Evidence map›Paper›PMID 34260666›Full record

ArticlePLoS pathogens2021

COVID-19 virtual patient cohort suggests immune mechanisms driving disease outcomes.

Adrianne L Jenner, Rosemary A Aogo, Sofia Alfonso, Vivienne Crowe, Xiaoyan Deng, Amanda P Smith, Penelope A Morel, Courtney L Davis, Amber M Smith, Morgan Craig

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
5.1field-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

52 citing papers in PubMed, 91 citations in OpenAlex.

  1. Article
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  8. Article
  9. Viral Dynamic Models During COVID-19: Are We Ready for the Next Pandemic?CPT: pharmacometrics & systems pharmacology · 2025
    Review
  10. Personalizing computational models to construct medical digital twins.Journal of the Royal Society, Interface · 2025
    Article
  11. Article
  12. Article
  13. Personalizing computational models to construct medical digital twins.bioRxiv : the preprint server for biology · 2024
    Article
  14. Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Adrianne L JennerSainte-Justine University Hospital Research Centre, Montréal, Québec, Canada.ORCID 0000-0001-9103-7092
Rosemary A AogoDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America.ORCID 0000-0003-4588-4914
Sofia AlfonsoDepartment of Physiology, McGill University, Montréal, Québec, Canada.ORCID 0000-0002-1323-2084
Vivienne CroweDepartment of Mathematics and Statistics, Concordia University, Montréal, Québec, Canada.ORCID 0000-0001-8852-9985
Xiaoyan DengSainte-Justine University Hospital Research Centre, Montréal, Québec, Canada.
Amanda P SmithDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America.ORCID 0000-0003-2428-1620
Penelope A MorelDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.ORCID 0000-0002-1743-3676
Courtney L DavisNatural Science Division, Pepperdine University, Malibu, California, United States of America.ORCID 0000-0002-3274-5707
Amber M SmithDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America.ORCID 0000-0002-7092-6904
Morgan CraigSainte-Justine University Hospital Research Centre, Montréal, Québec, Canada.ORCID 0000-0003-4852-4770
Centre Hospitalier Universitaire Sainte-Justine · CAUniversity of Tennessee Health Science Center · USConcordia University · CAMcGill University · CAPepperdine University · USUniversity of Pittsburgh · US

Funding

Predictive Modeling of Influenza-Pneumococcal CoinfectionR01AI139088 · NIAID · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SMITH, AMBER M · 2018 to 2022
$2.1M
NIAID NIH HHS R01 AI139088
6 · The paper itself

Abstract

To understand the diversity of immune responses to SARS-CoV-2 and distinguish features that predispose individuals to severe COVID-19, we developed a mechanistic, within-host mathematical model and virtual patient cohort. Our results suggest that virtual patients with low production rates of infected cell derived IFN subsequently experienced highly inflammatory disease phenotypes, compared to those with early and robust IFN responses. In these in silico patients, the maximum concentration of IL-6 was also a major predictor of CD8+ T cell depletion. Our analyses predicted that individuals with severe COVID-19 also have accelerated monocyte-to-macrophage differentiation mediated by increased IL-6 and reduced type I IFN signalling. Together, these findings suggest biomarkers driving the development of severe COVID-19 and support early interventions aimed at reducing inflammation.

Indexed as

Models, ImmunologicalSARS-CoV-2BiomarkersCD8-Positive T-LymphocytesCohort StudiesComputational BiologyComputer SimulationCOVID-19Disease SusceptibilityHost Microbial InteractionsHumansImmunity, InnateImmunosuppression TherapyInterferonsInterleukin-6MacrophagesBiomarkersIL6 protein, humanInterferonsInterleukin-6

Identifiers

PMID34260666
PMCPMC8312984
OpenAlexW3181534243

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.