Evidence map›Paper›PMID 35879274›Full record

ArticleCell discovery2022

Enhanced inflammation and suppressed adaptive immunity in COVID-19 with prolonged RNA shedding.

Xiaohua Tang, Rui Sun, Weigang Ge, Tingting Mao, Liujia Qian, Chongquan Huang, Zhouyang Kang, Qi Xiao, Meng Luo, Qiushi Zhang and 22 more

Open access · goldAbstract read
In one paragraph

Article in Cell discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Large-scale circulating proteome association study (CPAS) meta-analysis identifies circulating proteins and pathways predicting incident hip fractures.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Pooled it
  2. Article
  3. Article
  4. Target, silence, replace: a review on RNA-based drugs in modern medicine.Frontiers in cell and developmental biology · 2026
    Review
  5. The peptidoglycan ofScience translational medicine · 2025
    Article
  6. Article
  7. Plasma Proteins Associated with COVID-19 Severity in Puerto Rico.International journal of molecular sciences · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

32 authors at 5 institutions in 1 country.

Xiaohua Tang *Wenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Rui Sun *Westlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Weigang Ge *Westlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Tingting Mao *Wenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Liujia Qian *Westlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Chongquan Huang *Wenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhouyang Kang *Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Qi XiaoWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Meng LuoWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Qiushi ZhangWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Sainan LiWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Hao ChenWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Wei LiuWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Bingjie WangWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Shufei LiWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiaoling LinWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xueqin XuWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Huanzheng LiWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Lianpeng WuWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jianyi DaiWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Huanhuan GaoWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Lu LiWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Tian LuWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Xiao LiangWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Xue CaiWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Guan RuanWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China.
Fei XuDepartment of Anatomy, College of Basic Medical Sciences, Dalian Medical University, Dalian, Liaoning, China.
Yan LiDepartment of Anatomy and Physiology, College of Basic Medical Sciences, Shanghai Jiao Tong University, Shanghai, China.
Yi ZhuWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China. kongzq@dazd.cn.ORCID http://orcid.org/0000-0003-0429-0802
Ziqing KongCalibra Lab in DIAN Diagnostics, Key Laboratory of Digital Technology in Medical Diagnostics of Zhejiang Province, Hangzhou, Zhejiang, China. kongzq@dazd.cn.
Jianping HuangWenzhou Central Hospital, Dingli Clinical Medical School of Wenzhou Medical University, Wenzhou, Zhejiang, China. hjpzxyy006@163.com.
Tiannan GuoWestlake Intelligent Biomarker Discovery Lab, Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou, Zhejiang, China. guotiannan@westlake.edu.cn.ORCID http://orcid.org/0000-0003-3869-7651
Westlake University · CNWenzhou Medical University · CNDian Diagnostics (China) · CNDalian Medical University · CNShanghai Jiao Tong University · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 21904107National Natural Science Foundation of China (National Science Foundation of China) 81972492
6 · The paper itself

Abstract

Little is known regarding why a subset of COVID-19 patients exhibited prolonged positivity of SARS-CoV-2 infection. Here, we found that patients with long viral RNA course (LC) exhibited prolonged high-level IgG antibodies and higher regulatory T (Treg) cell counts compared to those with short viral RNA course (SC) in terms of viral load. Longitudinal proteomics and metabolomics analyses of the patient sera uncovered that prolonged viral RNA shedding was associated with inhibition of the liver X receptor/retinoid X receptor (LXR/RXR) pathway, substantial suppression of diverse metabolites, activation of the complement system, suppressed cell migration, and enhanced viral replication. Furthermore, a ten-molecule learning model was established which could potentially predict viral RNA shedding period. In summary, this study uncovered enhanced inflammation and suppressed adaptive immunity in COVID-19 patients with prolonged viral RNA shedding, and proposed a multi-omic classifier for viral RNA shedding prediction.

Identifiers

PMID35879274
PMCPMC9311354
OpenAlexW4287578214

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.