Evidence map›Paper›PMID 34512253›Full record

ReviewFrontiers in neuroscience2021

Nervous System-Systemic Crosstalk in SARS-CoV-2/COVID-19: A Unique Dyshomeostasis Syndrome.

Harnadar Anand, Victoria Ende, Gurinder Singh, Irfan Qureshi, Tim Q Duong, Mark F Mehler

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. The impact of COVID-19 on chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  11. Article
  12. Review
  13. Article
  14. 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

6 authors at 6 institutions in 1 country.

Harnadar AnandThe Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, United States.
Victoria EndeRenaissance School of Medicine at Stony Brook University, Stony Brook, NY, United States.
Gurinder SinghRenaissance School of Medicine at Stony Brook University, Stony Brook, NY, United States.
Irfan QureshiThe Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, United States.
Tim Q DuongDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, United States.
Mark F MehlerThe Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, United States.
Albert Einstein College of Medicine · USBiohaven Pharmaceuticals (United States) · USJohn F. Kennedy Center for the Performing Arts · USMontefiore Medical Center · USStony Brook School · USStony Brook University · US

Funding

Huntington's disease: a novel developmental oligodendrogliopathyR01NS096144 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MEHLER, MARK F · 2016 to 2020
$1.8M
Neurodegenerative Diseases: A New Class of Primary Developmental Disorders?R01NS071571 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MEHLER, MARK F · 2010 to 2013
$1.3M
Using cortico-striatal evolutionary innovations for modeling Huntington's diseaseR21OD025320 · OD · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MEHLER, MARK F · 2018 to 2019
$459k
NIH HHS R21 OD025320NINDS NIH HHS R01 NS071571NINDS NIH HHS R01 NS096144
6 · The paper itself

Abstract

SARS-CoV-2 infection is associated with a spectrum of acute neurological syndromes. A subset of these syndromes promotes higher in-hospital mortality than is predicted by traditional parameters defining critical care illness. This suggests that deregulation of components of the central and peripheral nervous systems compromises the interplay with systemic cellular, tissue and organ interfaces to mediate numerous atypical manifestations of COVID-19 through impairments in organismal homeostasis. This unique dyshomeostasis syndrome involves components of the ACE-2/1 lifecycles, renin-angiotensin system regulatory axes, integrated nervous system functional interactions and brain regions differentially sculpted by accelerated evolutionary processes and more primordial homeostatic functions. These biological contingencies suggest a mechanistic blueprint to define long-term neurological sequelae and systemic manifestations such as premature aging phenotypes, including organ fibrosis, tissue degeneration and cancer. Therapeutic initiatives must therefore encompass innovative combinatorial agents, including repurposing FDA-approved drugs targeting components of the autonomic nervous system and recently identified products of SARS-CoV-2-host interactions.

Indexed as

autonomic nervous systemcombinatorial therapeuticsCOVID-19 sequelaeevolutionary processespremature aging

Identifiers

PMID34512253
PMCPMC8430330
OpenAlexW3198056314

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.