Evidence map›Paper›PMID 36627352›Full record

ArticleNature communications2023

SARS-CoV-2 viral entry and replication is impaired in Cystic Fibrosis airways due to ACE2 downregulation.

Valentino Bezzerri, Valentina Gentili, Martina Api, Alessia Finotti, Chiara Papi, Anna Tamanini, Christian Boni, Elena Baldisseri, Debora Olioso, Martina Duca and 12 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Emerging Concepts in Therapeutic Interventions for Idiopathic Pulmonary Fibrosis.Seminars in respiratory and critical care medicine · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Distinct Responses of Cystic Fibrosis Epithelial Cells to SARS-CoV-2 and Influenza A Virus.American journal of respiratory cell and molecular biology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Mechanisms by which the cystic fibrosis transmembrane conductance regulator may influence SARS-CoV-2 infection and COVID-19 disease severity.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2023
    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

22 authors at 5 institutions in 1 country.

Valentino BezzerriCystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-6849-4487
Valentina GentiliDepartment of Chemical and Pharmaceutical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0003-4572-5497
Martina ApiCystic Fibrosis Center of Ancona, Azienda Ospedaliero Universitaria Ospedali Riuniti, Ancona, Italy.
Alessia FinottiDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.
Chiara PapiDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-9242-1766
Anna TamaniniSection of Molecular Pathology, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Christian BoniCystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-9982-4100
Elena BaldisseriCystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-9143-8205
Debora OliosoSection of Clinical Biochemistry, University of Verona, Verona, Italy.
Martina DucaCystic Fibrosis Center of Ancona, Azienda Ospedaliero Universitaria Ospedali Riuniti, Ancona, Italy.
Erika TedescoCystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Sara LeoDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Monica BorgattiDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-8470-2496
Sonia VolpiCystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Paolo PintonCenter on Innovative Therapies for Cystic Fibrosis, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-7108-6508
Giulio CabriniDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.
Roberto GambariDepartment of Life Sciences and Biotechnology, University of Ferrara, Ferrara, Italy.
Francesco BlasiInternal Medicine Department, Respiratory Unit and Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, Milan, Italy.ORCID 0000-0002-2285-9970
Giuseppe LippiSection of Clinical Biochemistry, University of Verona, Verona, Italy.
Alessandro Rimessi *Center on Innovative Therapies for Cystic Fibrosis, University of Ferrara, Ferrara, Italy.
Roberta Rizzo *Department of Chemical and Pharmaceutical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-9507-9126
Marco Cipolli *Cystic Fibrosis Center of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy. marco.cipolli@aovr.veneto.it.ORCID 0000-0001-5652-7248
University of Ferrara · ITAzienda Ospedaliera Universitaria Integrata Verona · ITUniversity of Verona · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As an inherited disorder characterized by severe pulmonary disease, cystic fibrosis could be considered a comorbidity for coronavirus disease 2019. Instead, current clinical evidence seems to be heading in the opposite direction. To clarify whether host factors expressed by the Cystic Fibrosis epithelia may influence coronavirus disease 2019 progression, here we describe the expression of SARS-CoV-2 receptors in primary airway epithelial cells. We show that angiotensin converting enzyme 2 (ACE2) expression and localization are regulated by Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) channel. Consistently, our results indicate that dysfunctional CFTR channels alter susceptibility to SARS-CoV-2 infection, resulting in reduced viral entry and replication in Cystic Fibrosis cells. Depending on the pattern of ACE2 expression, the SARS-CoV-2 spike (S) protein induced high levels of Interleukin 6 in healthy donor-derived primary airway epithelial cells, but a very weak response in primary Cystic Fibrosis cells. Collectively, these data support that Cystic Fibrosis condition may be at least partially protecting from SARS-CoV-2 infection.

Indexed as

Angiotensin-Converting Enzyme 2COVID-19Cystic FibrosisSARS-CoV-2Virus InternalizationCystic Fibrosis Transmembrane Conductance RegulatorDown-RegulationHumansReceptors, VirusSpike Glycoprotein, CoronavirusVirus ReplicationACE2 protein, humanAngiotensin-Converting Enzyme 2Cystic Fibrosis Transmembrane Conductance RegulatorReceptors, VirusSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID36627352
PMCPMC9830623
OpenAlexW4313898576

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.