Evidence map›Paper›PMID 34576798›Full record

ArticleMicroorganisms2021

The Vitamin D, IL-6 and the eGFR Markers a Possible Way to Elucidate the Lung-Heart-Kidney Cross-Talk in COVID-19 Disease: A Foregone Conclusion.

Mario Giosuè Balzanelli, Pietro Distratis, Rita Lazzaro, Angelo Cefalo, Orazio Catucci, Sergey Khachatur Aityan, Gianna Dipalma, Luigi Vimercati, Alessio Danilo Inchingolo, Maria Elena Maggiore and 17 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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, 2 syntheses or guidelines pooled it, 21 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

27 authors at 6 institutions in 3 countries.

Mario Giosuè BalzanelliSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.
Pietro DistratisSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.
Rita LazzaroSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.ORCID 0000-0002-2670-8811
Angelo CefaloSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.
Orazio CatucciSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.
Sergey Khachatur AityanDirector Multidisciplinary Research Center, Lincoln University, Oakland, CA 94612, USA.
Gianna DipalmaDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0002-5947-8987
Luigi VimercatiDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0002-4072-2871
Alessio Danilo InchingoloDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0002-6366-1039
Maria Elena MaggioreDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.
Antonio ManciniDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0002-7103-4086
Luigi SantacroceDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0001-5671-8124
Loreto GesualdoPresident, School of Medicine, University of Bari, 70100 Bari, Italy.ORCID 0000-0002-4861-0911
Van Hung PhamDepartment of Microbiology, Phan Chau Trinh University of Medicine and Nam-Khoa Biotek, Ho Chi Minh City 70000, Vietnam.
Donatello IacoboneSET-118, Department of Pre-Hospital and Emergency, BAT, 70100 Bari, Italy.
Maria ContaldoMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via Luigi de Crecchio, 6, 80138 Naples, Italy.ORCID 0000-0002-4773-6694
Rosario SerpicoMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via Luigi de Crecchio, 6, 80138 Naples, Italy.ORCID 0000-0001-7330-7247
Antonio ScaranoDepartment of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0003-1374-6146
Felice LorussoDepartment of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0002-2660-9231
Tran Cong ToaiDepartment of Histology-Embryology and Genetic, "Pham Ngoc Thach"-University of Medicine, Ho Chi Minh City 70000, Vietnam.
Silvio TafuriDepartment of Biomedical Science and Human Oncology, University of Bari, 70100 Bari, Italy.ORCID 0000-0003-4194-0210
Giovanni MiglioreUniversity Hospital of Bari, 70124 Bari, Italy.
Angelo Michele InchingoloDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.
Kieu Cao Diem NguyenDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0002-9163-1806
Francesco InchingoloDepartment of Interdisciplinary Medicine (D.I.M.), University of Bari "Aldo Moro", 70124 Bari, Italy.ORCID 0000-0003-3797-5883
Diego TomassoneHOLOS Medical and Research Center, 00071 Pomezia, Italy.
Ciro Gargiulo IsaccoSET-118, Department of Pre-Hospital and Emergency, SG Giuseppe Moscati Hospital, 74121 Taranto, Italy.
University of Bari Aldo Moro · ITAzienda Ospedaliera S.Giuseppe Moscati · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Chieti-Pescara · ITLincoln University - California · USPham Ngoc Thach University of Medicine · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBased on recent findings, we speculated the existence of the lung, heart, and kidney axis as the main pathway for the COVID-19 disease progression.

methodsThis paper reports on an observational study conducted by a team of researchers and doctors of the 118-Pre-Hospital and Emergency Department of SG Moscati of Taranto City in Italy. The study was conducted on a totality of 185 participants that were divided into three groups. The study group included COVID-19 affected patients (PP

resultsIt was observed that the majority of COVID-19-infected patients showed a progressive multi-organ involvement, especially in regard to the lung, kidney, and heart. The majority of the COVID-19 patients exhibited preexisting comorbidities which include cardiovascular, respiratory, and renal disorders accompanied by a severely low level of vitamin D, extremely high level of IL-6, and low glomerular filtration rate (eGFR). The significant overall damages exerted by the immune-mediated responses under the hyper-expression of proinflammatory cytokines and interleukins, such as IL-6, may be facilitated by either a decreased level of vitamin D or the ageing process. The reduced presence of vitamin D was often found together with a reduced functionality of renal activity, as revealed by the low eGFR, and both were seen to be concomitant with an increased mortality risk in patients with lung disorders and heart failure (HF), whether it is showed at baseline or it develops during manifestation of COVID-19. Therefore, the documentation of the modifiable risk factors related to SARS-CoV-2 and lung impairment in older patients with kidney and heart disease may help the clinician to better manage the situation.

conclusionsThis paper addresses how a low level of vitamin D and older age may be indicative of systemic worsening in patients with COVID-19, with a goal of providing a broader context in which to view a better therapeutic approach.

Indexed as

Coronavirus 19 (COVID-19)eGFRIL-6lung–heart–kidney cross-talkSARS-CoV-2vitamin D

Identifiers

PMID34576798
PMCPMC8464828
OpenAlexW3197095033

What OpenQuestion holds

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LicenceCC BY
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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.