Evidence map›Paper›PMID 34747367›Full record

ArticleJCI insight2021

Chitinase 3-like-1 is a therapeutic target that mediates the effects of aging in COVID-19.

Suchitra Kamle, Bing Ma, Chuan Hua He, Bedia Akosman, Yang Zhou, Chang-Min Lee, Wafik S El-Deiry, Kelsey Huntington, Olin Liang, Jason T Machan and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. ACE2: Friend or Foe in Post-COVID-19 Neurodegeneration?International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. CCL18, CHI3L1, ANG2, IL-6 systemic levels are associated with the extent of lung damage and radiomic features in SARS-CoV-2 infection.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 4 countries.

Suchitra KamleMolecular Microbiology and Immunology.
Bing MaMolecular Microbiology and Immunology.
Chuan Hua HeMolecular Microbiology and Immunology.
Bedia AkosmanMolecular Microbiology and Immunology.
Yang ZhouMolecular Microbiology and Immunology.
Chang-Min LeeMolecular Microbiology and Immunology.
Wafik S El-DeiryPathology and Laboratory Medicine.
Kelsey HuntingtonPathology and Laboratory Medicine.
Olin LiangHematology-Oncology Division, Department of Medicine.
Jason T MachanDepartment of Biostatistics, Lifespan Health System, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Min-Jong KangSection of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Hyeon Jun ShinSection of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Emiko MizoguchiMolecular Microbiology and Immunology.
Chun Geun LeeMolecular Microbiology and Immunology.
Jack A EliasMolecular Microbiology and Immunology.
Bipar · FRJohn Brown University · USYale University · USBrown University · USKurume University · JP

Funding

Respiratory Computational Discovery CoreP01HL114501 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHOI, MARY E · 2013 to 2025
$24.9M
Stem Cells and AgingP20GM119943 · NIGMS · RHODE ISLAND HOSPITAL · PI WEBB, ASHLEY E · 2017 to 2021
$10.6M
YKL-40 in Idiopathic Pulmonary Fibrosis and Kidney TransplantationU01HL108638 · NHLBI · YALE UNIVERSITY · PI ELIAS, JACK A · 2011 to 2014
$2.6M
The reduction of NLRX1 and its role in pulmonary agingR01AG053495 · NIA · YALE UNIVERSITY · PI KANG, MIN-JONG · 2016 to 2020
$1.7M
Chitinase1 as a Biomarker and Therapeutic Target in Scleroderma Lung DiseaseR01HL115813 · NHLBI · BROWN UNIVERSITY · PI LEE, CHUN GEUN · 2014 to 2017
$1.5M
The Reduction of NLRX1 and Its Role in Pulmonary AgingR56AG053495 · NIA · YALE UNIVERSITY · PI KANG, MIN-JONG · 2021 to 2021
$343k
NHLBI NIH HHS P01 HL114501NHLBI NIH HHS R01 HL115813NHLBI NIH HHS U01 HL108638NIA NIH HHS R01 AG053495NIA NIH HHS R56 AG053495NIGMS NIH HHS P20 GM119943
6 · The paper itself

Abstract

COVID-19 is caused by SARS-CoV-2 (SC2) and is more prevalent and severe in elderly and patients with comorbid diseases (CM). Because chitinase 3-like-1 (CHI3L1) is induced during aging and CM, the relationships between CHI3L1 and SC2 were investigated. Here, we demonstrate that CHI3L1 is a potent stimulator of the SC2 receptor angiotensin converting enzyme 2 (ACE2) and viral spike protein priming proteases (SPP), that ACE2 and SPP are induced during aging, and that anti-CHI3L1, kasugamycin, and inhibitors of phosphorylation abrogate these ACE2- and SPP-inductive events. Human studies also demonstrate that the levels of circulating CHI3L1 are increased in the elderly and patients with CM, where they correlate with COVID-19 severity. These studies demonstrate that CHI3L1 is a potent stimulator of ACE2 and SPP, that this induction is a major mechanism contributing to the effects of aging during SC2 infection, and that CHI3L1 co-opts the CHI3L1 axis to augment SC2 infection. CHI3L1 plays a critical role in the pathogenesis of and is an attractive therapeutic target in COVID-19.

Indexed as

AgingAminoglycosidesAngiotensin-Converting Enzyme 2Cell Line, TumorChitinase-3-Like Protein 1COVID-19COVID-19 Drug TreatmentHEK293 CellsHumansSARS-CoV-2ACE2 protein, humanAminoglycosidesAngiotensin-Converting Enzyme 2CHI3L1 protein, humanChil1 protein, mouseChitinase-3-Like Protein 1kasugamycinCOVID-19ImmunotherapyMolecular pathologyTherapeutics

Identifiers

PMID34747367
PMCPMC8663553
OpenAlexW3213626129

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.