Evidence map›Paper›PMID 35177626›Full record

ArticleNature communications2022

Stratification of hospitalized COVID-19 patients into clinical severity progression groups by immuno-phenotyping and machine learning.

Yvonne M Mueller, Thijs J Schrama, Rik Ruijten, Marco W J Schreurs, Dwin G B Grashof, Harmen J G van de Werken, Giovanna Jona Lasinio, Daniel Álvarez-Sierra, Caoimhe H Kiernan, Melisa D Castro Eiro and 18 more

Abstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Peripheral PD-1Frontiers in immunology · 2024
    Observational
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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

28 authors.

Yvonne M MuellerDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-4654-7509
Thijs J SchramaDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-6693-4725
Rik RuijtenDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Marco W J SchreursDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Dwin G B GrashofDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-4169-9888
Harmen J G van de WerkenDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-9794-1477
Giovanna Jona LasinioDepartment of Statistical Sciences, University of Rome "La Sapienza", Roma, Italy.ORCID 0000-0001-8912-5018
Daniel Álvarez-SierraImmunology Division, Hospital Universitari Vall d'Hebron, Campus Vall d'Hebron, Barcelona, Spain.ORCID 0000-0001-8221-5117
Caoimhe H KiernanDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Melisa D Castro EiroDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-0780-8937
Marjan van MeursDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Inge Brouwers-HaspelsDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-4492-446X
Manzhi ZhaoDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Ling LiDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Harm de WitDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Christos A OuzounisSchool of Informatics, Faculty of Sciences, Aristotle University of Thessaloniki, Thessalonica, Greece.
Merel E P WilmsenDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Tessa M AlofsDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Danique A LaportDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Tamara van WeesDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Geoffrey KrakerCytek Biosciences, Fremont, CA, USA.
Maria C JaimesCytek Biosciences, Fremont, CA, USA.
Sebastiaan Van BockstaelCytek Biosciences, Fremont, CA, USA.
Manuel Hernández-GonzálezImmunology Division, Hospital Universitari Vall d'Hebron, Campus Vall d'Hebron, Barcelona, Spain.
Casper RokxDepartment of Internal Medicine, Section Infectious Diseases, and Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-1904-6450
Bart J A RijndersDepartment of Internal Medicine, Section Infectious Diseases, and Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands.
Ricardo Pujol-BorrellImmunology Division, Hospital Universitari Vall d'Hebron, Campus Vall d'Hebron, Barcelona, Spain.
Peter D KatsikisDepartment of Immunology, Erasmus University Medical Center, Rotterdam, The Netherlands. p.katsikis@erasmusmc.nl.ORCID 0000-0001-7690-5218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quantitative or qualitative differences in immunity may drive clinical severity in COVID-19. Although longitudinal studies to record the course of immunological changes are ample, they do not necessarily predict clinical progression at the time of hospital admission. Here we show, by a machine learning approach using serum pro-inflammatory, anti-inflammatory and anti-viral cytokine and anti-SARS-CoV-2 antibody measurements as input data, that COVID-19 patients cluster into three distinct immune phenotype groups. These immune-types, determined by unsupervised hierarchical clustering that is agnostic to severity, predict clinical course. The identified immune-types do not associate with disease duration at hospital admittance, but rather reflect variations in the nature and kinetics of individual patient's immune response. Thus, our work provides an immune-type based scheme to stratify COVID-19 patients at hospital admittance into high and low risk clinical categories with distinct cytokine and antibody profiles that may guide personalized therapy.

Indexed as

Severity of Illness IndexAgedAntibodies, ViralCoronavirus Nucleocapsid ProteinsCOVID-19CytokinesDisease ProgressionFemaleHospitalizationHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MImmunophenotypingMachine LearningMaleAntibodies, ViralCoronavirus Nucleocapsid ProteinsCytokinesImmunoglobulin AImmunoglobulin GImmunoglobulin Mnucleocapsid phosphoprotein, SARS-CoV-2Phosphoproteins

Identifiers

PMID35177626
PMCPMC8854670

What OpenQuestion holds

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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.