Evidence map›Paper›PMID 35499468›Full record

ArticleDiabetes2022

Indirect and Direct Effects of SARS-CoV-2 on Human Pancreatic Islets.

Moufida Ben Nasr, Francesca D'Addio, Laura Montefusco, Vera Usuelli, Cristian Loretelli, Antonio Rossi, Ida Pastore, Ahmed Abdelsalam, Anna Maestroni, Marco Dell'Acqua and 23 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The Incidence of Type 1 Diabetes in Sweden During 2008-2021.Acta paediatrica (Oslo, Norway : 1992) · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Vaccinome Landscape in Nearly 620 000 Patients With Diabetes.The Journal of clinical endocrinology and metabolism · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Infection with SARS-CoV-2 can cause pancreatic impairment.Signal transduction and targeted therapy · 2024
    Article
  15. Review
  16. Article
  17. [Current Status of Research on COVID-19 Patients With Concomitant Hyperglycemia and the Management Strategies of Hyperglycemia].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Review
  18. Observational
  19. Review
  20. Review
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 7 institutions in 2 countries.

Moufida Ben NasrInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Francesca D'AddioInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Laura MontefuscoInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Vera UsuelliInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Cristian LoretelliInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Antonio RossiDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Ida PastoreDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Ahmed AbdelsalamInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Anna MaestroniInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Marco Dell'AcquaInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Elio IppolitoInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Emma AssiInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Andy Joe SeelamInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Roberta Maria FiorinaInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.
Enrica ChebatDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Paola MorpurgoDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Maria Elena LunatiDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Andrea Mario BollaDivision of Endocrinology, Azienda Socio-Sanitaria Territoriale (ASST) Fatebenefratelli-Sacco, Milan, Italy.
Reza AbdiTransplantation Research Center and Nephrology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-4789-5422
Joseph V BonventreTransplantation Research Center and Nephrology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Stefano RusconiInfectious Diseases Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.
Agostino RivaInfectious Diseases Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.
Domenico CorradiUnit of Pathology, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy.
Pierachille SantusDivision of Respiratory Diseases, ASST Fatebenefratelli-Sacco, Milan, Italy.ORCID 0000-0003-3462-8253
Pamela ClarkDepartments of Immunobiology and Internal Medicine, Yale University, New Haven, CT.
Manuela NebuloniDepartment of Biomedical and Clinical Sciences, DIBIC, Università di Milano, Milan, Italy.
Gabriella BaldiEndocrinology Laboratory, ASST Fatebenefratelli-Sacco, Milan, Italy.
Giovanna FinziDepartment of Pathology, University Hospital ASST-Settelaghi, Varese, Italy.
Franco FolliEndocrinology and Metabolism, Department of Health Science, Università di Milano, ASST Santi Paolo e Carlo, Milan, Italy.ORCID 0000-0001-9824-5222
Gian Vincenzo ZuccottiDepartment of Pediatrics, Children's Hospital Buzzi, Università di Milano, Milan, Italy.
Massimo GalliInfectious Diseases Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.
Kevan C HeroldDepartments of Immunobiology and Internal Medicine, Yale University, New Haven, CT.ORCID 0000-0003-1534-6613
Paolo FiorinaInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo and Enrica Invernizzi, Dipartimento di Scienze Biomediche e Cliniche (DIBIC), Università di Milano, Milan, Italy.ORCID 0000-0002-1093-7724
ASST Fatebenefratelli Sacco · ITUniversity of Milan · ITBoston Children's Hospital · USBrigham and Women's Hospital · USYale University · USOspedale San Paolo · ITUniversity of Parma · IT

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Richard A Flavell · 1993 to 2026
$44.0M
Phase II Trial of HOKT3gamma 1 (ALA-ALA) in Type 1 DiabetesR01DK057846 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold · 2000 to 2026
$11.1M
Mechanisms of Ischemic Kidney Injury and RepairR01DK039773 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI JOSEPH VINCENT BONVENTRE · 1987 to 2026
$6.2M
Developing novel biomarkers of renal transplant rejectionK24AI116925 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI ABDI, REZA · 2016 to 2023
$1.4M
Novel diagnostics for autoimmunity from checkpoint inhibitor immune therapyR43DK116577 · NIDDK · L2 DIAGNOSTICS, LLC · PI HEROLD, KEVAN C, USMANI-BROWN, SAHAR · 2017 to 2017
$300k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS K24 AI116925NIDDK NIH HHS P30 DK045735NIDDK NIH HHS R01 DK039773NIDDK NIH HHS R01 DK057846NIDDK NIH HHS R43 DK116577
6 · The paper itself

Abstract

Recent studies have shown that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection may induce metabolic distress, leading to hyperglycemia in patients affected by coronavirus disease 19 (COVID-19). We investigated the potential indirect and direct effects of SARS-CoV-2 on human pancreatic islets in 10 patients who became hyperglycemic after COVID-19. Although there was no evidence of peripheral anti-islet autoimmunity, the serum of these patients displayed toxicity on human pancreatic islets, which could be abrogated by the use of anti-interleukin-1β (IL-1β), anti-IL-6, and anti-tumor necrosis factor α, cytokines known to be highly upregulated during COVID-19. Interestingly, the receptors of those aforementioned cytokines were highly expressed on human pancreatic islets. An increase in peripheral unmethylated INS DNA, a marker of cell death, was evident in several patients with COVID-19. Pathology of the pancreas from deceased hyperglycemic patients who had COVID-19 revealed mild lymphocytic infiltration of pancreatic islets and pancreatic lymph nodes. Moreover, SARS-CoV-2-specific viral RNA, along with the presence of several immature insulin granules or proinsulin, was detected in postmortem pancreatic tissues, suggestive of β-cell-altered proinsulin processing, as well as β-cell degeneration and hyperstimulation. These data demonstrate that SARS-CoV-2 may negatively affect human pancreatic islet function and survival by creating inflammatory conditions, possibly with a direct tropism, which may in turn lead to metabolic abnormalities observed in patients with COVID-19.

Indexed as

COVID-19Islets of LangerhansCytokinesHumansHyperglycemiaProinsulinSARS-CoV-2CytokinesProinsulin

Identifiers

PMID35499468
PMCPMC9490452
OpenAlexW4225279029

What OpenQuestion holds

Textmetadata
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.