Evidence map›Paper›PMID 35066575›Full record

ArticleCell death and differentiation2022

T cell apoptosis characterizes severe Covid-19 disease.

Sonia André, Morgane Picard, Renaud Cezar, Florence Roux-Dalvai, Aurélie Alleaume-Butaux, Calaiselvy Soundaramourty, André Santa Cruz, Ana Mendes-Frias, Clarisse Gotti, Mickaël Leclercq and 23 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cell death and differentiation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04351711 (Immunological Profiling of Patients With COVID-19 in Respiratory Distress), which is not on this map. Cited by 111 papers.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed
18.0field-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

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.

NCT04351711 completednot on this map

Immunological Profiling of Patients With COVID-19 in Respiratory Distress

TypeobservationalSponsorCentre Hospitalier Universitaire de NīmesRan2020 to 2022Enrolled120ConditionsSARS-CoV-2, Covid-19ArmsImmunological profiling
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 184 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Immune cell disorder in viral pneumonia.Journal of translational medicine · 2026
    Review
  5. Characteristics of CD4Journal of intensive medicine · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. ACSS2/AATF Drives Soluble FasL-Mediated CD8Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  15. CD95/Fas stoichiometry in future precision medicine.Cell death and differentiation · 2025
    Review
  16. IL-24 in COVID-19 Patients: Correlations with Disease Progression.International journal of molecular sciences · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

51 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

33 authors at 6 institutions in 3 countries.

Sonia AndréINSERM-U1124, Université Paris, Paris, France.
Morgane PicardINSERM-U1124, Université Paris, Paris, France.
Renaud CezarLaboratoire d'Immunologie, CHU de Nîmes, Nîmes, France.
Florence Roux-DalvaiProteomics platform, CHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Aurélie Alleaume-ButauxINSERM-U1124, Université Paris, Paris, France.
Calaiselvy SoundaramourtyINSERM-U1124, Université Paris, Paris, France.
André Santa CruzLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Ana Mendes-FriasLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Clarisse GottiProteomics platform, CHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Mickaël LeclercqProteomics platform, CHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Alexandre NicolasINSERM-U1124, Université Paris, Paris, France.
Alexandra TauzinINSERM-U1124, Université Paris, Paris, France.
Alexandre CarvalhoLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Carlos CapelaLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Jorge PedrosaLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
António Gil CastroLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Lucy KunduraInstitut de Génétique Humaine UMR9002 CNRS-Université de Montpellier, Montpellier, France.
Paul LoubetService des Maladies Infectieuses et Tropicales, CHU de Nîmes, Nîmes, France.
Albert SottoService des Maladies Infectieuses et Tropicales, CHU de Nîmes, Nîmes, France.
Laurent MullerService de Réanimation Chirugicale, CHU de Nîmes, Nîmes, France.
Jean-Yves LefrantService de Réanimation Chirugicale, CHU de Nîmes, Nîmes, France.
Claire RogerService de Réanimation Chirugicale, CHU de Nîmes, Nîmes, France.
Pierre-Géraud ClaretUrgences Médico-Chirugicales Hospitalisation, CHU de Nîmes, Nîmes, France.
Sandra DuvnjakService de Gérontologie et Prévention du Vieillissement, CHU de Nîmes, Nîmes, France.
Tu-Anh TranService de Pédiatrie, CHU de Nîmes, Nîmes, France.
Gina RacineCHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Ouafa Zghidi-AbouzidCHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Pierre NiocheINSERM-U1124, Université Paris, Paris, France.
Ricardo SilvestreLife and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal.
Arnaud DroitProteomics platform, CHU de Québec - Université Laval Research Center, Québec City, Québec, Canada.
Fabrizio MammanoINSERM-U1124, Université Paris, Paris, France.
Pierre CorbeauLaboratoire d'Immunologie, CHU de Nîmes, Nîmes, France. pierre.corbeau@igh.cnrs.fr.ORCID http://orcid.org/0000-0002-8576-6683
Jérôme EstaquierINSERM-U1124, Université Paris, Paris, France. estaquier@yahoo.fr.ORCID http://orcid.org/0000-0002-9432-8044
Centre Hospitalier Universitaire de Nîmes · FRInserm · FRUniversité Laval · CACentre National de la Recherche Scientifique · FRUniversity of Minho · PTHospital Braga · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe SARS-CoV-2 infections are characterized by lymphopenia, but the mechanisms involved are still elusive. Based on our knowledge of HIV pathophysiology, we hypothesized that SARS-CoV-2 infection-mediated lymphopenia could also be related to T cell apoptosis. By comparing intensive care unit (ICU) and non-ICU COVID-19 patients with age-matched healthy donors, we found a strong positive correlation between plasma levels of soluble FasL (sFasL) and T cell surface expression of Fas/CD95 with the propensity of T cells to die and CD4 T cell counts. Plasma levels of sFasL and T cell death are correlated with CXCL10 which is part of the signature of 4 biomarkers of disease severity (ROC, 0.98). We also found that members of the Bcl-2 family had modulated in the T cells of COVID-19 patients. More importantly, we demonstrated that the pan-caspase inhibitor, Q-VD, prevents T cell death by apoptosis and enhances Th1 transcripts. Altogether, our results are compatible with a model in which T-cell apoptosis accounts for T lymphopenia in individuals with severe COVID-19. Therefore, a strategy aimed at blocking caspase activation could be beneficial for preventing immunodeficiency in COVID-19 patients.

Indexed as

COVID-19LymphopeniaApoptosisCaspasesCD4-Positive T-LymphocytesFas Ligand Proteinfas ReceptorHumansSARS-CoV-2T-LymphocytesCaspasesFas Ligand Proteinfas Receptor

Identifiers

PMID35066575
PMCPMC8782710
OpenAlexW4207080708

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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.