Evidence map›Paper›PMID 37096731›Full record

ArticleJournal of clinical laboratory analysis2023

IL-6 at the center of cytokine storm: Circulating inflammation mediators as biomarkers in hospitalized COVID-19 patients.

Hossein M Elbadawy, Amin Khattab, Dina S El-Agamy, Heba M Eltahir, Aisha Alhaddad, Fahad Dakilallah Aljohani, Tarraji Mohammed Almuzaini, Mekky M Abouzied, Ahmed Aldhafiri

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Immune Dysregulation After COVID-19: Longitudinal Analysis up to 9 Months.International journal of molecular sciences · 2026
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  15. Evaluation of COVID-19 cases treated in the intensive care unit in a coastal city hospital during the pandemic.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024
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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

9 authors at 3 institutions in 2 countries.

Hossein M ElbadawyDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.ORCID https://orcid.org/0000-0001-8675-0838
Amin KhattabOhud Hospital, Madinah, Saudi Arabia.
Dina S El-AgamyDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.
Heba M EltahirDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.
Aisha AlhaddadDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.
Fahad Dakilallah AljohaniDepartment of Pharmacy, Ohud Hospital, Madinah, Saudi Arabia.
Tarraji Mohammed AlmuzainiDepartment of Nursing, Ohud Hospital, Madinah, Saudi Arabia.
Mekky M AbouziedDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.
Ahmed AldhafiriDepartment of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Madinah, Saudi Arabia.
Taibah University · SAIslamic University of Madinah · SAMansoura University · EG

Funding

Ministry of Education in Saudi Arabia 442-198
6 · The paper itself

Abstract

introductionThe management of hospitalized COVID-19 patients depends largely on controlling the intensified inflammatory response known as the cytokine storm. Candidate inflammatory cytokines can serve as new biomarkers for the management of hospitalized COVID-19 patients.

methodsPatients (80) were recruited into three groups: room air (RA), oxygen (OX) and mechanical ventilator (MV). Blood analysis was performed for RBC, WBC, Hb, Platelets, serum albumin and creatinine, INR, PTT, and hematocrit. ELISA was used to quantify a panel of inflammatory mediators including GM-SCF, IFN-α, IFNγ, IL-1β, IL-1R, IL-2, IL-2Ra, IL-6, IL-8, IL-10, IL-12p70, IL-13, MCP-1, MIP-1a, and TNF-α. Correlations between laboratory results and the levels of circulating inflammation mediators were investigated.

resultsPatients on MV had low RBC, Hb, albumin, and HCT and high WBC count, PTT, and INR when compared to RA and OX groups. A statistical positive correlation was found between WBC and the levels of IL-6 and MCP-1. RBCs correlated negatively with IL-6 and IL-10 and positively with IL-8. Higher TNF-α correlated with lower platelet counts while higher levels of IL-1Rα and IL-10 were associated with lower Hb levels. Increases in IFN-γ and TNF-α were indicative of compromised kidney functions as creatinine levels increased significantly. Most significant correlations were found between IL-6 and lab results, showing positive correlation with WBC and INR, and negative correlation with RBC, albumin, and HCT.

conclusionsHaving the most significant correlations, IL-6 high levels in mechanically ventilated patients were shown to affect laboratory results, and, therefore, is suggested as a severity biomarker of COVID-19.

Indexed as

COVID-19Interleukin-10AlbuminsBiomarkersCreatinineCytokine Release SyndromeCytokinesHumansInflammation MediatorsInterleukin-6Interleukin-8Tumor Necrosis Factor-alphaAlbuminsBiomarkersCreatinineCytokinesIL6 protein, humanInflammation MediatorsInterleukin-10Interleukin-6Interleukin-8Tumor Necrosis Factor-alphaCOVID-19cytokine storminflammationinterleukinsSARS-CoV-2Tocilizumab

Identifiers

PMID37096731
PMCPMC10220295
OpenAlexW4366986858

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.