Evidence map›Paper›PMID 36960162›Full record

Trial reportInfluenza and other respiratory viruses2023

Type I interferon autoantibodies in hospitalized patients with Middle East respiratory syndrome and association with outcomes and treatment effect of interferon beta-1b in MIRACLE clinical trial.

Faizah Alotaibi, Naif Khalaf Alharbi, Lindsey B Rosen, Ayed Y Asiri, Abdullah M Assiri, Hanan H Balkhy, Majed Al Jeraisy, Yasser Mandourah, Sameera AlJohani, Shmeylan Al Harbi and 18 more

Open access · goldFull text readRandomized Controlled Trial
In one paragraph

Trial report in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
8.9field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  7. High risk of hypoxemic COVID-19 pneumonia in myasthenia gravis patients with type I IFN autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  8. Observational
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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

28 authors at 7 institutions in 3 countries.

Faizah AlotaibiCollege of Science and Health Professions King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs Riyadh Saudi Arabia.
Naif Khalaf AlharbiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Lindsey B RosenLaboratory of Clinical Immunology and Microbiology, Division of Intramural Research National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) MD Bethesda USA.
Ayed Y AsiriPrince Mohammed bin Abdulaziz Hospital Riyadh Saudi Arabia.
Abdullah M AssiriMinistry of Health Riyadh Saudi Arabia.
Hanan H BalkhyAntimicrobial Resistance Division World Health Organization Geneva Switzerland.
Majed Al JeraisyKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Yasser MandourahPrince Sultan Military Medical City Riyadh Saudi Arabia.
Sameera AlJohaniKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Shmeylan Al HarbiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Hani A Aziz JokhdarMinistry of Health Riyadh Saudi Arabia.
Ahmad M DeebKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Ziad A MemishPrince Mohammed bin Abdulaziz Hospital, Ministry of Health, College of Medicine Alfaisal University, Riyadh, Kingdom of Saudi Arabia, Hubert Department of Global Health, Rollins School of Public Health, Emory University Georgia Atlanta USA.ORCID 0000-0002-5099-0714
Jesna JoseKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Sameeh GhazalPrince Mohammed bin Abdulaziz Hospital Riyadh Saudi Arabia.
Sarah Al FarajPrince Sultan Military Medical City Riyadh Saudi Arabia.
Ghaleb A Al MekhlafiPrince Sultan Military Medical City Riyadh Saudi Arabia.
Nisreen Murad SherbeeniPrince Sultan Military Medical City Riyadh Saudi Arabia.
Fatehi Elnour ElzeinPrince Sultan Military Medical City Riyadh Saudi Arabia.
Badriah M AlMutairiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Abdulaziz Al-DawoodKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Mashan L AbdullahExperimental Medicine Department, King Abdullah International Medical Research Center King Saud bin Abdulaziz University for Health Sciences Riyadh Saudi Arabia.
Tlili BarhoumiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Mohammed W AlenaziKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Abdulrahman AlmasoodKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.
Steven M HollandLaboratory of Clinical Immunology and Microbiology, Division of Intramural Research National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) MD Bethesda USA.
Yaseen M ArabiKing Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center Riyadh Saudi Arabia.ORCID 0000-0001-5735-6241
Saudi Critical Care Trials Group
King Saud bin Abdulaziz University for Health Sciences · SARiyadh Armed Forces Hospital · SAMinistry of Health · SANational Institutes of Health · USPrince Mohammed bin Abdulaziz Hospital · SAAlfaisal University · SAWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Type I interferons (IFNs) are essential antiviral cytokines induced upon respiratory exposure to coronaviruses. Defects in type I IFN signaling can result in severe disease upon exposure to respiratory viral infection and are associated with worse clinical outcomes. Neutralizing autoantibodies (auto-Abs) to type I IFNs were reported as a risk factor for life-threatening COVID-19, but their presence has not been evaluated in patients with severe Middle East respiratory syndrome (MERS). Methods: We evaluated the prevalence of type I IFN auto-Abs in a cohort of hospitalized patients with MERS who were enrolled in a placebo-controlled clinical trial for treatment with IFN-β1b and lopinavir-ritonavir (MIRACLE trial). Samples were tested for type I IFN auto-Abs using a multiplex particle-based assay. Results: Among the 62 enrolled patients, 15 (24.2%) were positive for immunoglobulin G auto-Abs for at least one subtype of type I IFNs. Auto-Abs positive patients were not different from auto-Abs negative patients in age, sex, or comorbidities. However, the majority (93.3%) of patients who were auto-Abs positive were critically ill and admitted to the ICU at the time of enrollment compared to 66% in the auto-Abs negative patients. The effect of treatment with IFN-β1b and lopinavir-ritonavir did not significantly differ between the two groups. Conclusion: This study demonstrates the presence of type I IFN auto-Abs in hospitalized patients with MERS.

Indexed as

COVID-19Interferon Type IAutoantibodiesHumansInterferon beta-1bLopinavirRitonavirAutoantibodiesInterferon beta-1bInterferon Type ILopinavirRitonavirauto‐absICUMERSMIRACLE trialType I IFNs

Identifiers

PMID36960162
PMCPMC10028524
OpenAlexW4328136182

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read33
identifiers read2
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.