Evidence map›Paper›PMID 36781876›Full record

ArticleNPJ Parkinson's disease2023

Detection of SARS-CoV-2 viral proteins and genomic sequences in human brainstem nuclei.

Aron Emmi, Stefania Rizzo, Luisa Barzon, Michele Sandre, Elisa Carturan, Alessandro Sinigaglia, Silvia Riccetti, Mila Della Barbera, Rafael Boscolo-Berto, Patrizia Cocco and 6 more

Open access · goldAbstract read
In one paragraph

Article in NPJ Parkinson's disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
13.6field-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

37 citing papers in PubMed, 68 citations in OpenAlex.

  1. Human brain matters: Navigating the neuropathology of COVID-19.Brain pathology (Zurich, Switzerland) · 2026
    Review
  2. Article
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  5. Article
  6. Article
  7. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  8. Article
  9. Article
  10. Review
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  15. Article
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  17. Article
  18. Mechanisms of COVID-19-associated olfactory dysfunction.Neuropathology and applied neurobiology · 2024
    Review
  19. Review
  20. Observational
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 2 institutions in 1 country.

Aron EmmiInstitute of Human Anatomy, Department of Neuroscience, University of Padova, Padova, Italy.
Stefania RizzoDepartment of Cardio-Thoracic-Vascular Sciences & Public Health, University of Padova, Padova, Italy.
Luisa BarzonDepartment of Molecular Medicine, University of Padova, Padova, Italy.
Michele SandreCenter for Neurodegenerative Disease Research (CESNE), University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-3013-6908
Elisa CarturanDepartment of Cardio-Thoracic-Vascular Sciences & Public Health, University of Padova, Padova, Italy.
Alessandro SinigagliaDepartment of Molecular Medicine, University of Padova, Padova, Italy.
Silvia RiccettiDepartment of Molecular Medicine, University of Padova, Padova, Italy.
Mila Della BarberaDepartment of Cardio-Thoracic-Vascular Sciences & Public Health, University of Padova, Padova, Italy.
Rafael Boscolo-BertoInstitute of Human Anatomy, Department of Neuroscience, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0001-7556-1943
Patrizia CoccoPathology and Histopathology Unit, Ospedali Riuniti Padova Sud, Padova, Italy.
Veronica MacchiInstitute of Human Anatomy, Department of Neuroscience, University of Padova, Padova, Italy.
Angelo AntoniniCenter for Neurodegenerative Disease Research (CESNE), University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0003-1040-2807
Monica De GaspariDepartment of Cardio-Thoracic-Vascular Sciences & Public Health, University of Padova, Padova, Italy.
Cristina BassoDepartment of Cardio-Thoracic-Vascular Sciences & Public Health, University of Padova, Padova, Italy.
Raffaele De CaroInstitute of Human Anatomy, Department of Neuroscience, University of Padova, Padova, Italy. rdecaro@unipd.it.ORCID http://orcid.org/0000-0002-2307-0277
Andrea PorzionatoInstitute of Human Anatomy, Department of Neuroscience, University of Padova, Padova, Italy.
University of Padua · ITAzienda Ospedale - Università Padova · IT

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 874735
6 · The paper itself

Abstract

Neurological manifestations are common in COVID-19, the disease caused by SARS-CoV-2. Despite reports of SARS-CoV-2 detection in the brain and cerebrospinal fluid of COVID-19 patients, it is still unclear whether the virus can infect the central nervous system, and which neuropathological alterations can be ascribed to viral tropism, rather than immune-mediated mechanisms. Here, we assess neuropathological alterations in 24 COVID-19 patients and 18 matched controls who died due to pneumonia/respiratory failure. Aside from a wide spectrum of neuropathological alterations, SARS-CoV-2-immunoreactive neurons were detected in the dorsal medulla and in the substantia nigra of five COVID-19 subjects. Viral RNA was also detected by real-time RT-PCR. Quantification of reactive microglia revealed an anatomically segregated pattern of inflammation within affected brainstem regions, and was higher when compared to controls. While the results of this study support the neuroinvasive potential of SARS-CoV-2 and characterize the role of brainstem inflammation in COVID-19, its potential implications for neurodegeneration, especially in Parkinson's disease, require further investigations.

Identifiers

PMID36781876
PMCPMC9924897
OpenAlexW4320482611

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.