Evidence map›Paper›PMID 34307223›Full record

ArticleAutopsy & case reports2021

COVID-19: a closer look at the pathology in two autopsied cases. Is the pericyte at the center of the pathological process in COVID-19?

Hubert Daisley, Arlene Rampersad, Martina Daisley, Amit Ramdin, Oneka Acco, Farhaana Narinesingh, Ornella Humphrey

Open access · diamondAbstract read
In one paragraph

Article in Autopsy & case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

7 authors at 3 institutions in 2 countries.

Hubert DaisleyGeneral Hospital San Fernando, Department of Pathology, Trinidad, West Indies.ORCID 0000-0002-7337-8050
Arlene RampersadGeneral Hospital San Fernando, Department of Pathology, Trinidad, West Indies.ORCID 0000-0002-4112-753X
Martina DaisleyScarborough General Hospital, Department of Accident and Emergency, Tobago, West Indies.ORCID 0000-0001-9785-3648
Amit RamdinGeneral Hospital San Fernando, Department of Pathology, Trinidad, West Indies.ORCID 0000-0003-2281-0090
Oneka AccoGeneral Hospital San Fernando, Department of Pathology, Trinidad, West Indies.ORCID 0000-0003-0758-8129
Farhaana NarinesinghGeneral Hospital San Fernando, Department of Pathology, Trinidad, West Indies.ORCID 0000-0002-4998-4616
Ornella HumphreyUniversity of the West Indies, St. Augustine, Trinidad, West Indies.ORCID 0000-0001-9016-4655
San Fernando General Hospital · TTScarborough General Hospital · GBUniversity of the West Indies · TT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed autopsies on two cases of COVID-19. The microcirculations of all organs were the site of the pathological findings. Thrombotic microangiopathy was found in the brain and also the kidneys. Vasculitis was also a feature of the autopsy findings, together with portal triaditis of the liver. The major pathological findings in both cases were fibrin deposits. Within the lung, the fibrin deposits were observed in the alveolar microcirculation in sub-endothelial locations of capillaries, arterioles, post capillary venules, and the adventitia of larger vessels. These fibrin deposits in the lungs occurred at the sites where pericytes are located in these vessels. The pericyte with its high concentration of ACE-2 receptors and its procoagulant state may represent one of the primary sites of action of SARS-CoV-2. A review of pericytes in health and disease is undertaken. COVID-19 is a disease of the microcirculation.

Indexed as

FibrinMicrocirculationPericytesSARS virus

Identifiers

PMID34307223
PMCPMC8214877
OpenAlexW3161502839

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.