Evidence map›Paper›PMID 37293294›Full record

ArticleFrontiers in medicine2023

Serum proteomics hint at an early T-cell response and modulation of SARS-CoV-2-related pathogenic pathways in COVID-19-ARDS treated with Ruxolitinib.

Sara Völkel, Thomas S Tarawneh, Laura Sacher, Aditya M Bhagwat, Ihab Karim, Hildegard I D Mack, Thomas Wiesmann, Björn Beutel, Joachim Hoyer, Christian Keller and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

16 authors at 4 institutions in 2 countries.

Sara Völkel *Institute of Laboratory Medicine, Philipps-University Marburg, Marburg, Germany.
Thomas S Tarawneh *Department of Hematology, Oncology and Immunology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Laura SacherInstitute of Laboratory Medicine, Philipps-University Marburg, Marburg, Germany.
Aditya M BhagwatInstitute of Translational Proteomics, Philipps-University Marburg, Marburg, Germany.
Ihab KarimDepartment of Hematology, Oncology and Immunology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Hildegard I D MackInstitute for Biomedical Aging Research, Leopold-Franzens-Universität Innsbruck, Innsbruck, Austria.
Thomas WiesmannDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Björn BeutelDepartment of Pulmonary and Critical Care Medicine, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Joachim HoyerDepartment of Nephrology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Christian KellerInstitute of Virology, Philipps-University Marburg, Marburg, Germany.
Harald RenzInstitute of Laboratory Medicine, Philipps-University Marburg, Marburg, Germany.
Andreas BurchertDepartment of Hematology, Oncology and Immunology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Andreas NeubauerDepartment of Hematology, Oncology and Immunology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Johannes GraumannInstitute of Translational Proteomics, Philipps-University Marburg, Marburg, Germany.
Chrysanthi SkevakiInstitute of Laboratory Medicine, Philipps-University Marburg, Marburg, Germany.
Elisabeth K M MackDepartment of Hematology, Oncology and Immunology, University Hospital Gießen and Marburg, Philipps-University Marburg, Marburg, Germany.
Universitätsklinikum Gießen und Marburg · DEPhilipps University of Marburg · DEUniversität Innsbruck · ATUniversities of Giessen and Marburg Lung Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute respiratory distress syndrome (ARDS) in corona virus disease 19 (COVID-19) is triggered by hyperinflammation, thus providing a rationale for immunosuppressive treatments. The Janus kinase inhibitor Ruxolitinib (Ruxo) has shown efficacy in severe and critical COVID-19. In this study, we hypothesized that Ruxo's mode of action in this condition is reflected by changes in the peripheral blood proteome. Methods: This study included 11 COVID-19 patients, who were treated at our center's Intensive Care Unit (ICU). All patients received standard-of-care treatment and Results: Linear modeling of MS data yielded 27 significantly differentially regulated proteins on day 1, 69 on day 6 and 72 on day 10. Only five factors (IGLV10-54, PSMB1, PGLYRP1, APOA5, WARS1) were regulated both concordantly and significantly over time. Overrepresentation analysis revealed biological processes involving T-cells only on day 1, while a humoral immune response and complement activation were detected at day 6 and day 10. Pathway enrichment analysis identified the Conclusion: Our results indicate that the mechanism of action of Ruxo in COVID-19-ARDS can be related to both known effects of this drug as a modulator of T-cells and the SARS-CoV-2-infection.

Indexed as

acute respiratory distress syndromeCOVID-19proteomicsRuxolitinibSARS-CoV-2

Identifiers

PMID37293294
PMCPMC10244732
OpenAlexW4377942138

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Registered trials

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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.