Evidence map›Paper›PMID 36385011›Full record

ArticleNature communications2022

Interferon-λ treatment accelerates SARS-CoV-2 clearance despite age-related delays in the induction of T cell immunity.

Deanna M Santer, Daniel Li, Yanal Ghosheh, Muhammad Atif Zahoor, Dhanvi Prajapati, Bettina E Hansen, D Lorne J Tyrrell, Jordan J Feld, Adam J Gehring

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04354259 (Interferon Lambda for Immediate Antiviral Therapy at Diagnosis), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.8field-weighted citation impact, top 5% 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.

NCT04354259 phase2completednot on this map

Interferon Lambda for Immediate Antiviral Therapy at Diagnosis (ILIAD): A Phase II Randomized, Double-blind, Placebo-controlled, Multicenter Trial to Evaluate the Effect of Peginterferon Lambda for the Treatment of COVID-19

TypeinterventionalSponsorUniversity Health Network, TorontoRan2020 to 2022Enrolled157ConditionsSars-CoV2, Covid-19ArmsPeginterferon Lambda-1A, placebo
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  5. βNature communications · 2025
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  8. Article
  9. Article
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  11. Article
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  14. Diverging patterns in innate immunity against respiratory viruses during a lifetime: lessons from the young and the old.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
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  19. Autoantibodies Neutralizing Type III Interferons Are Uncommon in Patients with Severe Coronavirus Disease 2019 Pneumonia.Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2023
    Article
  20. Review
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

9 authors at 3 institutions in 1 country.

Deanna M Santer *Department of Immunology, University of Manitoba, Winnipeg, MB, Canada. Deanna.Santer@umanitoba.ca.ORCID 0000-0001-6169-7735
Daniel Li *Institute of Medical Science, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-0193-9709
Yanal GhoshehToronto Centre for Liver Disease, University Health Network, Toronto, ON, Canada.
Muhammad Atif ZahoorToronto Centre for Liver Disease, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-2302-3689
Dhanvi PrajapatiDepartment of Immunology, University of Manitoba, Winnipeg, MB, Canada.
Bettina E HansenToronto Centre for Liver Disease, University Health Network, Toronto, ON, Canada.
D Lorne J TyrrellDepartment of Medical Microbiology & Immunology, Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-0983-7267
Jordan J Feld *Institute of Medical Science, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-2640-2211
Adam J Gehring *Institute of Medical Science, University of Toronto, Toronto, ON, Canada. Adam.Gehring@uhnresearch.ca.ORCID 0000-0003-1150-5840
University Health Network · CAUniversity of Manitoba · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interferons induced early after SARS-CoV-2 infection are crucial for shaping immunity and preventing severe COVID-19. We previously demonstrated that injection of pegylated interferon-lambda accelerated viral clearance in COVID-19 patients (NCT04354259). To determine if the viral decline is mediated by enhanced immunity, we assess in vivo responses to interferon-lambda by single cell RNA sequencing and measure SARS-CoV-2-specific T cell and antibody responses between placebo and interferon-lambda-treated patients. Here we show that interferon-lambda treatment induces interferon stimulated genes in peripheral immune cells expressing IFNLR1, including plasmacytoid dendritic cells and B cells. Interferon-lambda does not affect SARS-CoV-2-specific antibody levels or the magnitude of virus-specific T cells. However, we identify delayed T cell responses in older adults, suggesting that interferon-lambda can overcome delays in adaptive immunity to accelerate viral clearance in high-risk patients. Altogether, interferon-lambda offers an early COVID-19 treatment option for outpatients to boost innate antiviral defenses without dampening peripheral adaptive immunity.

Indexed as

COVID-19 Drug TreatmentInterferonsAgedAntibodies, ViralAntiviral AgentsHumansSARS-CoV-2T-LymphocytesAntibodies, ViralAntiviral AgentsInterferons

Identifiers

PMID36385011
PMCPMC9667439
OpenAlexW4309469580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.