Evidence map›Paper›PMID 36206332›Full record

ArticleScience advances2022

Severe COVID-19 induces autoantibodies against angiotensin II that correlate with blood pressure dysregulation and disease severity.

Priscilla S Briquez, Sherin J Rouhani, Jovian Yu, Athalia R Pyzer, Jonathan Trujillo, Haley L Dugan, Christopher T Stamper, Siriruk Changrob, Anne I Sperling, Patrick C Wilson and 3 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 49 citations in OpenAlex.

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  12. The immunology of long COVID.Nature reviews. Immunology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 3 countries.

Priscilla S BriquezPritzker School for Molecular Engineering, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-4680-9636
Sherin J RouhaniDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-7248-847X
Jovian YuDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-9214-7576
Athalia R PyzerDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA.
Jonathan TrujilloDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-0184-9773
Haley L DuganDepartment of Medicine, Section of Rheumatology, University of Chicago, Chicago, IL, USA.ORCID 0000-0003-2238-0094
Christopher T StamperDepartment of Medicine, Section of Rheumatology, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-5568-8880
Siriruk ChangrobDepartment of Medicine, Section of Rheumatology, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-1826-4333
Anne I SperlingCommittee on Immunology, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-4265-9212
Patrick C WilsonDepartment of Medicine, Section of Rheumatology, University of Chicago, Chicago, IL, USA.ORCID 0000-0002-3537-1245
Thomas F GajewskiDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-5727-3972
Jeffrey A HubbellPritzker School for Molecular Engineering, University of Chicago, Chicago, IL, USA.ORCID 0000-0003-0276-5456
Melody A SwartzPritzker School for Molecular Engineering, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-5484-1903
University of Chicago · USKarolinska University Hospital · SEUniversity Medical Center Freiburg · DE

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007090 · NIAID · UNIVERSITY OF CHICAGO · PI Peter Aidan Savage · 1985 to 2026
$11.7M
Developing an Oncology Workforce for the 21st Century - Renewal 01K12CA139160 · NCI · UNIVERSITY OF CHICAGO · PI OLOPADE, OLUFUNMILAYO F., SMITH, SONALI · 2010 to 2024
$10.6M
BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
IRF4+ respiratory dendritic cells in type 2 inflammatory responsesR01AI125644 · NIAID · UNIVERSITY OF CHICAGO · PI SPERLING, ANNE I. · 2017 to 2021
$2.1M
NCI NIH HHS K12 CA139160NCI NIH HHS T32 CA009566NIAID NIH HHS R01 AI125644NIAID NIH HHS T32 AI007090
6 · The paper itself

Abstract

Patients infected with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can experience life-threatening respiratory distress, blood pressure dysregulation, and thrombosis. This is thought to be associated with an impaired activity of angiotensin-converting enzyme 2 (ACE2), which is the main entry receptor of SARS-CoV-2 and which also tightly regulates blood pressure by converting the vasoconstrictive peptide angiotensin II (AngII) to a vasopressor peptide. Here, we show that a significant proportion of hospitalized patients with COVID-19 developed autoantibodies against AngII, whose presence correlates with lower blood oxygenation, blood pressure dysregulation, and overall higher disease severity. Anti-AngII antibodies can develop upon specific immune reaction to the SARS-CoV-2 proteins Spike or receptor-binding domain (RBD), to which they can cross-bind, suggesting some epitope mimicry between AngII and Spike/RBD. These results provide important insights on how an immune reaction against SARS-CoV-2 can impair blood pressure regulation.

Indexed as

Angiotensin-Converting Enzyme 2COVID-19Angiotensin IIAutoantibodiesBlood PressureEpitopesHumansPeptidyl-Dipeptidase AProtein BindingSARS-CoV-2Severity of Illness IndexSpike Glycoprotein, CoronavirusAngiotensin-Converting Enzyme 2Angiotensin IIAutoantibodiesEpitopesPeptidyl-Dipeptidase ASpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID36206332
PMCPMC9544317
OpenAlexW4303449068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.