Evidence map›Paper›PMID 34721400›Full record

ArticleFrontiers in immunology2021

Immune Response in Severe and Non-Severe Coronavirus Disease 2019 (COVID-19) Infection: A Mechanistic Landscape.

Kavitha Mukund, Priya Nayak, Chethan Ashokkumar, Sohail Rao, Jose Almeda, Monica M Betancourt-Garcia, Rakesh Sindhi, Shankar Subramaniam

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Observational
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  4. Review
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  6. Cytosolic proliferating cell nuclear antigen (PCNA) orchestrates neutrophil hyperactivation in COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. The role of dendritic cells in respiratory viral infection.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  14. Review
  15. Review
  16. Article
  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

8 authors at 4 institutions in 1 country.

Kavitha MukundDepartment of Bioengineering, University of California, San Diego, La Jolla, CA, United States.
Priya NayakDepartment of Bioengineering, University of California, San Diego, La Jolla, CA, United States.
Chethan AshokkumarPlexision Inc., Pittsburgh, PA, United States.
Sohail RaoDHR Health and DHR Health Institute for Research and Development, Edinburg, TX, United States.
Jose AlmedaDHR Health and DHR Health Institute for Research and Development, Edinburg, TX, United States.
Monica M Betancourt-GarciaDHR Health and DHR Health Institute for Research and Development, Edinburg, TX, United States.
Rakesh SindhiPlexision Inc., Pittsburgh, PA, United States.
Shankar SubramaniamDepartment of Bioengineering, University of California, San Diego, La Jolla, CA, United States.
Doctors Hospital at Renaissance · USLa Jolla Bioengineering Institute · USPlexision (United States) · USUniversity of California, San Diego · US

Funding

Systems Biological Analysis of Innate and Adaptive Responses to VaccinationU19AI090023 · NIAID · EMORY UNIVERSITY · PI MULLIGAN, MARK JOSEPH · 2010 to 2021
$45.0M
Systems Biology Analyses for Hemodynamic Regulation of Vascular HomeostasisR01HL108735 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHIEN, SHU, SHYY, JOHN YJ · 2012 to 2024
$13.4M
Biomedical Data Commons Workbench (BDCW)OT2OD030544 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2020 to 2024
$3.2M
Reconstruction and Modeling of Dynamical Molecular NetworksR01LM012595 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2018 to 2021
$1.3M
NHLBI NIH HHS R01 HL108735NIAID NIH HHS U19 AI090023NIH HHS OT2 OD030544NLM NIH HHS R01 LM012595
6 · The paper itself

Abstract

The mechanisms underlying the immune remodeling and severity response in coronavirus disease 2019 (COVID-19) are yet to be fully elucidated. Our comprehensive integrative analyses of single-cell RNA sequencing (scRNAseq) data from four published studies, in patients with mild/moderate and severe infections, indicate a robust expansion and mobilization of the innate immune response and highlight mechanisms by which low-density neutrophils and megakaryocytes play a crucial role in the cross talk between lymphoid and myeloid lineages. We also document a marked reduction of several lymphoid cell types, particularly natural killer cells, mucosal-associated invariant T (MAIT) cells, and gamma-delta T (γδT) cells, and a robust expansion and extensive heterogeneity within plasmablasts, especially in severe COVID-19 patients. We confirm the changes in cellular abundances for certain immune cell types within a new patient cohort. While the cellular heterogeneity in COVID-19 extends across cells in both lineages, we consistently observe certain subsets respond more potently to interferon type I (IFN-I) and display increased cellular abundances across the spectrum of severity, as compared with healthy subjects. However, we identify these expanded subsets to have a more muted response to IFN-I within severe disease compared to non-severe disease. Our analyses further highlight an increased aggregation potential of the myeloid subsets, particularly monocytes, in COVID-19. Finally, we provide detailed mechanistic insights into the interaction between lymphoid and myeloid lineages, which contributes to the multisystemic phenotype of COVID-19, distinguishing severe from non-severe responses.

Indexed as

Cell DifferentiationCell ProliferationCOVID-19HumansImmunity, InnateInterferon Type IKiller Cells, NaturalLymphopoiesisMucosal-Associated Invariant T CellsNeutrophilsReceptors, Antigen, T-Cell, gamma-deltaSARS-CoV-2Sequence Analysis, RNASingle-Cell AnalysisSystemic Inflammatory Response SyndromeThrombopoiesisInterferon Type IReceptors, Antigen, T-Cell, gamma-deltaaggregationcDC2COVID-19immune-remodelinglow-density neutrophilsMDSCmegakaryocyteplasmablast

Identifiers

PMID34721400
PMCPMC8548832
OpenAlexW3205256919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.