Evidence map›Paper›PMID 34914824›Full record

ArticleThe Journal of experimental medicine2022

TIM3+ TRBV11-2 T cells and IFNγ signature in patrolling monocytes and CD16+ NK cells delineate MIS-C.

Levi Hoste, Lisa Roels, Leslie Naesens, Victor Bosteels, Stijn Vanhee, Sam Dupont, Cedric Bosteels, Robin Browaeys, Niels Vandamme, Kevin Verstaen and 32 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
15.5field-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

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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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Decoding Undesirable Inflammatory Responses of Nucleic Acid-Delivering Lipid Nanoparticles.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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  12. Observational
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  18. The Microbe, the Infection Enigma, and the Host.Annual review of microbiology · 2024
    Review
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  20. Review

1 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

42 authors at 6 institutions in 4 countries.

Levi HostePrimary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0001-9733-1049
Lisa RoelsPrimary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0002-0443-1233
Leslie NaesensPrimary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0003-1715-0665
Victor BosteelsDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-8838-021X
Stijn VanheeDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-5305-1651
Sam DupontDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-7020-5373
Cedric BosteelsDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-3230-0879
Robin BrowaeysData Mining and Modeling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0003-2934-5195
Niels VandammeData Mining and Modeling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0001-6582-0040
Kevin VerstaenData Mining and Modeling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0003-3582-0298
Jana RoelsData Mining and Modeling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0001-6037-8767
Karel F A Van DammeDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-4379-1047
Bastiaan MaesDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-1594-8622
Elisabeth De LeeuwDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-7826-8141
Jozefien DeclercqDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-5116-3833
Helena AegerterDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-5755-9126
Leen SeysDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-7708-9638
Ursula SmoleDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-5124-2024
Sofie De PrijckDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-7074-6463
Manon VanheerswynghelsDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-9082-2267
Karlien ClaesPrimary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0002-3059-081X
Veronique DebackerPrimary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0002-6525-9422
Gert Van IsterdaelVIB Flow Core, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0001-6626-1316
Lynn BackersCenter for Medical Genetics, Department of Biomolecular Medicine, Ghent University and Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-3587-3955
Kathleen B M ClaesCenter for Medical Genetics, Department of Biomolecular Medicine, Ghent University and Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-0841-7372
Paul BastardLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-5926-8437
Emmanuelle JouanguyLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-7358-9157
Shen-Ying ZhangLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-9449-3672
Gilles MetsDepartment of Internal Medicine and Pediatrics, Division of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-9332-0913
Joke DehoorneDepartment of Internal Medicine and Pediatrics, Division of Pediatric Rheumatology, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-4759-0717
Kristof VandekerckhoveDepartment of Internal Medicine and Pediatrics, Division of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-1481-0878
Petra SchelstraeteDepartment of Internal Medicine and Pediatrics, Division of Pediatric Pulmonology, Infectious Diseases and Inborn Errors of Immunity, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-9560-8275
Jef WillemsDepartment of Critical Care, Division of Pediatric Intensive Care, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0001-8250-8964
MIS-C Clinicians
Patrick StordeurBelgian National Reference Center for the Complement System, Laboratory of Immunology, LHUB-ULB, Université Libre de Bruxelles, Brussels, Belgium.ORCID 0000-0001-5398-0709
Sophie JanssensDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-1702-1636
Rudi BeyaertCenter for Inflammation Research, Laboratory of Molecular Signal Transduction in Inflammation, VIB, Ghent, Belgium.ORCID 0000-0002-5704-582X
Yvan SaeysData Mining and Modeling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0002-0415-1506
Jean-Laurent CasanovaLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.ORCID 0000-0002-7782-4169
Bart N LambrechtDepartment of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-4376-6834
Filomeen Haerynck *Primary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0001-9161-7361
Simon J Tavernier *Primary Immune Deficiency Research Laboratory, Department of Internal Diseases and Pediatrics, Centre for Primary Immunodeficiency Ghent, Jeffrey Modell Diagnosis and Research Centre, Ghent University, Ghent, Belgium.ORCID 0000-0003-2514-5655
Ghent University Hospital · BEGhent University · BEInserm · FRHoward Hughes Medical Institute · USUniversité Libre de Bruxelles · BEVIB-UGent Center for Inflammation Research · BE

Funding

Fonds Wetenschappelijk OnderzoekGhent UniversityVlaams Instituut voor Biotechnologie
6 · The paper itself

Abstract

In rare instances, pediatric SARS-CoV-2 infection results in a novel immunodysregulation syndrome termed multisystem inflammatory syndrome in children (MIS-C). We compared MIS-C immunopathology with severe COVID-19 in adults. MIS-C does not result in pneumocyte damage but is associated with vascular endotheliitis and gastrointestinal epithelial injury. In MIS-C, the cytokine release syndrome is characterized by IFNγ and not type I interferon. Persistence of patrolling monocytes differentiates MIS-C from severe COVID-19, which is dominated by HLA-DRlo classical monocytes. IFNγ levels correlate with granzyme B production in CD16+ NK cells and TIM3 expression on CD38+/HLA-DR+ T cells. Single-cell TCR profiling reveals a skewed TCRβ repertoire enriched for TRBV11-2 and a superantigenic signature in TIM3+/CD38+/HLA-DR+ T cells. Using NicheNet, we confirm IFNγ as a central cytokine in the communication between TIM3+/CD38+/HLA-DR+ T cells, CD16+ NK cells, and patrolling monocytes. Normalization of IFNγ, loss of TIM3, quiescence of CD16+ NK cells, and contraction of patrolling monocytes upon clinical resolution highlight their potential role in MIS-C immunopathogenesis.

Indexed as

AdolescentAlveolar Epithelial CellsBlood VesselsB-LymphocytesCell ProliferationChildCohort StudiesComplement ActivationCOVID-19CytokinesEnterocytesFemaleHepatitis A Virus Cellular Receptor 2HumansImmunity, HumoralInflammationCytokinesHepatitis A Virus Cellular Receptor 2Interferon-gammaInterferon Type IInterleukin-15Receptors, Antigen, T-CellReceptors, IgGSuperantigens

Identifiers

PMID34914824
PMCPMC8685281
OpenAlexW3215229785

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

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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.