Evidence map›Paper›PMID 34382151›Full record

ArticleCell stress & chaperones2021

Pneumocytes are distinguished by highly elevated expression of the ER stress biomarker GRP78, a co-receptor for SARS-CoV-2, in COVID-19 autopsies.

Andrii Puzyrenko, Elizabeth R Jacobs, Yunguang Sun, Juan C Felix, Yuri Sheinin, Linna Ge, Shuping Lai, Qiang Dai, Benjamin N Gantner, Rahul Nanchal and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Cell stress & chaperones, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Stress-induced translocation of the endoplasmic reticulum chaperone GRP78/BiP and its impact on human disease and therapy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. COVID-19, Obesity, and GRP78: Unraveling the Pathological Link.Journal of obesity & metabolic syndrome · 2023
    Review
  10. Article
  11. Collagen-Specific HSP47Journal of the American Heart Association · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
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.

Andrii Puzyrenko *MCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Elizabeth R Jacobs *Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Yunguang SunMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Juan C FelixMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Yuri SheininMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Linna GeMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Shuping LaiDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Qiang DaiDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Benjamin N GantnerDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Rahul NanchalDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Paula E NorthMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Pippa M SimpsonCardiovascular Center, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Hallgeir RuiMCW Cancer Center, Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA. hrui@mcw.edu.
Ivor J BenjaminDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. ibenjamin@mcw.edu.
Medical College of Wisconsin · USMilwaukee VA Medical Center · US

Funding

Role of mitochondrial dysfunction in hyperoxia-induced pulmonary vascular endothelial injuryI01BX003833 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI JACOBS, ELIZABETH R · 2019 to 2022
–
BLRD VA I01 BX003833va merit review BX003833
6 · The paper itself

Abstract

Vaccinations are widely credited with reducing death rates from COVID-19, but the underlying host-viral mechanisms/interactions for morbidity and mortality of SARS-CoV-2 infection remain poorly understood. Acute respiratory distress syndrome (ARDS) describes the severe lung injury, which is pathologically associated with alveolar damage, inflammation, non-cardiogenic edema, and hyaline membrane formation. Because proteostatic pathways play central roles in cellular protection, immune modulation, protein degradation, and tissue repair, we examined the pathological features for the unfolded protein response (UPR) using the surrogate biomarker glucose-regulated protein 78 (GRP78) and co-receptor for SARS-CoV-2. At autopsy, immunostaining of COVID-19 lungs showed highly elevated expression of GRP78 in both pneumocytes and macrophages compared with that of non-COVID control lungs. GRP78 expression was detected in both SARS-CoV-2-infected and un-infected pneumocytes as determined by multiplexed immunostaining for nucleocapsid protein. In macrophages, immunohistochemical staining for GRP78 from deceased COVID-19 patients was increased but overlapped with GRP78 expression taken from surgical resections of non-COVID-19 controls. In contrast, the robust in situ GRP78 immunostaining of pneumocytes from COVID-19 autopsies exhibited no overlap and was independent of age, race/ethnicity, and gender compared with that from non-COVID-19 controls. Our findings bring new insights for stress-response pathways involving the proteostatic network implicated for host resilience and suggest that targeting of GRP78 expression with existing therapeutics might afford an alternative therapeutic strategy to modulate host-viral interactions during SARS-CoV-2 infections.

Indexed as

Endoplasmic Reticulum StressAdultAgedAged, 80 and overAlveolar Epithelial CellsAutopsyCase-Control StudiesCOVID-19Endoplasmic Reticulum Chaperone BiPFemaleHeat-Shock ProteinsHost-Pathogen InteractionsHumansMacrophages, AlveolarMaleMiddle AgedEndoplasmic Reticulum Chaperone BiPHeat-Shock ProteinsHSPA5 protein, humanReceptors, CoronavirusAutopsyMacrophagesNucleocapsid proteinProteostasisUnfolded protein response

Identifiers

PMID34382151
PMCPMC8357488
OpenAlexW3187459015

What OpenQuestion holds

Textmetadata
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.