Evidence map›Paper›PMID 34315957›Full record

ArticleScientific reports2021

Lower peripheral blood Toll-like receptor 3 expression is associated with an unfavorable outcome in severe COVID-19 patients.

Maria Clara Saad Menezes, Alicia Dudy Müller Veiga, Thais Martins de Lima, Suely Kunimi Kubo Ariga, Hermes Vieira Barbeiro, Claudia de Lucena Moreira, Agnes Araujo Sardinha Pinto, Rodrigo Antonio Brandao, Julio Flavio Marchini, Julio Cesar Alencar and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  12. Unraveled role of TLR7-mediated interferon signaling activation in COVID-19.Frontiers in cellular and infection microbiology · 2025
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  18. TLRs: Innate Immune Sentries against SARS-CoV-2 Infection.International journal of molecular sciences · 2023
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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

14 authors at 2 institutions in 1 country.

Maria Clara Saad MenezesEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil. mclarasaad22@gmail.com.
Alicia Dudy Müller VeigaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Thais Martins de LimaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Suely Kunimi Kubo ArigaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Hermes Vieira BarbeiroEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Claudia de Lucena MoreiraEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Agnes Araujo Sardinha PintoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Rodrigo Antonio BrandaoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Julio Flavio MarchiniEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Julio Cesar AlencarEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Lucas Oliveira MarinoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Luz Marina GomezEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Niels Olsen Saraiva CamaraDepartment of Immunology, Institute of Biomedical Sciences, Universidade de São Paulo, São Paulo, Brazil.
Heraldo P SouzaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, Rua Dr. Arnaldo, 455, São Paulo, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of innate immunity in COVID-19 is not completely understood. Therefore, this study explored the impact of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection on the expression of Pattern Recognition Receptors (PRRs) in peripheral blood cells and their correlated cytokines. Seventy-nine patients with severe COVID-19 on admission, according to World Health Organization (WHO) classification, were divided into two groups: patients who needed mechanical ventilation and/or deceased (SEVERE, n = 50) and patients who used supplementary oxygen but not mechanical ventilation and survived (MILD, n = 29); a control group (CONTROL, n = 17) was also enrolled. In the peripheral blood, gene expression (mRNA) of Toll-like receptors (TLRs) 3, 4, 7, 8, and 9, retinoic-acid inducible gene I (RIGI), NOD-like receptor family pyrin domain containing 3 (NLRP3), interferon alpha (IFN-α), interferon beta (IFN-β), interferon gamma (IFN-γ), interferon lambda (IFN-λ), pro-interleukin(IL)-1β (pro-IL-1β), and IL-18 was determined on admission, between 5-9 days, and between 10-15 days. Circulating cytokines in plasma were also measured. When compared to the COVID-19 MILD group, the COVID-19 SEVERE group had lower expression of TLR3 and overexpression of TLR4.

Indexed as

Gene Expression RegulationAgedCOVID-19FemaleHumansMaleMiddle AgedPrognosisRespiration, ArtificialToll-Like Receptor 3Toll-Like Receptor 3

Identifiers

PMID34315957
PMCPMC8316546
OpenAlexW3184875794

What OpenQuestion holds

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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.