Evidence map›Paper›PMID 34688775›Full record

ArticleThe Journal of allergy and clinical immunology2022

Upregulation of type 1 conventional dendritic cells implicates antigen cross-presentation in multisystem inflammatory syndrome.

Janice J Huang, Samantha B Gaines, Mateo L Amezcua, Tamar R Lubell, Peter S Dayan, Marissa Dale, Alexis D Boneparth, Mark D Hicar, Robert Winchester, Mark Gorelik

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Review
  3. TAFRO Syndrome and COVID-19.Biomedicines · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Janice J HuangDepartment of Pediatrics, Division of Allergy, Immunology and Rheumatology, Columbia University Medical Center, New York, NY.
Samantha B GainesDepartment of Medicine, Division of Rheumatology, Center for Clinical and Translational Immunology, Columbia University Medical Center, New York, NY.
Mateo L AmezcuaDepartment of Pediatrics, Division of Allergy, Immunology and Rheumatology, Columbia University Medical Center, New York, NY.
Tamar R LubellDepartment of Pediatric Emergency Medicine, Columbia University Medical Center, New York, NY.
Peter S DayanDepartment of Pediatric Emergency Medicine, Columbia University Medical Center, New York, NY.
Marissa DaleDepartment of Pediatrics, Columbia University Medical Center, New York, NY.
Alexis D BoneparthDepartment of Pediatrics, Division of Allergy, Immunology and Rheumatology, Columbia University Medical Center, New York, NY.
Mark D HicarDepartment of Pediatrics, Division of Infectious Diseases, University of Buffalo Medicine Center, Buffalo, NY.
Robert WinchesterDepartment of Medicine, Division of Rheumatology, Center for Clinical and Translational Immunology, Columbia University Medical Center, New York, NY.
Mark GorelikDepartment of Pediatrics, Division of Allergy, Immunology and Rheumatology, Columbia University Medical Center, New York, NY. Electronic address: mg4082@cumc.columbia.edu.
Columbia University Irving Medical Center · USUniversity at Buffalo, State University of New York · US

Funding

The Role of Follistatin Like Protein 1 in the cardiac inflammation of Kawasaki DiseaseK08HL155033 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GORELIK, MARK · 2021 to 2023
$496k
Becton Dickinson LSR II Analytical Flow CytometerS10RR027050 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLYNES, RAPHAEL A. · 2011 to 2011
$413k
NCRR NIH HHS S10 RR027050NHLBI NIH HHS K08 HL155033
6 · The paper itself

Abstract

backgroundMultisystem inflammatory syndrome in children (MIS-C) is an acute, febrile, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated syndrome, often with cardiohemodynamic dysfunction. Insight into mechanism of disease is still incomplete.

objectiveOur objective was to analyze immunologic features of MIS-C patients compared to febrile controls (FC).

methodsMIS-C patients were defined by narrow criteria, including having evidence of cardiohemodynamic involvement and no macrophage activation syndrome. Samples were collected from 8 completely treatment-naive patients with MIS-C (SARS-CoV-2 serology positive), 3 patients with unclassified MIS-C-like disease (serology negative), 14 FC, and 5 MIS-C recovery (RCV). Three healthy controls (HCs) were used for comparisons of normal range. Using spectral flow cytometry, we assessed 36 parameters in antigen-presenting cells (APCs) and 29 in T cells. We used biaxial analysis and uniform manifold approximation and projection (UMAP).

resultsSignificant elevations in cytokines including CXCL9, M-CSF, and IL-27 were found in MIS-C compared to FC. Classic monocytes and type 2 dendritic cells (DCs) were downregulated (decreased CD86, HLA-DR) versus HCs; however, type 1 DCs (CD11c

conclusionOrchestrated by complex cytokine signaling, type 1 DC activation and NK dysregulation are key features in the pathophysiology of MIS-C. NK cell findings may suggest a relationship with macrophage activation syndrome, while type 1 DC upregulation implies a role for antigen cross-presentation.

Indexed as

AdolescentADP-ribosyl Cyclase 1Antigens, ViralCase-Control StudiesChildChild, PreschoolCOVID-19Cross-PrimingCytokinesDendritic CellsFemaleHLA-DR AntigensHumansImmunophenotypingInterferon-gammaInterleukinsADP-ribosyl Cyclase 1Antigens, ViralCD38 protein, humanCytokinesHLA-DR AntigensIFNG protein, humanInterferon-gammaInterleukinsMembrane GlycoproteinsMYDGF protein, humanSialic Acid Binding Ig-like Lectin 1SIGLEC1 protein, humanantigen cross-presentationCLEC9Adendritic cellsKawasaki disease (KD)Multisystem inflammatory syndrome in children (MIS-C)NK cell cytotoxicity

Identifiers

PMID34688775
PMCPMC8530782
OpenAlexW3207251597

What OpenQuestion holds

Textmetadata
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.