Evidence map›Paper›PMID 34959594›Full record

ArticlePathogens (Basel, Switzerland)2021

High CD169 Monocyte/Lymphocyte Ratio Reflects Immunophenotype Disruption and Oxygen Need in COVID-19 Patients.

Antonella Minutolo, Vita Petrone, Marialaura Fanelli, Marco Iannetta, Martina Giudice, Ines Ait Belkacem, Marta Zordan, Pietro Vitale, Guido Rasi, Paola Sinibaldi-Vallebona and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06514573 (Effects of a Postbiotic Supplementation on Gastrointestinal and Core Symptoms in Autism Spectrum Disorder), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT06514573 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of a Postbiotic Supplementation on Gastrointestinal and Core Symptoms in Autism Spectrum Disorder: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorIstituto Superiore di SanitàRan2025 to 2026Enrolled128ConditionsAutism Spectrum Disorder (ASD)ArmsSodium Butyrate, Placebo (cornstarch)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
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  4. Review
  5. CD169Frontiers in cellular and infection microbiology · 2026
    Article
  6. Review
  7. Article
  8. Article
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  10. Article
  11. 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

16 authors at 3 institutions in 2 countries.

Antonella MinutoloDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-4784-4297
Vita PetroneDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Marialaura FanelliDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Marco IannettaDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-6938-8627
Martina GiudiceDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Ines Ait BelkacemCNRS, INSERM, CIML, Centre d'Immunologie de Marseille-Luminy, Aix Marseille Université, 13009 Marseille, France.ORCID 0000-0002-1383-1095
Marta ZordanDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Pietro VitaleInfectious Diseases Clinic, Policlinic of Tor Vergata, 00133 Rome, Italy.
Guido RasiDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Paola Sinibaldi-VallebonaDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Loredana SarmatiDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-1452-0333
Massimo AndreoniDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Fabrice MalergueDepartment of Research and Development, Beckman Coulter Life Sciences-Immunotech, 13009 Marseille, France.ORCID 0000-0003-1322-1390
Emanuela BalestrieriDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Sandro GrelliDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Claudia MatteucciDepartment of Experimental Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-6058-1092
University of Rome Tor Vergata · ITCentre National de la Recherche Scientifique · FRPoliclinico Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSialoadhesin (CD169) has been found to be overexpressed in the blood of COVID-19 patients and identified as a biomarker in early disease. We analyzed CD169 in the blood cells of COVID-19 patients to assess its role as a predictive marker of disease progression and clinical outcomes.

methodsThe ratio of the median fluorescence intensity of CD169 between monocytes and lymphocytes (CD169 RMFI) was analyzed by flow cytometry in blood samples of COVID-19 patients (COV) and healthy donors (HDs) and correlated with immunophenotyping, inflammatory markers, cytokine mRNA expression, pulmonary involvement, and disease progression.

resultsCD169 RMFI was high in COV but not in HDs, and it correlated with CD8 T-cell senescence and exhaustion markers, as well as with B-cell maturation and differentiation in COV. CD169 RMFI correlated with blood cytokine mRNA levels, inflammatory markers, and pneumonia severity in patients who were untreated at sampling, and was associated with the respiratory outcome throughout hospitalization. Finally, we also report the first evidence of the specific ability of the spike protein of SARS-CoV-2 to trigger CD169 RMFI in a dose-dependent manner in parallel with IL-6 and IL-10 gene transcription in HD PBMCs stimulated in vitro.

conclusionCD169 is induced by the spike protein and should be considered as an early biomarker for evaluating immune dysfunction and respiratory outcomes in COVID-19 patients.

Indexed as

CD169COVID-19COVID-19 therapycytokine storminflammationrespiratory outcomeT-cell exhaustion

Identifiers

PMID34959594
PMCPMC8715749
OpenAlexW4200104850

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.