Evidence map›Paper›PMID 35638118›Full record

ArticleJournal of paediatrics and child health2022

Zonulin and claudin-5 levels in multisystem inflammatory syndrome and SARS-CoV-2 infection in children.

Ahmet O Kılıç, Fatih Akın, Abdullah Yazar, Özge Metin Akcan, Cemile Topcu, Orkun Aydın

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Journal of paediatrics and child health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.6field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ahmet O KılıçDepartment of Pediatrics, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.ORCID 0000-0002-3451-6764
Fatih AkınDepartment of Pediatrics, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.ORCID 0000-0001-5725-3867
Abdullah YazarDepartment of Pediatrics, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
Özge Metin AkcanDepartment of Pediatrics, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
Cemile TopcuDepartment of Biochemistry, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.
Orkun AydınDepartment of Pediatrics, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
Necmettin Erbakan University · TRMinistry of Health · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSARS-CoV-2 infection in children is generally asymptomatic or mild; however, it can lead to a life-threatening clinical condition, multisystem inflammatory syndrome in children (MIS-C), days or weeks after the infection. Increased intestinal permeability isa possible triggering factor at the onset of the hyperinflammation associated with MIS-C. Zonulin and claudin-5 are involved in intestinal permeability. In this study, we aimed to investigate serum zonulin and claudin-5 levels in SARS-CoV-2 infection and MIS-C disease.

methodsThe study group consisted of children diagnosed with MIS-C or SARS-CoV-2 infection who presented to a university hospital paediatric emergency or infectious diseases departments. The control group included well patients seen at the General Pediatrics units for routine follow-up. Serum zonulin and claudin-5 levels were measured at the time of diagnosis.

resultsFifteen patients were included in the MIS-C group, 19 in the SARS-CoV-2 infection group and 21 in the control group. The mean zonulin level in the MIS-C group was significantly higher than in the control group (P < 0.001). Mean Claudin-5 levels were Psignificantly lower in the SARS-CoV-2 infection group than in the control group (P < 0.001).

conclusionThese results indicate that increased intestinal permeability may be involved in the pathogenesis of SARS-CoV-2 infection and MIS-C disease. Larger clinical trials are needed to clarify the role of serum zonulin and claudin-5 on intestinal permeability in MIS-C and SARS-CoV-2 infection in children.

Indexed as

COVID-19ChildClaudin-5HaptoglobinsHumansProtein PrecursorsSARS-CoV-2Systemic Inflammatory Response SyndromeClaudin-5CLDN5 protein, humanHaptoglobinsProtein Precursorszonulinchildrenclaudin-5multisystem inflammatory syndrome (MIS-C)SARS-CoV-2 infectionzonulin

Identifiers

PMID35638118
PMCPMC9347651
OpenAlexW4282914379

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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.