Evidence map›Paper›PMID 37233729›Full record

RevieweLife2023

Immune mechanisms underlying COVID-19 pathology and post-acute sequelae of SARS-CoV-2 infection (PASC).

Sindhu Mohandas, Prasanna Jagannathan, Timothy J Henrich, Zaki A Sherif, Christian Bime, Erin Quinlan, Michael A Portman, Marila Gennaro, Jalees Rehman, RECOVER Mechanistic Pathways Task Force

Open access · goldAbstract readReview
In one paragraph

Review in eLife, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
20.6field-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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  8. From lipid overload to autophagy collapse: how lipid dysregulation drives chronic inflammation and metabolic disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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7 more citing papers are in PubMed but not listed here.

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

10 authors at 9 institutions in 1 country.

Sindhu MohandasDivision of Infectious Diseases, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, United States.ORCID 0000-0002-8397-6249
Prasanna JagannathanDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, United States.ORCID 0000-0001-6305-758X
Timothy J HenrichDivision of Experimental Medicine, University of California, San Francisco, San Francisco, United States.
Zaki A SherifDepartment of Biochemistry & Molecular Biology, Howard University College of Medicine, Washington, United States.ORCID 0000-0002-1772-7041
Christian BimeDivision of Pulmonary, Allergy, Critical Care & Sleep Medicine, Department of Medicine, University of Arizona College of Medicine, Tucson, United States.
Erin QuinlanNational Center for Complementary and Integrative Health, National Institutes of Health, Bethesda, United States.
Michael A PortmanSeattle Children's Hospital, Division of Pediatric Cardiology, Department of Pediatrics, University of Washington, Seattle, United States.
Marila GennaroPublic Health Research Institute and Department of Medicine, Rutgers New Jersey Medical School, Newark, United States.
Jalees RehmanDepartment of Biochemistry and Molecular Genetics, University of Illinois, College of Medicine, Chicago, United States.ORCID 0000-0002-2787-9292
RECOVER Mechanistic Pathways Task Force
Howard University · USNational Institutes of Health · USRutgers, The State University of New Jersey · USSeattle Children's Hospital · USStanford University · USUniversity of Arizona · USUniversity of California, San Francisco · USUniversity of Illinois Urbana-Champaign · USUniversity of Southern California · US

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Computational models of naturally acquired immunity to falciparum malariaU01AI150741 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BUTTE, ATUL J, GREENHOUSE, BRYAN R · 2020 to 2024
$7.4M
Mechanisms and Treatment of SARS-CoV-2 induced Lung Endothelial InjuryR01HL162308 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI REHMAN, JALEES, RICHNER, JUSTIN · 2022 to 2025
$2.9M
iPSC-Derived Vascularized Human Lung Organoids and Interaction Between Lung Endothelial Cells and Alveolar Epithelial CellsR01HL163978 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KADUR LAKSHMINARASIM, PREETISH, REHMAN, JALEES · 2022 to 2025
$2.9M
SELPLG as a candidate gene in Acute Respiratory Distress SyndromeK08HL141623 · NHLBI · UNIVERSITY OF ARIZONA · PI BIME, CHRISTIAN · 2018 to 2022
$863k
NHLBI NIH HHS K08 HL141623NHLBI NIH HHS OT2 HL161847NHLBI NIH HHS R01 HL162308NHLBI NIH HHS R01 HL163978NIAID NIH HHS U01 AI150741
6 · The paper itself

Abstract

With a global tally of more than 500 million cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections to date, there are growing concerns about the post-acute sequelae of SARS-CoV-2 infection (PASC), also known as long COVID. Recent studies suggest that exaggerated immune responses are key determinants of the severity and outcomes of the initial SARS-CoV-2 infection as well as subsequent PASC. The complexity of the innate and adaptive immune responses in the acute and post-acute period requires in-depth mechanistic analyses to identify specific molecular signals as well as specific immune cell populations which promote PASC pathogenesis. In this review, we examine the current literature on mechanisms of immune dysregulation in severe COVID-19 and the limited emerging data on the immunopathology of PASC. While the acute and post-acute phases may share some parallel mechanisms of immunopathology, it is likely that PASC immunopathology is quite distinct and heterogeneous, thus requiring large-scale longitudinal analyses in patients with and without PASC after an acute SARS-CoV-2 infection. By outlining the knowledge gaps in the immunopathology of PASC, we hope to provide avenues for novel research directions that will ultimately lead to precision therapies which restore healthy immune function in PASC patients.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeDisease ProgressionHumansSARS-CoV-2adaptive immunityCOVID-19immunologyimmunopathologyinflammationinnate immunityPASC

Identifiers

PMID37233729
PMCPMC10219649
OpenAlexW4378347399

What OpenQuestion holds

Textmetadata
LicenceCC0
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.