Evidence map›Paper›PMID 35144622›Full record

ArticleRespiratory research2022

Pulmonary vascular inflammation with fatal coronavirus disease 2019 (COVID-19): possible role for the NLRP3 inflammasome.

Oindrila Paul, Jian Qin Tao, Eric West, Leslie Litzky, Michael Feldman, Kathleen Montone, Chamith Rajapakse, Christian Bermudez, Shampa Chatterjee

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 30 citations in OpenAlex.

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  18. Symptomatology and microbiology of the gastrointestinal tract in post-COVID conditions.JGH open : an open access journal of gastroenterology and hepatology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Oindrila PaulInstitute for Environmental Medicine and Department of Physiology, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA.
Jian Qin TaoInstitute for Environmental Medicine and Department of Physiology, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA.
Eric WestInstitute for Environmental Medicine and Department of Physiology, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA.
Leslie LitzkyDepartment of Pathology, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA.
Michael FeldmanDepartment of Pathology, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA.
Kathleen MontoneDepartment of Pathology, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA.
Chamith RajapakseDepartment of Radiology, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA.
Christian BermudezDepartment of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA.
Shampa ChatterjeeInstitute for Environmental Medicine and Department of Physiology, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA. shampac@pennmedicine.upenn.edu.
University of Pennsylvania · USInstitute for Environmental Management · US

Funding

The NLRP3 inflammasome in regulating injury with lung transplantR56HL139559 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHATTERJEE, SHAMPA · 2019 to 2019
$405k
NHLBI NIH HHS R56 HL139559NIH HHS R56HL139559
6 · The paper itself

Abstract

backgroundPulmonary hyperinflammation is a key event with SARS-CoV-2 infection. Acute respiratory distress syndrome (ARDS) that often accompanies COVID-19 appears to have worse outcomes than ARDS from other causes. To date, numerous lung histological studies in cases of COVID-19 have shown extensive inflammation and injury, but the extent to which these are a COVID-19 specific, or are an ARDS and/or mechanical ventilation (MV) related phenomenon is not clear. Furthermore, while lung hyperinflammation with ARDS (COVID-19 or from other causes) has been well studied, there is scarce documentation of vascular inflammation in COVID-19 lungs.

methodsLung sections from 8 COVID-19 affected and 11 non-COVID-19 subjects, of which 8 were acute respiratory disease syndrome (ARDS) affected (non-COVID-19 ARDS) and 3 were from subjects with non-respiratory diseases (non-COVID-19 non-ARDS) were H&E stained to ascertain histopathological features. Inflammation along the vessel wall was also monitored by expression of NLRP3 and caspase 1.

resultsIn lungs from COVID-19 affected subjects, vascular changes in the form of microthrombi in small vessels, arterial thrombosis, and organization were extensive as compared to lungs from non-COVID-19 (i.e., non-COVID-19 ARDS and non-COVID-19 non-ARDS) affected subjects. The expression of NLRP3 pathway components was higher in lungs from COVID-19 ARDS subjects as compared to non-COVID-19 non-ARDS cases. No differences were observed between COVID-19 ARDS and non-COVID-19 ARDS lungs.

conclusionVascular changes as well as NLRP3 inflammasome pathway activation were not different between COVID-19 and non-COVID-19 ARDS suggesting that these responses are not a COVID-19 specific phenomenon and are possibly more related to respiratory distress and associated strategies (such as MV) for treatment.

Indexed as

AgedAged, 80 and overAutopsyBlood VesselsCase-Control StudiesCOVID-19FemaleFluorescent Antibody TechniqueHumansInflammasomesLungMaleMiddle AgedNLR Family, Pyrin Domain-Containing 3 ProteinInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanCOVID-19Lung inflammationMechanical ventilationMicrothrombosisNLRP3 inflammasomeVascular endothelium

Identifiers

PMID35144622
PMCPMC8830114
OpenAlexW4211085599

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.