Evidence map›Paper›PMID 34392110›Full record

ArticleMolecular immunology2021

Reduction and exhausted features of T lymphocytes under serological changes, and prognostic factors in COVID-19 progression.

Ata Mahmoodpoor, Maryam Hosseini, Sadegh Soltani-Zangbar, Sarvin Sanaie, Leili Aghebati-Maleki, Seyed Hadi Saghaleini, Zohreh Ostadi, Mahsa Hajivalili, Zhinous Bayatmakoo, Mostafa Haji-Fatahaliha and 7 more

Open access · greenAbstract read
In one paragraph

Article in Molecular immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 57 citations in OpenAlex.

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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

17 authors at 3 institutions in 1 country.

Ata MahmoodpoorDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran; Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Maryam HosseiniDepartment of Immunology, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran.
Sadegh Soltani-ZangbarStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Sarvin SanaieNeurosciences Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Iran.
Leili Aghebati-MalekiImmunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seyed Hadi SaghaleiniDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Zohreh OstadiDepartment of Anesthesiology and Intensive Care, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Mahsa HajivaliliDepartment of Immunology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zhinous BayatmakooDepartment of Infectious Diseases and Tropical Medicine, Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mostafa Haji-FatahalihaDepartment of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Zohreh BabalooDepartment of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Sima Shahmohammadi FaridDepartment of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Javad Ahmadian HerisDepartment of Allergy and Clinical Immunology, Pediatric Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Leila RoshangarStem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Reza RikhtegarDepartment of Neurology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Hossein Samadi KafilDrug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Mehdi YousefiStem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: Yousefime@tbzmed.ac.ir.
Tabriz University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRTarbiat Modares University · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCoronavirus disease 2019 (COVID-19) is a novel viral infection threatening worldwide health as currently there exists no effective treatment strategy and vaccination programs are not publicly available yet. T lymphocytes play an important role in antiviral defenses. However, T cell frequency and functionality may be affected during the disease. MATERIAL AND

methodsTotal blood samples were collected from patients with mild and severe COVID-19, and the total lymphocyte number, as well as CD4+ and CD8 + T cells were assessed using flowcytometry. Besides, the expression of exhausted T cell markers was evaluated. The levels of proinflammatory cytokines were also investigated in the serum of all patients using enzyme-linked immunesorbent assay (ELISA). Finally, the obtained results were analyzed along with laboratory serological reports.

resultsCOVID-19 patients showed lymphopenia and reduced CD4+ and CD8 + T cells, as well as high percentage of PD-1 expression by T cells, especially in severe cases. Serum secretion of TNF-α, IL-1β, and IL-2 receptor (IL-2R) were remarkably increased in patients with severe symptoms, as compared with healthy controls. Moreover, high levels of triglyceride (TG) and low density lipoprotein cholesterol (LDL-C), were correlated with the severity of the disease.

conclusionReduced number and function of T cells were observed in COVID-19 patients, especially in severe patients. Meanwhile, the secretion of proinflammatory cytokines was increased as the disease developed. High level of serum IL-2R was also considered as a sign of lymphopenia. Additionally, hypercholesterolemia and hyperlipidemia could be important prognostic factors in determining the severity of the infection.

Indexed as

AdultAgedCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCholesterol, LDLCOVID-19CytokinesDisease ProgressionFemaleHumansLymphocyte CountLymphopeniaMaleMiddle AgedPrognosisSARS-CoV-2Cholesterol, LDLCytokinesTriglyceridesCOVID-19CytokineExhaustionInflammationT cells

Identifiers

PMID34392110
PMCPMC8343383
OpenAlexW3187326229

What OpenQuestion holds

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Registered trials

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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.