Evidence map›Paper›PMID 35900859›Full record

ArticleEuropean thyroid journal2022

Detection of SARS-CoV-2 infection in thyroid follicular cells from a COVID-19 autopsy series.

Sofia Macedo, Ana Pestana, Liliana Santos, Celestino Neves, Susana Guimarães, Amaro Duarte-Neto, Marisa Dolhnikoff, Paulo Saldiva, Georgina Alves, Rute Oliveira and 4 more

Open access · diamondAbstract read
In one paragraph

Article in European thyroid journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% 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, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. A survey of SARS-CoV-2 tropism.Infectious diseases & immunity · 2025
    Review
  8. Thyroid dysfunction in COVID-19.Nature reviews. Endocrinology · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. SARS-CoV-2 infection and its effects on the endocrine system.Best practice & research. Clinical endocrinology & metabolism · 2023
    Review
  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

14 authors at 3 institutions in 2 countries.

Sofia MacedoInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Ana PestanaInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Liliana SantosInstitute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.
Celestino NevesFaculty of Medicine, University of Porto, Porto, Portugal.
Susana GuimarãesFaculty of Medicine, University of Porto, Porto, Portugal.
Amaro Duarte-NetoDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Marisa DolhnikoffDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Paulo SaldivaDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Georgina AlvesInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Rute OliveiraInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Didier CabanesInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Fátima CarneiroInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.
Manuel Sobrinho-SimõesInstitute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal.
Paula SoaresInstitute for Research & Innovation in Health, University of Porto, Porto, Portugal.ORCID 0000-0001-9607-6998
Universidade do Porto · PTi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To understand whether thyroid cells can be directly infected by the SARS-CoV-2 virus and to establish a putative correlation with the expression of the host entry machinery: ACE-2, TMPRSS2, and furin. Methods: We assessed the presence of SARS-CoV-2 virus at the gene level by RT-PCR, viral RNA transcripts localization by in situ hybridization, and by detecting viral proteins by immunohistochemistry for the nucleocapsid and the spike proteins. Furthermore, we also described the immunoexpression of key host factors for virus entry in the COVID-19 thyroid samples. Results: We performed RT-PCR for SARS-CoV-2 in all autopsy specimens and detected viral genome positivity in 13 of 15 thyroid tissues and in a lung specimen. In 9 of the 14 positive samples, we were also able to confirm SARS-CoV-2 signal by in situ hybridization. Immunohistochemistry for the viral nucleocapsid and spike protein was also positive for ten and nine of the RT-PCR-positive cases, respectively, but revealed a lower sensitivity. We also described, for the first time in a COVID-19 series, the immunohistochemical expression of ACE-2, TMPRSS2, and furin in the thyroid. Conclusions: Our results obtained in thyroid specimens from deceased COVID-19 patients indicate that thyrocytes can be directly infected by SARS-CoV-2 since we detected the presence of SARS-CoV-2 genome in follicular cells. Nevertheless, we did not find a clear correlation between the presence of viral genome and the expression of the host factors for virus entry, namely ACE-2, TMPRSS2, and furin.

Indexed as

ACE-2furinSARS-CoV-2thyroidTMPRSS2

Identifiers

PMID35900859
PMCPMC9346336
OpenAlexW4283398756

What OpenQuestion holds

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LicenceCC BY-NC
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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.