Evidence map›Paper›PMID 34710063›Full record

ReviewThe Journal of clinical investigation2021

The intersection of COVID-19 and autoimmunity.

Jason S Knight, Roberto Caricchio, Jean-Laurent Casanova, Alexis J Combes, Betty Diamond, Sharon E Fox, David A Hanauer, Judith A James, Yogendra Kanthi, Virginia Ladd and 9 more

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 4 pooled it
20.1field-weighted citation impact, top 1% 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

117 citing papers in PubMed, 4 syntheses or guidelines pooled it, 217 citations in OpenAlex.

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  18. The Rise and Rise of Type 1 and Type 2 Diabetes in Youth.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Review
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57 more citing papers are in PubMed but not listed here.

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

19 authors at 16 institutions in 4 countries.

Jason S KnightDivision of Rheumatology, University of Michigan, Ann Arbor, Michigan, USA.
Roberto CaricchioSection of Rheumatology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Jean-Laurent CasanovaSt. Giles Laboratory of Human Genetics of Infectious Diseases, The Rockefeller University, New York, New York, USA.
Alexis J CombesDepartment of Pathology, ImmunoX Initiative, UCSF Immunoprofiler Initiative, UCSF CoLabs, UCSF, San Francisco, California, USA.
Betty DiamondCenter for Autoimmune and Musculoskeletal Diseases, Northwell Health's Feinstein Institute for Medical Research, New York, New York, USA.
Sharon E FoxPathology and Laboratory Medicine Service, Southeast Louisiana Veterans Healthcare System, New Orleans, Louisiana, USA.
David A HanauerDepartment of Pediatrics and School of Information, University of Michigan, Ann Arbor, Michigan, USA.
Judith A JamesArthritis & Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma, USA.
Yogendra KanthiNational Heart, Lung, and Blood Institute Division of Intramural Research, Bethesda, Maryland, USA.
Virginia LaddAmerican Autoimmune Related Diseases Association Inc., Eastpointe, Michigan, USA.
Puja MehtaCentre for Inflammation and Tissue Repair, University College London, London, United Kingdom.
Aaron M RingDepartment of Immunobiology, Yale School of Medicine, New Haven, Connecticut, USA.
Ignacio SanzDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.
Carlo SelmiRheumatology and Clinical Immunology, Humanitas Research Hospital-Scientific Institute for Research, Hospitalization and Healthcare, Rozzano, Milan, Italy.
Russell P TracyDepartment of Pathology and Laboratory Medicine and Department of Biochemistry, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
Paul J UtzDivision of Immunology, Department of Medicine, Stanford University, Stanford, California, USA.
Catriona A WagnerAmerican Autoimmune Related Diseases Association Inc., Eastpointe, Michigan, USA.
Julia Y WangCurandis, New York, New York, USA.
William J McCuneDivision of Rheumatology, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan · USAmerican Autoimmune Related Diseases Association · USCentre for Inflammation Research · GBCuris (United States) · USEmory University · USFeinstein Institute for Medical Research · USHoward Hughes Medical Institute · USHumanitas University · ITNational Heart Lung and Blood Institute · USOklahoma Medical Research Foundation · USSoutheast Louisiana Veterans Health Care System · USStanford University · USTemple University · USUniversity of California San Francisco Medical Center · USUniversity of Vermont · USYale University · US

Funding

Regulation of B cell Responses in SLE and Other Autoimmune DiseasesU19AI110483 · NIAID · EMORY UNIVERSITY · PI Ignacio E. Sanz · 2014 to 2026
$76.6M
Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Robert Hal Scofield · 2013 to 2026
$68.2M
Translation of immunologic technologies from basic research into pre-clinical nonU19AI062629 · NIAID · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI COGGESHALL, KENNETH MARK · 2004 to 2023
$56.2M
Oklahoma Rheumatic Disease Research Cores Center (Overall Application)P30AR073750 · NIAMS · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI JUDITH A JAMES · 2018 to 2026
$8.5M
Purinergic modulation of the autoimmune vascular phenotypeR01HL134846 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 2018 to 2026
$4.8M
Role of carrier plasma protein corona in their vascular wall localizationR01HL115138 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ENIOLA-ADEFESO, OMOLOLA · 2012 to 2016
$1.9M
NHLBI NIH HHS R01 HL115138NHLBI NIH HHS R01 HL134846NIAID NIH HHS U19 AI062629NIAID NIH HHS U19 AI110483NIAMS NIH HHS P30 AR073750NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

Acute COVID-19, caused by SARS-CoV-2, is characterized by diverse clinical presentations, ranging from asymptomatic infection to fatal respiratory failure, and often associated with varied longer-term sequelae. Over the past 18 months, it has become apparent that inappropriate immune responses contribute to the pathogenesis of severe COVID-19. Researchers working at the intersection of COVID-19 and autoimmunity recently gathered at an American Autoimmune Related Diseases Association Noel R. Rose Colloquium to address the current state of knowledge regarding two important questions: Does established autoimmunity predispose to severe COVID-19? And, at the same time, can SARS-CoV-2 infection trigger de novo autoimmunity? Indeed, work to date has demonstrated that 10% to 15% of patients with critical COVID-19 pneumonia exhibit autoantibodies against type I interferons, suggesting that preexisting autoimmunity underlies severe disease in some patients. Other studies have identified functional autoantibodies following infection with SARS-CoV-2, such as those that promote thrombosis or antagonize cytokine signaling. These autoantibodies may arise from a predominantly extrafollicular B cell response that is more prone to generating autoantibody-secreting B cells. This Review highlights the current understanding, evolving concepts, and unanswered questions provided by this unique opportunity to determine mechanisms by which a viral infection can be exacerbated by, and even trigger, autoimmunity. The potential role of autoimmunity in post-acute sequelae of COVID-19 is also discussed.

Indexed as

Signal TransductionAnimalsAutoantibodiesAutoimmune DiseasesAutoimmunityB-LymphocytesCOVID-19CytokinesDisease ProgressionFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansInflammationInterleukin-1Interleukin-6Macrophage ActivationAutoantibodiesCytokinesGranulocyte-Macrophage Colony-Stimulating FactorInterleukin-1Interleukin-6Phospholipids

Identifiers

PMID34710063
PMCPMC8670833
OpenAlexW3208201902

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.