Evidence map›Paper›PMID 34676541›Full record

Trial reportEuropean journal of immunology2022

Altered increase in STAT1 expression and phosphorylation in severe COVID-19.

Hector Rincon-Arevalo, Arman Aue, Jacob Ritter, Franziska Szelinski, Dmytro Khadzhynov, Daniel Zickler, Luisa Stefanski, Andreia C Lino, Sixten Körper, Kai-Uwe Eckardt and 3 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in European journal of immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Mucosal implications of oral Jak3-targeted drugs in COVID patients.Molecular medicine (Cambridge, Mass.) · 2025
    Review
  10. Article
  11. Classification and regulatory interactions of key transcription factors in COVID-19.Frontiers in cellular and infection microbiology · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

13 authors at 5 institutions in 2 countries.

Hector Rincon-ArevaloDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Arman AueDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Jacob RitterDepartment of Rheumatology and Clinical Immunology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Franziska SzelinskiDepartment of Rheumatology and Clinical Immunology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Dmytro KhadzhynovDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Daniel ZicklerDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Luisa StefanskiDepartment of Rheumatology and Clinical Immunology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Andreia C LinoDeutsches Rheumaforschungszentrum (DRFZ), Berlin, Germany.ORCID 0000-0002-3791-8232
Sixten KörperInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen, University Hospital Ulm, Baden-Württemberg, Germany.
Kai-Uwe EckardtDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Hubert SchrezenmeierInstitute for Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service Baden-Württemberg-Hessen, University Hospital Ulm, Baden-Württemberg, Germany.
Thomas DörnerDepartment of Rheumatology and Clinical Immunology, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Eva V SchrezenmeierDepartment of Nephrology and Medical Intensive Care, Charité- Universitätsmedizin Berlin, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEGerman Rheumatism Research Centre · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEUniversität Ulm · DEUniversidad de Antioquia · CO

Funding

COLCIENCIAS 2015COLCIENCIAS 727Deutsche Forschungsgemeinschaft 11-1Deutsche Forschungsgemeinschaft Do491/7-5Deutsche Forschungsgemeinschaft KO-2270/4-1 (KK)Deutsche Forschungsgemeinschaft KO 2270/7 1Deutsche Forschungsgemeinschaft Transregio 130 TP24Federal Ministry of Education and Research 01KI20161Federal Ministry of Education and Research BCOVIT
6 · The paper itself

Abstract

The interferon pathway, a key antiviral defense mechanism, is being considered as a therapeutic target in COVID-19. Both, substitution of interferon and JAK/STAT inhibition to limit cytokine storms have been proposed. However, little is known about possible abnormalities in STAT signaling in immune cells during SARS-CoV-2 infection. We investigated downstream targets of interferon signaling, including STAT1, STAT2, pSTAT1 and 2, and IRF1, 7 and 9 by flow cytometry in 30 patients with COVID-19, 17 with mild, and 13 with severe infection. We report upregulation of STAT1 and IRF9 in mild and severe COVID-19 cases, which correlated with the IFN-signature assessed by Siglec-1 (CD169) expression on peripheral monocytes. Interestingly, Siglec-1 and STAT1 in CD14+ monocytes and plasmablasts showed lower expression among severe cases compared to mild cases. Contrary to the baseline STAT1 expression, the phosphorylation of STAT1 was enhanced in severe COVID-19 cases, indicating a dysbalanced JAK/STAT signaling that fails to induce transcription of interferon stimulated response elements (ISRE). This abnormality persisted after IFN-α and IFN-γ stimulation of PBMCs from patients with severe COVID-19. Data suggest impaired STAT1 transcriptional upregulation among severely infected patients may represent a potential predictive biomarker and would allow stratification of patients for certain interferon-pathway targeted treatments.

Indexed as

AdultAgedCOVID-19FemaleHumansInterferon Regulatory FactorsMaleMiddle AgedMonocytesPatient AcuityPhosphorylationSARS-CoV-2Signal TransductionSTAT1 Transcription FactorUp-RegulationInterferon Regulatory FactorsSTAT1 protein, humanSTAT1 Transcription FactorCOVID-19IRF9pSTAT1STAT1Type I interferon

Identifiers

PMID34676541
PMCPMC8646801
OpenAlexW3204999833

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.