Evidence map›Paper›PMID 35203509›Full record

ArticleBiomedicines2022

An Early Th1 Response Is a Key Factor for a Favorable COVID-19 Evolution.

Francisco Javier Gil-Etayo, Sara Garcinuño, Alberto Utrero-Rico, Oscar Cabrera-Marante, Daniel Arroyo-Sanchez, Esther Mancebo, Daniel Enrique Pleguezuelo, Edgard Rodríguez-Frías, Luis M Allende, Pablo Morales-Pérez and 5 more

Abstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

  1. Article
  2. Cytokine Profiles in Peripheral Blood Mononuclear Cells and Neutrophils following SARS-CoV-2 Vaccination: A Study from Kuwait.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
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  12. Observational
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  17. Neutralizing Antibodies in COVID-19 Serum from Tatarstan, Russia.International journal of molecular sciences · 2023
    Article
  18. Review
  19. Observational
  20. 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

15 authors.

Francisco Javier Gil-EtayoDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0002-6152-0080
Sara GarcinuñoInstituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain.
Alberto Utrero-RicoInstituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain.ORCID 0000-0001-8814-8410
Oscar Cabrera-MaranteDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Daniel Arroyo-SanchezDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0002-7902-0527
Esther ManceboDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0002-1535-9062
Daniel Enrique PleguezueloDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0003-2211-9881
Edgard Rodríguez-FríasDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Luis M AllendeDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Pablo Morales-PérezDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
María José Castro-PaneteDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Antonio LaluezaInstituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain.ORCID 0000-0003-2711-3817
Carlos LumbrerasInstituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), 28041 Madrid, Spain.
Estela Paz-ArtalDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Antonio SerranoDepartment of Immunology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.ORCID 0000-0003-1993-640X

Funding

Fundación Mutua Madrileña P177122021Instituto de Salud Carlos III PI20-01361
6 · The paper itself

Abstract

The Th1/Th2 balance plays a crucial role in the progression of different pathologies and is a determining factor in the evolution of infectious diseases. This work has aimed to evaluate the early, or on diagnosis, T-cell compartment response, T-helper subsets and anti-SARS-CoV-2 antibody specificity in COVID-19 patients and to classify them according to evolution based on infection severity. A unicenter, randomized group of 146 COVID-19 patients was divided into four groups in accordance with the most critical events during the course of disease. The immunophenotype and T-helper subsets were analyzed by flow cytometry. Asymptomatic SARS-CoV-2 infected individuals showed a potent and robust Th1 immunity, with a lower Th17 and less activated T-cells at the time of sample acquisition compared not only with symptomatic patients, but also with healthy controls. Conversely, severe COVID-19 patients presented with Th17-skewed immunity, fewer Th1 responses and more activated T-cells. The multivariate analysis of the immunological and inflammatory parameters, together with the comorbidities, showed that the Th1 response was an independent protective factor for the prevention of hospitalization (OR 0.17, 95% CI 0.03-0.81), with an AUC of 0.844. Likewise, the Th1 response was found to be an independent protective factor for severe forms of the disease (OR 0.09, 95% CI: 0.01-0.63,

Indexed as

cell mediated immunityCOVID-19imbalanced immune responseSARS-CoV2T-cell subsetsTh1Th17Th2T helper

Identifiers

PMID35203509
PMCPMC8869678

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.