Evidence map›Paper›PMID 34345826›Full record

ArticleCritical care explorations2021

Interleukin-7 Reverses Lymphopenia and Improves T-Cell Function in Coronavirus Disease 2019 Patient With Inborn Error of Toll-Like Receptor 3: A Case Report.

Monty B Mazer, Isaiah R Turnbull, Sydney Miles, Teresa M Blood, Brooke Sadler, Annie Hess, Mitchell D Botney, Robert S Martin, James P Bosanquet, David A Striker and 8 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. IL-7 Deficiency Exacerbates Atopic Dermatitis in NC/Nga Mice.International journal of molecular sciences · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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

18 authors at 3 institutions in 1 country.

Monty B MazerDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO.
Isaiah R TurnbullDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Sydney MilesDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO.
Teresa M BloodDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO.
Brooke SadlerDepartment of Pediatrics, Division of Hematology and Oncology, Washington University in St. Louis School of Medicine, St. Louis, MO.
Annie HessDepartment of Surgery, Washington University School of Medicine, St. Louis, MO.
Mitchell D BotneyDivision of Critical Care Medicine, Missouri Baptist Medical Center, St. Louis, MO.
Robert S MartinDivision of Critical Care Medicine, Missouri Baptist Medical Center, St. Louis, MO.
James P BosanquetDivision of Critical Care Medicine, Missouri Baptist Medical Center, St. Louis, MO.
David A StrikerDivision of Critical Care Medicine, Missouri Baptist Medical Center, St. Louis, MO.
Nitin S AnandDivision of Critical Care Medicine, Missouri Baptist Medical Center, St. Louis, MO.
Michel MorreRevimmune, SAS, Paris, France.
Charles C CaldwellDivision of Research, Department of Surgery, University of Cincinnati, Cincinnati, OH.
Scott C BrakenridgeDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL.
Lyle L MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, FL.
Jorge A Di PaolaDepartment of Pediatrics, Division of Hematology and Oncology, Washington University in St. Louis School of Medicine, St. Louis, MO.
Richard S HotchkissDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO.
Kenneth E RemyDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USUniversity of Florida · USUniversity of Cincinnati · US

Funding

Enhancing Innate and Adaptive Immunity to Improve Sepsis SurvivalR35GM126928 · NIGMS · WASHINGTON UNIVERSITY · PI Richard Samuel Hotchkiss · 2018 to 2026
$4.7M
Stratifying Patient Immune Endotypes in Sepsis (SPIES Study)R01GM139046 · NIGMS · UNIVERSITY OF FLORIDA · PI MAILE, ROBERT · 2020 to 2024
$4.2M
Hematopoietic Stem and Progenitor Cell Dysfunction is an Underlying Mechanism of Injury-Inuced ImmunosuppressionR35GM133756 · NIGMS · WASHINGTON UNIVERSITY · PI TURNBULL, ISAIAH R · 2019 to 2023
$2.0M
NIGMS NIH HHS R01 GM139046NIGMS NIH HHS R35 GM126928NIGMS NIH HHS R35 GM133756
6 · The paper itself

Abstract

backgroundImmunotherapy treatment for coronavirus disease 2019 combined with antiviral therapy and supportive care remains under intense investigation. However, the capacity to distinguish patients who would benefit from immunosuppressive or immune stimulatory therapies remains insufficient. Here, we present a patient with severe coronavirus disease 2019 with a defective immune response, treated successfully with interleukin-7 on compassionate basis with resultant improved adaptive immune function. CASE SUMMARY: A previously healthy 43-year-old male developed severe acute respiratory distress syndrome due to the severe acute respiratory syndrome coronavirus 2 virus with acute hypoxemic respiratory failure and persistent, profound lymphopenia. Functional analysis demonstrated depressed lymphocyte function and few antigen-specific T cells. Interleukin-7 administration resulted in reversal of lymphopenia and improved T-cell function. Respiratory function and clinical status rapidly improved, and he was discharged home. Whole exome sequencing identified a deleterious autosomal dominant mutation in

conclusionsImmunoadjuvant therapies to boost host immunity may be efficacious in life-threatening severe coronavirus disease 2019 infections, particularly by applying a precision medicine approach in selecting patients expressing an immunosuppressive phenotype.

Indexed as

case reportcoronavirus disease 2019immunotherapyinterferonsinterleukin-7toll-like receptor 3

Identifiers

PMID34345826
PMCPMC8322565
OpenAlexW3188038808

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.