, Germany.
Enrico GeorgiBundeswehr Institute of Microbiology, Munich, Germany.
Roman WölfelBundeswehr Institute of Microbiology, Munich, Germany.
Laura MateykaInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München, Germany.
Elvira D'IppolitoInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München, Germany.
Kilian SchoberInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München, Germany.
Dirk H BuschInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München, Germany.
Juliane KagerTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Christoph D SpinnerTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Munich, Germany.
Matthias TreiberTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Munich, Germany.
Sebastian RaschTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Tobias LahmerTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Roman IakoubovTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Jochen SchneiderTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Ulrike ProtzerGerman Center for Infection Research (DZIF), partner site Munich, Germany.
Christof WinterGerman Cancer Consortium (DKTK), Munich, Germany; German Cancer Research Center (DKFZ), Heidelberg, Germany.
Jürgen RulandGerman Cancer Consortium (DKTK), Munich, Germany; German Cancer Research Center (DKFZ), Heidelberg, Germany.
Michael QuanteTechnical University of Munich, School of Medicine, University Hospital Rechts der Isar, Department of Internal Medicine II, Munich, Germany.
Oliver T KepplerMax von Pettenkofer Institute & Gene Center, Virology, National Reference Center for Retroviruses, LMU München, Germany.
Michael von Bergwelt-BaildonDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Johannes HellmuthDepartment of Medicine III, University Hospital, LMU Munich, Germany.
Oliver WeigertDepartment of Medicine III, University Hospital, LMU Munich, Germany.
LMU Klinikum · DELudwig-Maximilians-Universität München · DETechnical University of Munich · DEKlinikum rechts der Isar · DEDeutschen Konsortium für Translationale Krebsforschung · DEGerman Center for Infection Research · DEInstitute of Medical Microbiology and Hygiene · DEInstitut für Mikrobiologie der BundeswehrGerman Cancer Research Center · DEHeidelberg University · DEHelmholtz Zentrum München · DEUniversität der Bundeswehr München · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical and immunological impact of B-cell depletion in the context of coronavirus disease 2019 (COVID-19) is unclear. We conducted a prospectively planned analysis of COVID-19 in patients who received B-cell depleting anti-CD20 antibodies and chemotherapy for B-cell lymphomas. The control cohort consisted of age- and sex-matched patients without lymphoma who were hospitalized because of COVID-19. We performed detailed clinical analyses, in-depth cellular and molecular immune profiling, and comprehensive virological studies in 12 patients with available biospecimens. B-cell depleted lymphoma patients had more severe and protracted clinical course (median hospitalization 88 versus 17 d). All patients actively receiving immunochemotherapy (n = 5) required ICU support including long-term mechanical ventilation. Neutrophil recovery following granulocyte colony stimulating factor stimulation coincided with hyperinflammation and clinical deterioration in 4 of the 5 patients. Immune cell profiling and gene expression analysis of peripheral blood mononuclear cells revealed early activation of monocytes/macrophages, neutrophils, and the complement system in B-cell depleted lymphoma patients, with subsequent exacerbation of the inflammatory response and dysfunctional interferon signaling at the time of clinical deterioration of COVID-19. Longitudinal immune cell profiling and functional in vitro assays showed SARS-CoV-2-specific CD8

Identifiers

PMID34235400
PMCPMC8240782
OpenAlexW3175076434

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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.