Evidence map›Paper›PMID 34914941›Full record

ArticleMicrovascular research2022

Endothelial injury in COVID-19 and septic patients.

Larissa Tami Hokama, Alicia Dudy Müller Veiga, Maria Clara Saad Menezes, Agnes Araujo Sardinha Pinto, Thais Martins de Lima, Suely Kunimi Kubo Ariga, Hermes Vieira Barbeiro, Denise Frediani Barbeiro, Claudia de Lucena Moreira, Gabriela Stanzani and 7 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Microvascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. The vascular endothelium as decision maker in lung injury.Frontiers in cell and developmental biology · 2025
    Review
  2. Observational
  3. Article
  4. Evaluation of COVID-19 cases treated in the intensive care unit in a coastal city hospital during the pandemic.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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

17 authors at 1 institution in 1 country.

Larissa Tami HokamaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Electronic address: larissa.tami@fm.usp.br.
Alicia Dudy Müller VeigaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Maria Clara Saad MenezesEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Agnes Araujo Sardinha PintoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Thais Martins de LimaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Suely Kunimi Kubo ArigaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Hermes Vieira BarbeiroEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Denise Frediani BarbeiroEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Claudia de Lucena MoreiraEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Gabriela StanzaniEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Rodrigo Antonio BrandaoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Julio Flavio MarchiniEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Julio Cesar AlencarEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Lucas Oliveira MarinoEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Luz Marina GomezEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Emergency USP COVID-19 GroupEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Heraldo P SouzaEmergency Medicine Department, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic inflammatory response, as observed in sepsis and severe COVID-19, may lead to endothelial damage. Therefore, we aim to compare the extent of endothelial injury and its relationship to inflammation in both diseases. We included patients diagnosed with sepsis (SEPSIS group, n = 21), mild COVID-19 (MILD group, n = 31), and severe COVID-19 (SEVERE group, n = 24). Clinical and routine laboratory data were obtained, circulating cytokines (INF-γ, TNF-α, and IL-10) and endothelial injury markers (E-Selectin, Tissue Factor (TF) and von Willebrand factor (vWF)) were measured. Compared to the SEPSIS group, patients with severe COVID-19 present similar clinical and laboratory data, except for lower circulating IL-10 and E-Selectin levels. Compared to the MILD group, patients in the SEVERE group showed higher levels of TNF-α, IL-10, and TF. There was no clear relationship between cytokines and endothelial injury markers among the three studied groups; however, in SEVERE COVID-19 patients, there is a positive relationship between INF-γ with TF and a negative relationship between IL-10 and vWF. In conclusion, COVID-19 and septic patients have a similar pattern of cytokines and endothelial dysfunction markers. These findings highlight the importance of endothelium dysfunction in COVID-19 and suggest that endothelium should be better evaluated as a therapeutic target for the disease.

Indexed as

SARS-CoV-2AgedAged, 80 and overBiomarkersBlood Cell CountCOVID-19C-Reactive ProteinEndothelium, VascularE-SelectinFemaleHumansInterferon-gammaInterleukin-10MaleMiddle AgedRetrospective StudiesBiomarkersC-Reactive ProteinE-SelectinIL10 protein, humanInterferon-gammaInterleukin-10SELE protein, humanThromboplastinTumor Necrosis Factor-alphavon Willebrand FactorCytokinesE-SelectinSystematic inflammationTissue Factorvon Willebrand Factor

Identifiers

PMID34914941
PMCPMC8667352
OpenAlexW4206156236

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.