Evidence map›Paper›PMID 34587481›Full record

ArticleCell reports2021

Enhanced eosinophil-mediated inflammation associated with antibody and complement-dependent pneumonic insults in critical COVID-19.

Dong-Min Kim, Yuri Kim, Jun-Won Seo, Jooyeon Lee, Uni Park, Na-Young Ha, Jaemoon Koh, Hyoree Park, Jae-Won Lee, Hyo-Jin Ro and 27 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Lactic Acid Bacteria Metabolites Modulate Immune Response AgainstAnimals : an open access journal from MDPI · 2025
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  7. Article
  8. Article
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  10. Immune Response Dynamics and Biomarkers in COVID-19 Patients.International journal of molecular sciences · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Eosinophils promote CD8Signal transduction and targeted therapy · 2024
    Article
  15. Article
  16. Review
  17. Article
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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

37 authors at 5 institutions in 2 countries.

Dong-Min KimDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Yuri KimDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Institute of Endemic Disease, Seoul National University Medical Research Center, Seoul 03080, Republic of Korea.
Jun-Won SeoDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Jooyeon LeeDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea.
Uni ParkDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Na-Young HaDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Institute of Endemic Disease, Seoul National University Medical Research Center, Seoul 03080, Republic of Korea.
Jaemoon KohDepartment of Pathology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Hyoree ParkDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Jae-Won LeeDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Hyo-Jin RoDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Na Ra YunDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Da Young KimDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Sung Ho YoonDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Yong Sub NaDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Do Sik MoonDepartment of Internal Medicine, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Sung-Chul LimDepartment of Pathology, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Choon-Mee KimPremedical Science, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Kyeongseok JeonDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Jun-Gu KangKorea Zoonosis Research Institute, Jeonbuk National University, Iksan 54531, Republic of Korea.
Na-Yoon JangDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Hyeongseok JeongDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea.
Jungok KimDepartment of Internal Medicine, Chungnam National University Sejong Hospital, Sejong 30099, Republic of Korea.
Shinhyea CheonDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea.
Kyung Mok SohnDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea.
Jae Youg MoonDepartment of Internal Medicine, Chungnam National University Sejong Hospital, Sejong 30099, Republic of Korea.
Sungmin KymDepartment of Internal Medicine, Chungnam National University Sejong Hospital, Sejong 30099, Republic of Korea.
Seung Ro HanDepartment of Microbiology and Immunology, Eulji University School of Medicine, Daejeon 34824, Republic of Korea.
Myung-Shin LeeDepartment of Microbiology and Immunology, Eulji University School of Medicine, Daejeon 34824, Republic of Korea.
Hyun-Je KimDepartment of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul 06351, Republic of Korea.
Woong-Yang ParkDepartment of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul 06351, Republic of Korea; Geninus Inc., Seoul 05836, Republic of Korea.
Ji-Yeob ChoiDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Hyun-Woo ShinDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Hye-Young KimDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Chung-Hyun ChoDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Yoon Kyung JeonDepartment of Pathology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
Yeon-Sook KimDepartment of Internal Medicine, Chungnam National University School of Medicine, Daejeon 35015, Republic of Korea. Electronic address: alice@cnuh.co.kr.
Nam-Hyuk ChoDepartment of Microbiology and Immunology, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Institute of Endemic Disease, Seoul National University Medical Research Center, Seoul 03080, Republic of Korea; Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do 13620, Republic of Korea. Electronic address: chonh@snu.ac.kr.
Seoul National University · KRChosun University · KRChungnam National University · KREulji University · KRNew Generation University College · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the worldwide effect of the coronavirus disease 2019 (COVID-19) pandemic, the underlying mechanisms of fatal viral pneumonia remain elusive. Here, we show that critical COVID-19 is associated with enhanced eosinophil-mediated inflammation when compared to non-critical cases. In addition, we confirm increased T helper (Th)2-biased adaptive immune responses, accompanying overt complement activation, in the critical group. Moreover, enhanced antibody responses and complement activation are associated with disease pathogenesis as evidenced by formation of immune complexes and membrane attack complexes in airways and vasculature of lung biopsies from six fatal cases, as well as by enhanced hallmark gene set signatures of Fcγ receptor (FcγR) signaling and complement activation in myeloid cells of respiratory specimens from critical COVID-19 patients. These results suggest that SARS-CoV-2 infection may drive specific innate immune responses, including eosinophil-mediated inflammation, and subsequent pulmonary pathogenesis via enhanced Th2-biased immune responses, which might be crucial drivers of critical disease in COVID-19 patients.

Indexed as

Adaptive ImmunityAdultAgedAged, 80 and overAntibodies, ViralAntigen-Antibody ComplexComplement ActivationComplement Membrane Attack ComplexComplement System ProteinsCOVID-19EosinophilsFemaleHumansInflammationLung InjuryMaleAntibodies, ViralAntigen-Antibody ComplexComplement Membrane Attack ComplexComplement System ProteinsReceptors, IgGcomplementCOVID-19eosinophilimmune complexpneumoniaSARS-CoV-2

Identifiers

PMID34587481
PMCPMC8450316
OpenAlexW3196150190

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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.