Evidence map›Paper›PMID 34473805›Full record

ArticlePLoS pathogens2021

Differential plasmacytoid dendritic cell phenotype and type I Interferon response in asymptomatic and severe COVID-19 infection.

Martina Severa, Roberta A Diotti, Marilena P Etna, Fabiana Rizzo, Stefano Fiore, Daniela Ricci, Marco Iannetta, Alessandro Sinigaglia, Alessandra Lodi, Nicasio Mancini and 8 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

62 citing papers in PubMed, 85 citations in OpenAlex.

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  15. The role of dendritic cells in respiratory viral infection.European respiratory review : an official journal of the European Respiratory Society · 2024
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  19. A Review on Role of Inflammation in Coronavirus Disease.Endocrine, metabolic & immune disorders drug targets · 2024
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2 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

Martina SeveraDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-0411-4545
Roberta A DiottiLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-7853-3224
Marilena P EtnaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0003-2551-393X
Fabiana RizzoDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0001-9748-4571
Stefano FioreDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-2257-5492
Daniela RicciDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-8445-512X
Marco IannettaInfectious Disease Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID 0000-0002-6938-8627
Alessandro SinigagliaDepartment of Molecular Medicine, University of Padova, Padua, Italy.
Alessandra LodiInfectious Disease Clinic, Policlinico Tor Vergata, Rome, Italy.ORCID 0000-0001-7364-0381
Nicasio ManciniLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0003-0637-0910
Elena CriscuoloLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0003-0185-3147
Massimo ClementiLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.
Massimo AndreoniInfectious Disease Clinic, Policlinico Tor Vergata, Rome, Italy.
Stefano BalducciMetabolic Fitness Association, Monterotondo, Rome, Italy.ORCID 0000-0001-8128-3863
Luisa BarzonDepartment of Molecular Medicine, University of Padova, Padua, Italy.ORCID 0000-0003-0720-8456
Paola StefanelliDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Nicola ClementiLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.
Eliana M CocciaDepartment of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.ORCID 0000-0002-1606-2949
Istituto Superiore di Sanità · ITVita-Salute San Raffaele University · ITPoliclinico Tor Vergata · ITUniversity of Padua · ITAssing (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 fine-tunes the interferon (IFN)-induced antiviral responses, which play a key role in preventing coronavirus disease 2019 (COVID-19) progression. Indeed, critically ill patients show an impaired type I IFN response accompanied by elevated inflammatory cytokine and chemokine levels, responsible for cell and tissue damage and associated multi-organ failure. Here, the early interaction between SARS-CoV-2 and immune cells was investigated by interrogating an in vitro human peripheral blood mononuclear cell (PBMC)-based experimental model. We found that, even in absence of a productive viral replication, the virus mediates a vigorous TLR7/8-dependent production of both type I and III IFNs and inflammatory cytokines and chemokines, known to contribute to the cytokine storm observed in COVID-19. Interestingly, we observed how virus-induced type I IFN secreted by PBMC enhances anti-viral response in infected lung epithelial cells, thus, inhibiting viral replication. This type I IFN was released by plasmacytoid dendritic cells (pDC) via an ACE-2-indipendent but Neuropilin-1-dependent mechanism. Viral sensing regulates pDC phenotype by inducing cell surface expression of PD-L1 marker, a feature of type I IFN producing cells. Coherently to what observed in vitro, asymptomatic SARS-CoV-2 infected subjects displayed a similar pDC phenotype associated to a very high serum type I IFN level and induction of anti-viral IFN-stimulated genes in PBMC. Conversely, hospitalized patients with severe COVID-19 display very low frequency of circulating pDC with an inflammatory phenotype and high levels of chemokines and pro-inflammatory cytokines in serum. This study further shed light on the early events resulting from the interaction between SARS-CoV-2 and immune cells occurring in vitro and confirmed ex vivo. These observations can improve our understanding on the contribution of pDC/type I IFN axis in the regulation of the anti-viral state in asymptomatic and severe COVID-19 patients.

Indexed as

AdultAged, 80 and overAsymptomatic InfectionsCell Line, TumorCOVID-19Dendritic CellsEpithelial CellsFemaleHospitalizationHumansInterferon Type ILungMaleMiddle AgedNeuropilin-1PhenotypeInterferon Type INeuropilin-1TLR7 protein, humanToll-Like Receptor 7

Identifiers

PMID34473805
PMCPMC8412261
OpenAlexW3197178087

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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.