Evidence map›Paper›PMID 35577777›Full record

ArticleNature communications2022

An Artificial Intelligence-guided signature reveals the shared host immune response in MIS-C and Kawasaki disease.

Pradipta Ghosh, Gajanan D Katkar, Chisato Shimizu, Jihoon Kim, Soni Khandelwal, Adriana H Tremoulet, John T Kanegaye, Pediatric Emergency Medicine Kawasaki Disease Research Group, Joseph Bocchini, Soumita Das and 2 more

Erratum issued Registry-linked trialAbstract 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. An erratum has been issued. It is linked to trial NCT05576714 (Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing 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.

NCT05576714 unknown statusnot on this map

Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children

Typeobservational_patient_registrySponsorNational Taiwan University HospitalRan2022 to 2025Enrolled300ConditionsCOVID-19-Associated Encephalitis, Multisystem Inflammatory Syndrome in ChildrenArmsdelineate its prognostic biomarker, host genetic factors, immunopathogenesis and viral pathogenesis
3 · Its place in the literature

Who cites it

50 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Pradipta Ghosh *Department of Cellular and Molecular Medicine, University of California San Diego, San Diego, USA. prghosh@ucsd.edu.ORCID http://orcid.org/0000-0002-8917-3201
Gajanan D Katkar *Department of Cellular and Molecular Medicine, University of California San Diego, San Diego, USA.
Chisato Shimizu *Department of Pediatrics, University of California San Diego, San Diego, USA.ORCID http://orcid.org/0000-0002-3149-2699
Jihoon KimDepartment of Biomedical informatics, University of California San Diego, San Diego, USA.
Soni KhandelwalDepartment of Computer Science and Engineering, Jacob's School of Engineering, University of California San Diego, San Diego, USA.
Adriana H TremouletDepartment of Pediatrics, University of California San Diego, San Diego, USA.
John T KanegayeDepartment of Pediatrics, University of California San Diego, San Diego, USA.ORCID http://orcid.org/0000-0003-4893-1827
Pediatric Emergency Medicine Kawasaki Disease Research Group
Joseph BocchiniWillis-Knighton Health System, Shreveport, LA, USA.
Soumita DasDepartment of Pathology, University of California, San Diego, USA.
Jane C BurnsDepartment of Pediatrics, University of California San Diego, San Diego, USA. jcburns@health.ucsd.edu.ORCID http://orcid.org/0000-0001-5679-1217
Debashis SahooDepartment of Pediatrics, University of California San Diego, San Diego, USA. dsahoo@ucsd.edu.ORCID http://orcid.org/0000-0003-2329-8228

Funding

iDASH: Integrating Data for Analysis, Anonymization, and SharingU54HL108460 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OHNO-MACHADO, LUCILA · 2010 to 2015
$19.1M
Macrophage Polarization in Response to Infections and InflammationR01AI155696 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GHOSH, PRADIPTA, SAHOO, DEBASHIS · 2020 to 2024
$4.9M
Innate Immune Activation and Endothelial Cell Dysfunction in Acute Kawasaki DiseaseR01HL140898 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BURNS, JANE C, HOFFMAN, HAROLD M · 2018 to 2022
$4.3M
Modulation of Macrophage Polarization by Heterotrimeric G proteins: Implications of Gastrointestinal InflammationR01AI141630 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Pradipta Ghosh · 2019 to 2026
$3.2M
Innate responses following infection with enteric microbesR01DK107585 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAS, SOUMITA · 2016 to 2020
$2.2M
Summer Student Research on the Application of Boolean AnalysisR01GM138385 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SAHOO, DEBASHIS · 2020 to 2023
$2.0M
Diagnosing and predicting risk in children with SARS-CoV-2- related illnessR61HD105590 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BURNS, JANE C · 2021 to 2022
$1.8M
Illumina NovaSeq 6000 Sequencing SystemS10OD026929 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JEPSEN, KRISTEN LYNN · 2019 to 2019
$600k
NHLBI NIH HHS R01 HL140898NHLBI NIH HHS U54 HL108460NIAID NIH HHS R01 AI141630NIAID NIH HHS R01 AI155696NICHD NIH HHS R61 HD105590NIDDK NIH HHS R01 DK107585NIGMS NIH HHS R01 GM138385NIH HHS S10 OD026929
6 · The paper itself

Abstract

Multisystem inflammatory syndrome in children (MIS-C) is an illness that emerged amidst the COVID-19 pandemic but shares many clinical features with the pre-pandemic syndrome of Kawasaki disease (KD). Here we compare the two syndromes using a computational toolbox of two gene signatures that were developed in the context of SARS-CoV-2 infection, i.e., the viral pandemic (ViP) and severe-ViP signatures and a 13-transcript signature previously demonstrated to be diagnostic for KD, and validated our findings in whole blood RNA sequences, serum cytokines, and formalin fixed heart tissues. Results show that KD and MIS-C are on the same continuum of the host immune response as COVID-19. Both the pediatric syndromes converge upon an IL15/IL15RA-centric cytokine storm, suggestive of shared proximal pathways of immunopathogenesis; however, they diverge in other laboratory parameters and cardiac phenotypes. The ViP signatures reveal unique targetable cytokine pathways in MIS-C, place MIS-C farther along in the spectrum in severity compared to KD and pinpoint key clinical (reduced cardiac function) and laboratory (thrombocytopenia and eosinopenia) parameters that can be useful to monitor severity.

Indexed as

COVID-19Mucocutaneous Lymph Node SyndromeSystemic Inflammatory Response SyndromeArtificial IntelligenceChildComputational BiologyCytokinesGene Expression ProfilingHumansImmunityPandemicsSARS-CoV-2Cytokines

Identifiers

PMID35577777
PMCPMC9110726

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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.