Evidence map›Paper›PMID 37168853›Full record

ArticleFrontiers in immunology2023

Impaired SARS-CoV-2 specific T-cell response in patients with severe COVID-19.

Lidewij W Rümke, Wouter L Smit, Ailko Bossink, Gijs J M Limonard, Danya Muilwijk, Lenneke E M Haas, Chantal Reusken, Sanne van der Wal, Bing J Thio, Yvonne M G van Os and 6 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Unraveled role of TLR7-mediated interferon signaling activation in COVID-19.Frontiers in cellular and infection microbiology · 2025
    Review
  7. Article
  8. Article
  9. Forum on immune digital twins: a meeting report.NPJ systems biology and applications · 2024
    Review
  10. 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

16 authors.

Lidewij W RümkeDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Wouter L SmitDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Ailko BossinkDepartment of Pulmonary Diseases, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Gijs J M LimonardDepartment of Pulmonary Diseases, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Danya MuilwijkDepartment of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center, Utrecht University, Utrecht, Netherlands.
Lenneke E M HaasDepartment of Intensive Care, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Chantal ReuskenCentre for Infectious Disease Control, WHO Reference Laboratory for COVID-19, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands.
Sanne van der WalDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Bing J ThioDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Yvonne M G van OsOccupational Health Office, Department of Human Resources, University Medical Center Utrecht, Utrecht, Netherlands.
Hendrik GremmelsDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Jeffrey M BeekmanDepartment of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center, Utrecht University, Utrecht, Netherlands.
Monique NijhuisVirology, Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, Netherlands.
Annemarie M J WensingVirology, Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, Netherlands.
Michiel HeronDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.
Steven F T ThijsenDepartment of Medical Microbiology and Immunology, Diakonessenhuis Utrecht, Utrecht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cellular immune responses are of pivotal importance to understand SARS-CoV-2 pathogenicity. Using an enzyme-linked immunosorbent spot (ELISpot) interferon-γ release assay with wild-type spike, membrane and nucleocapsid peptide pools, we longitudinally characterized functional SARS-CoV-2 specific T-cell responses in a cohort of patients with mild, moderate and severe COVID-19. All patients were included before emergence of the Omicron (B.1.1.529) variant. Our most important finding was an impaired development of early IFN-γ-secreting virus-specific T-cells in severe patients compared to patients with moderate disease, indicating that absence of virus-specific cellular responses in the acute phase may act as a prognostic factor for severe disease. Remarkably, in addition to reactivity against the spike protein, a substantial proportion of the SARS-CoV-2 specific T-cell response was directed against the conserved membrane protein. This may be relevant for diagnostics and vaccine design, especially considering new variants with heavily mutated spike proteins. Our data further strengthen the hypothesis that dysregulated adaptive immunity plays a central role in COVID-19 immunopathogenesis.

Indexed as

COVID-19SARS-CoV-2Adaptive ImmunityAtaxia Telangiectasia Mutated ProteinsHumansInterferon-gammaT-LymphocytesAtaxia Telangiectasia Mutated ProteinsInterferon-gammaCOVID-19 ELISpot IFN-γ release assaymembrane proteinnucleocapsid proteinSARS-CoV-2spike proteinT-cell immunity

Identifiers

PMID37168853
PMCPMC10165493

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.