Evidence map›Paper›PMID 36499449›Full record

ArticleInternational journal of molecular sciences2022

A Pleomorphic Puzzle: Heterogeneous Pulmonary Vascular Occlusions in Patients with COVID-19.

Jeeshan Singh, Irmgard Herrmann, Aparna Mahajan, Christine Schauer, Xiaomei Shan, Arndt Hartmann, Ralf J Rieker, Katja Evert, Christina Falkeis, Elisabeth Naschberger and 6 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Impacts of Oxylipins on ischemic stroke: from pathophysiology to clinical phenotypes.Metabolomics : Official journal of the Metabolomic Society · 2025
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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

16 authors at 4 institutions in 1 country.

Jeeshan SinghDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0003-0448-288X
Irmgard HerrmannDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Aparna MahajanDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Christine SchauerDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Xiaomei ShanDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Arndt HartmannInstitut für Pathologie, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Ralf J RiekerInstitut für Pathologie, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
Katja EvertInstitut für Pathologie, Universität Regensburg, 93053 Regensburg, Germany.
Christina FalkeisDepartment of Pathology, Klinikum Bayreuth, 95445 Bayreuth, Germany.
Elisabeth NaschbergerDivision of Molecular and Experimental Surgery, Translational Research Center, Department of Surgery, University Medical Center Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.ORCID 0000-0003-1291-622X
Saskia von StillfriedInstitute of Pathology, University clinic of the RWTH Aachen, 52074 Aachen, Germany.
Peter BoorInstitute of Pathology, University clinic of the RWTH Aachen, 52074 Aachen, Germany.ORCID 0000-0001-9921-4284
Luis E MuñozDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-5395-804X
Georg SchettDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Martin HerrmannDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-0258-2484
Jasmin KnopfDepartment of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg, and Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0003-2922-9370
Friedrich-Alexander-Universität Erlangen-Nürnberg · DERWTH Aachen University · DEBayreuth Medical Center · DEUniversity of Regensburg · DE

Funding

CRC1181 C03Deutsche Forschungsgemeinschaft 2886 PANDORA Project-No.B3EU ERC Synergy grant 4D NanoscopeH2020- 529 FETOPEN-2018-2020 Project 861878SCHA 2040/1-1;TRR241 B04Volkswagen Foundation Grant 97744)
6 · The paper itself

Abstract

Vascular occlusions in patients with coronavirus diseases 2019 (COVID-19) have been frequently reported in severe outcomes mainly due to a dysregulation of neutrophils mediating neutrophil extracellular trap (NET) formation. Lung specimens from patients with COVID-19 have previously shown a dynamic morphology, categorized into three types of pleomorphic occurrence based on histological findings in this study. These vascular occlusions in lung specimens were also detected using native endogenous fluorescence or NEF in a label-free method. The three types of vascular occlusions exhibit morphology of DNA rich neutrophil elastase (NE) poor (type I), NE rich DNA poor (type II), and DNA and NE rich (type III) cohort of eleven patients with six males and five females. Age and gender have been presented in this study as influencing variables linking the occurrence of several occlusions with pleomorphic contents within a patient specimen and amongst them. This study reports the categorization of pleomorphic occlusions in patients with COVID-19 and the detection of these occlusions in a label-free method utilizing NEF.

Indexed as

COVID-19Extracellular TrapsVascular DiseasesFemaleHumansLungMaleNeutrophilsSARS-CoV-2ageCOVID-19genderimmunothrombosisnative endogenous fluorescenceocclusionspleomorphismSARS-CoV-2

Identifiers

PMID36499449
PMCPMC9739020
OpenAlexW4311092716

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.