Evidence map›Paper›PMID 36680091›Full record

ArticleViruses2022

Kinetics of Immune Subsets in COVID-19 Patients Treated with Corticosteroids.

Apostolos Georgios Pappas, Anna-Louiza Chaliasou, Andreas Panagopoulos, Konstantina Dede, Stavroula Daskalopoulou, Evie Moniem, Eftychia Polydora, Eirini Grigoriou, Katherina Psarra, Alexandra Tsirogianni and 1 more

Abstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Neutralizing Antibodies in COVID-19 Serum from Tatarstan, Russia.International journal of molecular sciences · 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

11 authors.

Apostolos Georgios Pappas1st Department of Critical Care and Pulmonary Medicine, School of Medicine, National and Kapodistrian University of Athens, "Evangelismos" General Hospital, 10676 Athens, Greece.ORCID 0000-0002-0908-5763
Anna-Louiza ChaliasouCOVID-19 Unit, "Evangelismos" General Hospital, 10676 Athens, Greece.
Andreas PanagopoulosCOVID-19 Unit, "Evangelismos" General Hospital, 10676 Athens, Greece.ORCID 0000-0003-0246-5082
Konstantina Dede1st Department of Critical Care and Pulmonary Medicine, School of Medicine, National and Kapodistrian University of Athens, "Evangelismos" General Hospital, 10676 Athens, Greece.
Stavroula DaskalopoulouCOVID-19 Unit, "Evangelismos" General Hospital, 10676 Athens, Greece.
Evie MoniemCOVID-19 Unit, "Evangelismos" General Hospital, 10676 Athens, Greece.
Eftychia Polydora1st Department of Critical Care and Pulmonary Medicine, School of Medicine, National and Kapodistrian University of Athens, "Evangelismos" General Hospital, 10676 Athens, Greece.
Eirini GrigoriouDepartment of Immunology-Histocompatibility, "Evangelismos" General Hospital, 10676 Athens, Greece.
Katherina PsarraDepartment of Immunology-Histocompatibility, "Evangelismos" General Hospital, 10676 Athens, Greece.
Alexandra TsirogianniDepartment of Immunology-Histocompatibility, "Evangelismos" General Hospital, 10676 Athens, Greece.ORCID 0000-0003-2531-4113
Ioannis Kalomenidis1st Department of Critical Care and Pulmonary Medicine, School of Medicine, National and Kapodistrian University of Athens, "Evangelismos" General Hospital, 10676 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleChanges in anti-SARS-CoV-2 defense immune subsets in patients treated with dexamethasone (DXM) for severe COVID-19 and their relation to disease outcomes are poorly understood.

methodsBlood-lymphocyte subsets of 110 hospitalized COVID-19 patients were prospectively examined. A first sample was taken at enrollment and a second one 7-10 days later. Total B-, T-lymphocytes, CD4+, CD8+, T-regulatory (Treg), Natural-Killer (NK) and NK T-cells were counted using flow cytometry.

resultsAt enrollment, patients with respiratory failure, characterized by DXM failure (intubation/death) or DXM success (hospital discharge) exhibited significantly fewer CD3+, CD4+ and CD8+ cells and B-lymphocytes compared to the control group (no respiratory failure/no DXM). At the time of treatment completion, the DXM-failure group exhibited significantly fewer CD3+, CD4+ and CD8+ cells, memory CD4+ and CD8+ T-lymphocytes, compared to the control and the DXM-success groups and fewer activated CD4+ T-lymphocytes, Tregs and NK cells compared to the control group. At the time of treatment completion, the number of all investigated lymphocyte subsets increased in the DXM-success group and was similar to those of the control group. NK cells significantly decreased over time in the DXM-failure group.

conclusionThe lymphocyte kinetics differ between DXM-treated and control COVID-19 patients and are associated with clinical outcomes.

Indexed as

COVID-19Adrenal Cortex HormonesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesHumansLymphocyte SubsetsT-Lymphocyte SubsetsAdrenal Cortex HormonescorticosteroidsCOVID-19dexamethasonelymphocyte kineticslymphopeniaSARS-CoV-2

Identifiers

PMID36680091
PMCPMC9865280

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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.