Evidence map›Paper›PMID 36758547›Full record

ArticleCell reports. Medicine2023

Dynamic activity in cis-regulatory elements of leukocytes identifies transcription factor activation and stratifies COVID-19 severity in ICU patients.

Michael Tun Yin Lam, Sascha H Duttke, Mazen F Odish, Hiep D Le, Emily A Hansen, Celina T Nguyen, Samantha Trescott, Roy Kim, Shaunak Deota, Max W Chang and 16 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07673250 (Personalized Ventilator Settings for Patients on ECMO), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT07673250 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Personalized Ventilator Settings for Patients on ECMO (PEEPECMO)

TypeinterventionalSponsorUniversity of California, San DiegoRan2026 to 2031Enrolled62ConditionsAcute Respiratory Distress Syndrome (ARDS), Extracorporeal Membrane Oxygenation, Respiratory Failure Patients Treated With ECMO, Respiratory Failure, ICUArmsPersonalized Positive End-Expiratory Pressure (PEEP)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Hyaluronan Ameliorates Viral Pneumonia in Mice and Humans by Inhibiting Transcription Factor E2F1.American journal of respiratory cell and molecular biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Enhancers associated with unstable RNAs are rare in plants.bioRxiv : the preprint server for biology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 1 country.

Michael Tun Yin LamDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA; Laboratory of Regulatory Biology, Salk Institute for Biological Studies, La Jolla, CA 92037, USA; Pulmonary and Critical Care Section, VA San Diego Healthcare System, La Jolla, CA 92161, USA. Electronic address: mtlam@health.ucsd.edu.
Sascha H DuttkeSchool of Molecular Biosciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99163, USA.
Mazen F OdishDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Hiep D LeLaboratory of Regulatory Biology, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.
Emily A HansenSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA; Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
Celina T NguyenSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA.
Samantha TrescottSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA; Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
Roy KimSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA; Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA.
Shaunak DeotaLaboratory of Regulatory Biology, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.
Max W ChangDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Arjun PatelDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Mark HepokoskiDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Mona AlotaibiDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Mark RolfsenInternal Medicine Residency Program, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Katherine PerofskyDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
Anna S WardenSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA.
Jennifer FoleyRady Children's Hospital, San Diego, CA 92123, USA.
Sydney I RamirezDivision of Infectious Diseases, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA; Center for Infectious Diseases and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA 92037, USA.
Jennifer M DanDivision of Infectious Diseases, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA; Center for Infectious Diseases and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA 92037, USA.
Robert K AbbottDepartment of Pathology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Shane CrottyDivision of Infectious Diseases, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA; Center for Infectious Diseases and Vaccine Research, La Jolla Institute for Immunology (LJI), La Jolla, CA 92037, USA.
Laura E Crotty AlexanderDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA; Pulmonary and Critical Care Section, VA San Diego Healthcare System, La Jolla, CA 92161, USA.
Atul MalhotraDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Satchidananda PandaLaboratory of Regulatory Biology, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.
Christopher W BennerDivision of Endocrinology and Metabolism, Department of Medicine, University of California, San Diego, La Jolla, CA 92093, USA.
Nicole G CoufalSanford Consortium for Regenerative Medicine, La Jolla, CA 92037, USA; Department of Pediatrics, University of California, San Diego, La Jolla, CA, USA; Rady Children's Hospital, San Diego, CA 92123, USA.
University of California San Diego · USSalk Institute for Biological Studies · USLa Jolla Institute for Immunology · USSanford Consortium for Regenerative Medicine · USRady Children's Hospital-San Diego · USThe University of Texas Medical Branch at Galveston · USUniversity of California System · USWashington State University · US

