Evidence map›Paper›PMID 36028169›Full record

ArticleLife sciences2022

Vitamin D modulates systemic inflammation in patients with severe COVID-19.

Fatemeh Saheb Sharif-Askari, Shirin Hafezi, Narjes Saheb Sharif-Askari, Hawra Ali Hussain Alsayed, Bushra Mdkhana, Balachandar Selvakumar, Mohamad-Hani Temsah, Basema Saddik, Fatme Al Anouti, Rabih Halwani

Open access · greenAbstract read
In one paragraph

Article in Life sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

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

  1. Pooled it
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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

10 authors at 4 institutions in 2 countries.

Fatemeh Saheb Sharif-AskariSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Shirin HafeziSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Narjes Saheb Sharif-AskariSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Hawra Ali Hussain AlsayedPharmacy Department, Dubai Health Authority, Dubai, United Arab Emirates.
Bushra MdkhanaSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Balachandar SelvakumarSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates.
Mohamad-Hani TemsahImmunology Research Lab, Department of Pediatrics, College of Medicine, King Saud University, Saudi Arabia.
Basema SaddikSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates; Department of Family and Community Medicine, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Fatme Al AnoutiDepartment of Health Sciences, Zayed University, Abu Dhabi, United Arab Emirates.
Rabih HalwaniSharjah Institute of Medical Research, University of Sharjah, Sharjah, United Arab Emirates; Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates; Prince Abdullah Ben Khaled Celiac Disease Chair, Department of Pediatrics, Faculty of Medicine, King Saud University, Saudi Arabia. Electronic address: rhalwani@sharjah.ac.ae.
University of Sharjah · AEKing Saud University · SADubai Health Authority · AEZayed University · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe ability of vitamin D (VitD) to modulate immune responses in the clinical setting of COVID-19 infection is not well investigated. This study aimed to evaluate the ability of VitD to attenuate inflammatory responses in patients with severe COVID-19. MATERIALS AND

methodsBlood samples and nasopharyngeal swabs were obtained from patients with severe COVID-19 who had been treated (20 patients), or not (25 patients), with VitD, during their stay in the intensive care unit. Western blotting was used to evaluate the expressions of STAT3, JNK and AKT signaling pathways and ELISA was used to measure levels of IL-6, IL-17, and IL-1β in blood of these patients. KEY

findingsReduced levels of STAT3, JNK and AKT pathways and lower levels of proinflammatory cytokines such as IL-6, IL-17, and IL-1β were observed in VitD treated patients (50,000 IU of cholecalciferol weekly for 3 weeks), and in vitro following treatment of poly I:C stimulated PBMCs with VitD (50 nM of calcitriol). Moreover, lower circulatory levels of these proinflammatory cytokines following treatment with VitD were associated with lower serum levels of COVID-19-related severity markers such as D-dimer and C-reactive proteins (P < 0.001) which in overall resulted in shorter length of ICU stay for VitD treated compared to untreated patients (18 days for VitD treated vs. 28 days for VitD untreated; P = 0.01). SIGNIFICANCE: This study reveals that VitD plays immunomodulatory role during COVID-19 infection, which further emphasizes the importance of maintaining a normal level of this vitamin for the prevention of hyperinflammatory conditions associated with COVID-19.

Indexed as

COVID-19Vitamin D DeficiencyCalcitriolCytokinesHumansInflammationInterleukin-17Interleukin-6Poly IProto-Oncogene Proteins c-aktVitamin DVitaminsCalcitriolCytokinesInterleukin-17Interleukin-6Poly IProto-Oncogene Proteins c-aktVitamin DVitaminsAnti-inflammatory effectsCOVID-19IL-17IL-6STAT3Vitamin D

Identifiers

PMID36028169
PMCPMC9398944
OpenAlexW4292867656

What OpenQuestion holds

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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.