Evidence map›Paper›PMID 34688948›Full record

Trial reportInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

T-cell receptor repertoires as potential diagnostic markers for patients with COVID-19.

Xianliang Hou, Guangyu Wang, Wentao Fan, Xiaoyan Chen, Chune Mo, Yongsi Wang, Weiwei Gong, Xuyan Wen, Hui Chen, Dan He and 5 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

22 citing papers in PubMed, 23 citations in OpenAlex.

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  6. Late-onset Systemic Lupus Erythematosus.Rheumatology international · 2025
    Review
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  19. Epidemiology and Clinical Presentation of COVID-19 in Older Adults.Infectious disease clinics of North America · 2023
    Review
  20. Immunosenescence and COVID-19.Mechanisms of ageing and development · 2022
    Review
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

15 authors at 1 institution in 1 country.

Xianliang HouCentral Laboratory, Guangxi Health Commission Key Laboratory of Glucose and Lipid Metabolism Disorders, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China.
Guangyu WangCollege of Laboratory Medicine, Guilin Medical University, Guilin, 541199, China.
Wentao FanGuangzhou Huayin Health Medical Group Co., Ltd, Guangzhou, China.
Xiaoyan ChenDepartment of State Owned Assets Management, Affiliated Hospital of Guilin Medical University, Guilin, 541001, China.
Chune MoCentral Laboratory, Guangxi Health Commission Key Laboratory of Glucose and Lipid Metabolism Disorders, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China.
Yongsi WangGuangzhou Huayin Health Medical Group Co., Ltd, Guangzhou, China.
Weiwei GongCentral Laboratory, Guangxi Health Commission Key Laboratory of Glucose and Lipid Metabolism Disorders, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China.
Xuyan WenDepartment of Pathology, Affiliated Hospital of Guilin Medical University, Guilin, 541001, China.
Hui ChenGuangzhou Huayin Health Medical Group Co., Ltd, Guangzhou, China.
Dan HeGuangzhou Huayin Health Medical Group Co., Ltd, Guangzhou, China.
Lijun MoClinical Laboratory, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China.
Shaofeng JiangGuangxi Key Laboratory of Tumor Immunology and Microenvironmental Regulation, Guilin Medical University, Guilin, Guangxi, 541199, China.
Minglin OuCentral Laboratory, Guangxi Health Commission Key Laboratory of Glucose and Lipid Metabolism Disorders, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China.
Haonan GuoDepartment of Clinical Laboratory, The Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, 541001, China. Electronic address: guohaonan@glmc.edu.cn.
Hongbo LiuDepartment of Laboratory Medicine, the Second Affiliated Hospital of Guilin Medical University, Guilin, 541199, China. Electronic address: hbliu@glmc.edu.cn.
Guilin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is an ongoing global health emergency. T-cell receptors (TCRs) are crucial mediators of antiviral adaptive immunity. This study sought to comprehensively characterize the TCR repertoire changes in patients with COVID-19.

methodsA large sample size multi-center randomized controlled trial was implemented to study the features of the TCR repertoire and identify COVID-19 disease-related TCR sequences.

resultsIt was found that some T-cell receptor beta chain (TCRβ) features differed markedly between COVID-19 patients and healthy controls, including decreased repertoire diversity, longer complementarity-determining region 3 (CDR3) length, skewed utilization of the TCRβ variable gene/joining gene (TRBV/J), and a high degree of TCRβ sharing in COVID-19 patients. Moreover, this analysis showed that TCR repertoire diversity declines with aging, which may be a cause of the higher infection and mortality rates in elderly patients. Importantly, a set of TCRβ clones that can distinguish COVID-19 patients from healthy controls with high accuracy was identified. Notably, this diagnostic model demonstrates 100% specificity and 82.68% sensitivity at 0-3 days post diagnosis.

conclusionsThis study lays the foundation for immunodiagnosis and the development of medicines and vaccines for COVID-19 patients.

Indexed as

COVID-19Receptors, Antigen, T-Cell, alpha-betaAgingCase-Control StudiesHumansReceptors, Antigen, T-Cell, alpha-betaAdaptive immunityCoronavirus disease 2019SARS-CoV-2T-cell receptor

Identifiers

PMID34688948
PMCPMC8530772
OpenAlexW3210968255

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.