Evidence map›Paper›PMID 34984625›Full record

ArticleJournal of endocrinological investigation2022

SARS-CoV-2 detection in primary thyroid sarcoma: coincidence or interaction?

M L Tanda, S Ippolito, D Gallo, A Baj, F Novazzi, A Genoni, M Annoni, N Mancini, N Clementi, G Finzi and 6 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of endocrinological investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Current concepts regarding Graves' orbitopathy.Journal of internal medicine · 2022
    Review
  5. Article
  6. Frontiers in pharmacology · 2022
    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

16 authors at 2 institutions in 1 country.

M L TandaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy. marialaura.tanda@uninsubria.it.ORCID http://orcid.org/0000-0001-7551-1751
S Ippolito *Endocrine Unit, Department of Medicine and Surgery, University of Insubria, ASST Dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
D Gallo *Endocrine Unit, Department of Medicine and Surgery, University of Insubria, ASST Dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
A BajDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
F NovazziLaboratory of Microbiology, ASST Dei Sette Laghi, Varese, Italy.
A GenoniDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
M AnnoniEndocrine Metabolic Surgery, ASST Dei SetteLaghi, Varese, Italy.
N ManciniLaboratory of Microbiology and Virology, University Vita-Salute San Raffaele, Milan, Italy.
N ClementiLaboratory of Microbiology and Virology, University Vita-Salute San Raffaele, Milan, Italy.
G FinziPathology Unit, ASST Dei Sette Laghi, Varese, Italy.
E PiantanidaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
P PremoliEndocrine Unit, Department of Medicine and Surgery, University of Insubria, ASST Dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
A LaiEndocrine Unit, Department of Medicine and Surgery, University of Insubria, ASST Dei Sette Laghi, Viale Borri, 57, 21100, Varese, Italy.
D Dalla GasperinaDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
F MaggiDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
S Uccella *Department of Medicine and Surgery, University of Insubria, Varese, Italy.
University of Insubria · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThyroid dysfunctions associated with SARS-CoV-2 are emerging in scientific literature. During the second COVID-19 epidemic spread, we evaluated a patient with the suspect of subacute thyroiditis. METHODS AND

resultsSpecimen from fine-needle aspiration of a hypoechoic undefined area was analyzed for cytology and for SARS-CoV-2 detection. SARS-CoV-2 was retrieved by real-time polymerase chain reaction on the cytologic sample, which was then cultured on Vero E6 cells and demonstrated to be cytopathic. Whole-genome sequence was deposited. Histological exam diagnosed a rare case of primary thyroid sarcoma with diffuse and strong expression of mouse double minute 2 homolog (MDM2) oncoprotein. Ultrastructural examination confirmed, in several neoplastic cells, the presence of viral particles in cytoplasmic vacuoles.

conclusionsIn our hypothesis, SARS-CoV-2 and sarcoma coexistence could represent a synergistic interplay, ultimately favoring both viral persistence and tumor proliferation: the overexpression of MDM2 in tumor cells might have generated a favorable immunological niche for SARS-CoV-2 localization and, in turn, SARS-CoV-2 could have favored tumor growth by inducing MDM2-mediated p53 downregulation. Functional studies are needed to confirm this suggestive pathway.

Indexed as

COVID-19SarcomaThyroiditis, SubacuteThyroid NeoplasmsAnimalsHumansMiceSARS-CoV-2MDM2SarcomaSARS-CoV-2Subacute thyroiditisThyroid

Identifiers

PMID34984625
PMCPMC8727071
OpenAlexW4205580161

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.