Evidence map›Paper›PMID 36366933›Full record

ArticleHistopathology2023

Increase of mast cells in COVID-19 pneumonia may contribute to pulmonary fibrosis and thrombosis.

Leonoor V Wismans, Boaz Lopuhaä, Willem de Koning, Hazra Moeniralam, Matthijs van Oosterhout, Carmen Ambarus, Frederik N Hofman, Thijs Kuiken, Henrik Endeman, Dana A M Mustafa and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Histopathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
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

16 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  7. Transfusion-Related Acute Lung Injury: from Mechanistic Insights to Therapeutic Strategies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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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

11 authors at 4 institutions in 1 country.

Leonoor V Wismans *Department of Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.
Boaz Lopuhaä *Department of Pathology, Josephine Nefkens Institute, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9931-0214
Willem de KoningThe Tumor Immuno-Pathology Laboratory, Department of Pathology, Josephine Nefkens Institute, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-4594-8423
Hazra MoeniralamDepartment of Internal Medicine and Intensive Care, St. Antonius Hospital, Nieuwegein, the Netherlands.
Matthijs van OosterhoutDepartment of Pathology DNA, St. Antonius Hospital, Nieuwegein, the Netherlands.
Carmen AmbarusDepartment of Pathology DNA, St. Antonius Hospital, Nieuwegein, the Netherlands.
Frederik N HofmanDepartment of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
Thijs KuikenDepartment of Viroscience, Erasmus Medical Center, Rotterdam, the Netherlands.
Henrik EndemanDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, the Netherlands.
Dana A M MustafaThe Tumor Immuno-Pathology Laboratory, Department of Pathology, Josephine Nefkens Institute, Erasmus Medical Center, Rotterdam, the Netherlands.
Jan H von der ThüsenDepartment of Pathology, Josephine Nefkens Institute, Erasmus Medical Center, Rotterdam, the Netherlands.
Erasmus MC · NLSt. Antonius Ziekenhuis · NLMeertens Institute · NLErasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLung tissue from COVID-19 patients shares similar histomorphological features with chronic lung allograft disease, also suggesting activation of autoimmune-related pathways in COVID-19. To more clearly understand the underlying spectrum of pathophysiology in COVID-19 pneumonia, we analysed mRNA expression of autoimmune-related genes in post-mortem lung tissue from COVID-19 patients. METHODS AND

resultsFormalin-fixed, paraffin-embedded lung tissue samples of 18 COVID-19 patients and eight influenza patients were used for targeted gene expression profiling using NanoString technology. Multiplex immunofluorescence for tryptase and chymase was applied for validation. Genes related to mast cells were significantly increased in COVID-19. This finding was strengthened by multiplex immunofluorescence also showing a significant increase of tryptase- and chymase-positive cells in COVID-19. Furthermore, receptors for advanced glycation end-products (RAGE) and pro-platelet basic protein (PPBP) were up-regulated in COVID-19 compared to influenza. Genes associated with Type I interferon signalling showed a significant correlation to detected SARS-CoV2 pathway-related genes. The comparison of lung tissue samples from both groups based on the presence of histomorphological features indicative of acute respiratory distress syndrome did not result in finding any specific gene or pathways.

conclusionTwo separate means of measuring show a significant increase of mast cells in SARS-CoV-2-infected lung tissue compared to influenza. Additionally, several genes involved in fibrosis and thrombosis, among which are RAGE and PPBP, are up-regulated in COVID-19. As mast cells are able to induce thrombosis and fibrosis, they may play an important role in the pathogenesis of COVID-19.

Indexed as

COVID-19Influenza, HumanMast CellsPulmonary FibrosisThrombosisChymasesFibrosisHumansRNA, ViralSARS-CoV-2TryptasesChymasesRNA, ViralTryptasesautoimmunityCOVID-19fibrosisgene expression profilinggenomicsmast cellsthrombosis

Identifiers

PMID36366933
PMCPMC9877713
OpenAlexW4308773727

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.