Evidence map›Paper›PMID 36263058›Full record

ArticleFrontiers in immunology2022

MIS-C: A COVID-19-as sociated condition between hypoimmunity and hyperimmunity.

Monica Gelzo, Alice Castaldo, Antonietta Giannattasio, Giulia Scalia, Maddalena Raia, Maria Valeria Esposito, Marco Maglione, Stefania Muzzica, Carolina D'Anna, Michela Grieco and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 2026
    Review
  6. Article
  7. Article
  8. Role of DOCK8 in cytokine storm syndromes.The Journal of allergy and clinical immunology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  17. Article
  18. 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

13 authors.

Monica GelzoCEINGE-Biotecnologie Avanzate, Scarl, Naples, Italy.
Alice CastaldoDipartimento di Scienze Mediche Traslazionali, Sezione di Pediatria, Università di Napoli Federico II, Naples, Italy.
Antonietta GiannattasioPediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Giulia ScaliaCEINGE-Biotecnologie Avanzate, Scarl, Naples, Italy.
Maddalena RaiaCEINGE-Biotecnologie Avanzate, Scarl, Naples, Italy.
Maria Valeria EspositoCEINGE-Biotecnologie Avanzate, Scarl, Naples, Italy.
Marco MaglionePediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Stefania MuzzicaPediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Carolina D'AnnaPediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Michela GriecoPediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Vincenzo TipoPediatric Emergency and Short Stay Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Antonio La CavaDipartimento di Medicina Molecolare e Biotecnologie Mediche, Università di Napoli Federico II, Naples, Italy.
Giuseppe CastaldoCEINGE-Biotecnologie Avanzate, Scarl, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a rare, severe complication of COVID-19. A better knowledge of immunological, cellular, and genetic characteristics of MIS-C could help better understand the pathogenesis of the disease and contribute to identifying specific diagnostic biomarkers and develop targeted therapies. We studied 37 MIS-C children at hospital admission and 24 healthy controls analyzing serum cytokines (IFN-α, IFN-β, IFN-γ, IL-6, IL-10, IL-17A, IL-12p70 and TNF), lymphocyte populations by flow cytometry and 386 genes related to autoimmune diseases, autoinflammation and primary immunodeficiencies by NGS. MIS-C patients showed a significant increase of serum IFNγ (despite a significant reduction of activated Th1) and ILs, even if with a great heterogeneity among patients, revealing different pathways involved in MIS-C pathogenesis and suggesting that serum cytokines at admission may help to select the inflammatory pathways to target in each patient. Flow cytometry demonstrated a relevant reduction of T populations while the percentage of B cell was increased in agreement with an autoimmune pathogenesis of MIS-C. Genetic analysis identified variants in 34 genes and 83.3% of patients had at least one gene variant. Among these, 9 were mutated in more patients. Most genes are related to autoimmune diseases like

Indexed as

Autoimmune DiseasesCOVID-19Immunologic Deficiency SyndromesAutoantigensBiomarkersChildCytokinesGuanine Nucleotide Exchange FactorsHumansInterleukin-10Interleukin-17Interleukin-6RNA, ViralSARS-CoV-2Systemic Inflammatory Response SyndromeAutoantigensBiomarkersCytokinesDOCK8 protein, humanGuanine Nucleotide Exchange FactorsInterleukin-10Interleukin-17Interleukin-6RNA, Viralautoimmune diseasesautoinflammatory diseasescytokinesflow cytometryMIS-C

Identifiers

PMID36263058
PMCPMC9574022

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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.