Evidence map›Paper›PMID 34938538›Full record

ArticleClinical & translational immunology2021

Blunted sFasL signalling exacerbates TNF-driven neutrophil necroptosis in critically ill COVID-19 patients.

Tiziano A Schweizer, Srikanth Mairpady Shambat, Clement Vulin, Sylvia Hoeller, Claudio Acevedo, Markus Huemer, Alejandro Gomez-Mejia, Chun-Chi Chang, Jeruscha Baum, Sanne Hertegonne and 8 more

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Coronavirus endoribonuclease antagonizes ZBP1-mediated necroptosis and delays multiple cell death pathways.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  12. Targeting Neutrophil βBiomolecules · 2023
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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

18 authors at 2 institutions in 1 country.

Tiziano A SchweizerDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Srikanth Mairpady ShambatDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Clement VulinDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Sylvia HoellerDepartment of Pathology and Molecular Pathology University Hospital of Zurich University of Zurich Zurich Switzerland.
Claudio AcevedoDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Markus HuemerDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Alejandro Gomez-MejiaDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Chun-Chi ChangDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Jeruscha BaumDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Sanne HertegonneDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Eva HitzDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Thomas C ScheierDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Daniel A HofmaennerInstitute for Intensive Care Medicine University Hospital of Zurich University of Zurich Zurich Switzerland.
Philipp K BuehlerInstitute for Intensive Care Medicine University Hospital of Zurich University of Zurich Zurich Switzerland.
Holger MochDepartment of Pathology and Molecular Pathology University Hospital of Zurich University of Zurich Zurich Switzerland.
Reto A SchuepbachInstitute for Intensive Care Medicine University Hospital of Zurich University of Zurich Zurich Switzerland.
Silvio D BruggerDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
Annelies S ZinkernagelDepartment of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich University of Zurich Zurich Switzerland.
University of Zurich · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCritically ill coronavirus disease 2019 (COVID-19) patients are characterised by a severely dysregulated cytokine profile and elevated neutrophil counts, impacting disease severity. However, it remains unclear how neutrophils contribute to pathophysiology during COVID-19. Here, we assessed the impact of the dysregulated cytokine profile on the regulated cell death (RCD) programme of neutrophils.

methodsRegulated cell death phenotype of neutrophils isolated from critically ill COVID-19 patients or healthy donors and stimulated with COVID-19 or healthy plasma

resultsCOVID-19 plasma induced a necroptosis-sensitive neutrophil phenotype, characterised by cell lysis, elevated release of damage-associated molecular patterns (DAMPs), increased receptor-interacting serine/threonine-protein kinase (RIPK) 1 levels and mixed lineage kinase domain-like pseudokinase (MLKL) involvement. The occurrence of neutrophil necroptosis MLKL axis was further confirmed in COVID-19 thrombus and lung biopsies. Necroptosis was induced by the tumor necrosis factor receptor 1 (TNFRI)/TNF-α axis. Moreover, reduction of soluble Fas ligand (sFasL) levels in COVID-19 patients and hence decreased signalling to Fas directly increased RIPK1 levels, exacerbated TNF-driven necroptosis and correlated with disease severity, which was abolished in patients treated with glucocorticoids.

conclusionOur results suggest a novel role for sFasL signalling in the TNF-α-induced RCD programme in neutrophils during COVID-19 and a potential therapeutic target to curb inflammation and thus influence disease severity and outcome.

Indexed as

COVID‐19Fas (CD95)necroptosisneutrophilsRIPK1TNF‐α

Identifiers

PMID34938538
PMCPMC8665925
OpenAlexW4205944693

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.