Evidence map›Paper›PMID 34518653›Full record

ArticleCell death and differentiation2022

Fatal cytokine release syndrome by an aberrant FLIP/STAT3 axis.

Chiara Musiu, Simone Caligola, Alessandra Fiore, Alessia Lamolinara, Cristina Frusteri, Francesco Domenico Del Pizzo, Francesco De Sanctis, Stefania Canè, Annalisa Adamo, Francesca Hofer and 22 more

Open access · hybridAbstract read
In one paragraph

Article in Cell death and differentiation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  3. Pharmacological Inhibition of c-Jun N-Terminal Kinase Activity Exacerbates Liver Damage in Schistosoma mansoni Infected Mice.Liver international : official journal of the International Association for the Study of the Liver · 2025
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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

32 authors at 9 institutions in 5 countries.

Chiara Musiu *Immunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.ORCID http://orcid.org/0000-0003-1647-5708
Simone Caligola *Immunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.ORCID http://orcid.org/0000-0002-9829-9527
Alessandra Fiore *Immunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Alessia LamolinaraCAST - Center for Advanced Studies and Technology, Department of Neurosciences Imaging and Clinical Sciences, University of G. D'Annunzio of Chieti-Pescara, Chieti, Italy.
Cristina FrusteriImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Francesco Domenico Del PizzoCAST - Center for Advanced Studies and Technology, Department of Neurosciences Imaging and Clinical Sciences, University of G. D'Annunzio of Chieti-Pescara, Chieti, Italy.
Francesco De SanctisImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Stefania CanèImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Annalisa AdamoImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Francesca HoferImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Roza Maria BarouniImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Andrea GrilliDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Serena ZilioDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL, USA.
Paolo SerafiniDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL, USA.
Evelina TacconelliDivision of Infectious Diseases, Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Katia DonadelloIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Leonardo GottinIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Enrico PolatiIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Domenico GirelliDivision of Internal Medicine, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Ildo PolidoroComplex Operational Unit of Forensic Medicine, Local Health Authority of Pescara, Pescara, Italy.
Piera Amelia IezziComplex Operational Unit of Forensic Medicine, Local Health Authority of Pescara, Pescara, Italy.
Domenico AngelucciPathological Anatomy Unit, Local Health Authority of Lanciano-Vasto-Chieti, Vasto, Italy.
Andrea CapecePathological Anatomy Unit, Local Health Authority of Lanciano-Vasto-Chieti, Vasto, Italy.
Ying ChenCAS Key Laboratory of Special Pathogens, Wuhan Institute of Virology, Center for Biosafety Mega-Science, Chinese Academy of Sciences, Wuhan, Hubei, People's Republic of China.
Zheng-Li ShiCAS Key Laboratory of Special Pathogens, Wuhan Institute of Virology, Center for Biosafety Mega-Science, Chinese Academy of Sciences, Wuhan, Hubei, People's Republic of China.ORCID http://orcid.org/0000-0001-8089-163X
Peter J MurrayMax Planck Institute of Biochemistry, Martinsried, Planegg, Germany.
Marco ChilosiDepartment of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy.
Ido AmitDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Silvio BicciatoDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.ORCID http://orcid.org/0000-0002-1944-7078
Manuela IezziCAST - Center for Advanced Studies and Technology, Department of Neurosciences Imaging and Clinical Sciences, University of G. D'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID http://orcid.org/0000-0002-6296-6498
Vincenzo BronteImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy. vincenzo.bronte@univr.it.ORCID http://orcid.org/0000-0002-3741-5141
Stefano UgelImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy. stefano.ugel@univr.it.ORCID http://orcid.org/0000-0002-6639-7608
University of Verona · ITUniversity of Chieti-Pescara · ITAzienda USL di Pescara · ITChinese Academy of Sciences · CNUniversity of Miami · USUniversity of Modena and Reggio Emilia · ITCasa di Cura Villa Garda · ITMax Planck Institute of Biochemistry · DEWeizmann Institute of Science · IL

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) 21509Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) 23788Cancer Research Institute (CRI) CLIP 2020Fondazione Cassa di Risparmio di Verona Vicenza Belluno e Ancona (Fondazione Cariverona) EnactMinistero dell'Istruzione, dell'Università e della Ricerca (Ministry of Education, University and Research) B38D19000140006Ministero dell'Istruzione, dell'Università e della Ricerca (Ministry of Education, University and Research) B38D19000260006
6 · The paper itself

Abstract

Inflammatory responses rapidly detect pathogen invasion and mount a regulated reaction. However, dysregulated anti-pathogen immune responses can provoke life-threatening inflammatory pathologies collectively known as cytokine release syndrome (CRS), exemplified by key clinical phenotypes unearthed during the SARS-CoV-2 pandemic. The underlying pathophysiology of CRS remains elusive. We found that FLIP, a protein that controls caspase-8 death pathways, was highly expressed in myeloid cells of COVID-19 lungs. FLIP controlled CRS by fueling a STAT3-dependent inflammatory program. Indeed, constitutive expression of a viral FLIP homolog in myeloid cells triggered a STAT3-linked, progressive, and fatal inflammatory syndrome in mice, characterized by elevated cytokine output, lymphopenia, lung injury, and multiple organ dysfunctions that mimicked human CRS. As STAT3-targeting approaches relieved inflammation, immune disorders, and organ failures in these mice, targeted intervention towards this pathway could suppress the lethal CRS inflammatory state.

Indexed as

AgedAged, 80 and overAnimalsCaspase 8COVID-19Cytokine Release SyndromeCytokinesFemaleHumansInflammationMaleMiceMice, Inbred C57BLMiddle AgedSARS-CoV-2Signal TransductionCaspase 8CytokinesStat3 protein, mouseSTAT3 Transcription Factor

Identifiers

PMID34518653
PMCPMC8435761
OpenAlexW3200572254

What OpenQuestion holds

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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.