Funding

T follicular helper (Tfh) CD4+ T cell, germinal center, and antibody response dysfunction in human recurrent tonsillitisU19AI142742 · NIAID · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI Shane P Crotty · 2019 to 2026
$32.8M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007198 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHI, NEIL C, INSEL, PAUL A · 1985 to 2024
$29.3M
SARS-CoV adaptations through a Systems Biology Lens (SYBIL)U19AI135972 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Adolfo Garcia-Sastre · 2018 to 2026
$27.2M
RESEARCH IN INFECTIOUS DISEASEST32AI007036 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NIZET, VICTOR · 1985 to 2025
$9.2M
Dynamic regulatory network models of human response to influenza virusU01AI150748 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI MARAZZI, IVAN, MIRALDI, EMILY · 2020 to 2024
$5.8M
Decoding the grammar of transcriptional enhancers regulating different stages of opioid use disorderU01DA051972 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BENNER, CHRISTOPHER W, TELESE, FRANCESCA · 2020 to 2024
$3.4M
UC San Diego RAPID Faculty Development Program in Infectious DiseasesR25AI147376 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ADRIANA H TREMOULET, Joann Trejo · 2020 to 2026
$2.5M
Training in the Next Generation in Respiratory ScienceT32HL134632 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, POWELL, FRANK L. · 2017 to 2021
$2.1M
The Contribution of Microglial MEF2C to Brain DevelopmentR01NS124637 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Nicole Gabriele Coufal · 2022 to 2026
$2.0M
Uncovering how transcription and chromatin 3D structure impact one another during cellular activationR01GM134366 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BENNER, CHRISTOPHER W · 2019 to 2023
$1.7M
Interdisciplinary Anesthesiology Research Training ProgramT32GM121318 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Hemal H Patel, DAVID M ROTH · 2017 to 2026
$1.5M
Notice of Special Interest: Administrative Supplements to Promote Research Continuity and Retention of NIH Mentored Career Development (K) Award Recipients and ScholarsK08NS109200 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI COUFAL, NICOLE GABRIELE · 2018 to 2022
$1.1M
BLRD VA IK2 BX005908NHLBI NIH HHS T32 HL134632NIAID NIH HHS K99 AI145762NIAID NIH HHS R00 AI145762NIAID NIH HHS R25 AI147376NIAID NIH HHS T32 AI007036NIAID NIH HHS U01 AI150748NIAID NIH HHS U19 AI135972NIAID NIH HHS U19 AI142742NIDA NIH HHS U01 DA051972NIGMS NIH HHS R00 GM135515NIGMS NIH HHS R01 GM134366NIGMS NIH HHS T32 GM007198NIGMS NIH HHS T32 GM121318NINDS NIH HHS K08 NS109200NINDS NIH HHS R01 NS124637
6 · The paper itself

Abstract

Transcription factor programs mediating the immune response to coronavirus disease 2019 (COVID-19) are not fully understood. Capturing active transcription initiation from cis-regulatory elements such as enhancers and promoters by capped small RNA sequencing (csRNA-seq), in contrast to capturing steady-state transcripts by conventional RNA-seq, allows unbiased identification of the underlying transcription factor activity and regulatory pathways. Here, we profile transcription initiation in critically ill COVID-19 patients, identifying transcription factor motifs that correlate with clinical lung injury and disease severity. Unbiased clustering reveals distinct subsets of cis-regulatory elements that delineate the cell type, pathway-specific, and combinatorial transcription factor activity. We find evidence of critical roles of regulatory networks, showing that STAT/BCL6 and E2F/MYB regulatory programs from myeloid cell populations are activated in patients with poor disease outcomes and associated with COVID-19 susceptibility genetic variants. More broadly, we demonstrate how capturing acute, disease-mediated changes in transcription initiation can provide insight into the underlying molecular mechanisms and stratify patient disease severity.

Indexed as

COVID-19Transcription FactorsGene Expression RegulationHumansIntensive Care UnitsLeukocytesTranscription Factorsactive cistromeacute respiratory distress syndromebiomarkersCOVID-19critical caredisease stratificationendotypingenhancer RNAtranscriptional regulationtranscription factor activity

Identifiers

PMID36758547
PMCPMC9874047
OpenAlexW4317938357

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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.