Evidence map›Paper›PMID 37667052›Full record

ReviewNature immunology2023

SARS-CoV-2 reservoir in post-acute sequelae of COVID-19 (PASC).

Amy D Proal, Michael B VanElzakker, Soo Aleman, Katie Bach, Brittany P Boribong, Marcus Buggert, Sara Cherry, Daniel S Chertow, Helen E Davies, Christopher L Dupont and 23 more

Erratum issuedOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 180 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 4 pooled it
56.0field-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

180 citing papers in PubMed, 4 syntheses or guidelines pooled it, 273 citations in OpenAlex.

  1. Pooled it
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  4. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
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120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 18 institutions in 4 countries.

Amy D ProalPolyBio Research Foundation, Medford, MA, USA. aproal@polybio.org.ORCID 0009-0001-9495-8572
Michael B VanElzakkerPolyBio Research Foundation, Medford, MA, USA.
Soo AlemanDept of Infectious Diseases and Unit of Post-Covid Huddinge, Karolinska University Hospital, Stockholm, Sweden.
Katie BachPolyBio Research Foundation, Medford, MA, USA.
Brittany P BoribongDepartment of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-1297-6337
Marcus BuggertCenter for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0003-0633-1719
Sara CherryDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, UPENN, Philadelphia, PA, USA.ORCID 0000-0003-3956-6610
Daniel S ChertowEmerging Pathogens Section, Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-1675-1728
Helen E DaviesDepartment of Respiratory Medicine, University Hospital Llandough, Cardiff University School of Medicine, University Hospital of Wales, Cardiff, UK.ORCID 0000-0001-6102-256X
Christopher L DupontJ. Craig Venter Institute, La Jolla, CA, USA.ORCID 0000-0002-0896-6542
Steven G DeeksDivision of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, San Francisco, CA, USA.
William EimerHarvard Medical School, Boston, MA, USA.
E Wesley ElyThe Critical Illness, Brain Dysfunction, Survivorship (CIBS) Center at Vanderbilt University Medical Center and the Veteran's Affairs Tennessee Valley Geriatric Research Education Clinical Center (GRECC), Nashville, TN, USA.
Alessio FasanoDepartment of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.
Marcelo FreireJ. Craig Venter Institute Department of Infectious Diseases, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0003-4906-7698
Linda N GengDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Diane E GriffinW. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Timothy J HenrichDivision of Experimental Medicine, University of California, San Francisco, San Francisco, CA, USA.
Akiko IwasakiDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-7824-9856
David Izquierdo-GarciaDepartment of Radiology, Harvard Medical School, Charlestown, MA, USA.
Michela LocciInstitute for Immunology and Immune Health, and Department of Microbiology, University of Pennsylvania Perelman School Medicine, Philadelphia, PA, USA.
Saurabh MehandruPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0001-9781-2969
Mark M PainterInstitute for Immunology and Immune Health, and Department of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania Perelman School Medicine, Philadelphia, PA, USA.ORCID 0000-0002-0180-2748
Michael J PelusoDivision of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, San Francisco, CA, USA.
Etheresia PretoriusDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch, South Africa.
David A PriceDivision of Infection and Immunity, Cardiff University School of Medicine, University Hospital of Wales, Cardiff, UK.ORCID 0000-0001-9416-2737
David PutrinoDepartment of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Richard H ScheuermannDepartment of Informatics, J. Craig Venter Institute, La Jolla, CA, USA.ORCID 0000-0003-1355-892X
Gene S TanJ. Craig Venter Institute, La Jolla, CA, USA.
Rudolph E TanziHarvard Medical School, Boston, MA, USA.ORCID 0000-0002-7032-1454
Henry F VanBrocklinDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, USA.
Lael M YonkerDepartment of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-1711-8227
E John WherryInstitute for Immunology and Immune Health, and Department of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania Perelman School Medicine, Philadelphia, PA, USA.ORCID 0000-0003-0477-1956
Harvard University · USJ. Craig Venter Institute · USUniversity of California, San Francisco · USIcahn School of Medicine at Mount Sinai · USTranslational Therapeutics (United States) · USUniversity Hospital of Wales · GBBrookings Institution · USGeriatric Research Education and Clinical Center · USHoward Hughes Medical Institute · USJohns Hopkins University · USKarolinska Institutet · SEKarolinska University Hospital · SEMassachusetts General Hospital · USNational Institutes of Health · USPoly Med (United States) · USStanford University · USUniversity of Liverpool · GBUniversity of Pennsylvania · US

Funding

Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG, GEORG Michael LAUER · 2009 to 2026
$48.1M
Radiation and checkpoint blockade for cancer immune therapyP01CA210944 · NCI · UNIVERSITY OF PENNSYLVANIA · PI NATHANSON, KATHERINE L. · 2017 to 2022
$11.5M
Determination of mucosal immune responses to, and infection of the gastrointestinal tract by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2)R01DK123749 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CERUTTI, ANDREA, FAITH, JEREMIAH JAMES · 2020 to 2024
$4.9M
Testing the role of BATF as a pioneer transcription factor in effector T cellsR01AI115712 · NIAID · DANA-FARBER CANCER INST · PI KADOCH, CIGALL, WHERRY, E. JOHN · 2015 to 2019
$2.9M
Temporal control of differentiation and epigenetics of Exhausted CD8 T cells by ToxR01AI155577 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WHERRY, E. JOHN · 2020 to 2024
$2.7M
Defining neutrophil pathobiology in pediatric Long COVIDR01HL173059 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Lael Yonker · 2024 to 2026
$2.4M
Mechanistically Disentangling the Infected, Inflamed LungK08HL143183 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI YONKER, LAEL · 2018 to 2022
$869k
NCI NIH HHS P01 CA210944NHLBI NIH HHS K08 HL143183NHLBI NIH HHS R01 HL173059NIAID NIH HHS L30 AI147159NIAID NIH HHS R01 AI115712NIAID NIH HHS R01 AI155577NIAID NIH HHS U19 AI082630NIDDK NIH HHS R01 DK123749
6 · The paper itself

Abstract

Millions of people are suffering from Long COVID or post-acute sequelae of COVID-19 (PASC). Several biological factors have emerged as potential drivers of PASC pathology. Some individuals with PASC may not fully clear the coronavirus SARS-CoV-2 after acute infection. Instead, replicating virus and/or viral RNA-potentially capable of being translated to produce viral proteins-persist in tissue as a 'reservoir'. This reservoir could modulate host immune responses or release viral proteins into the circulation. Here we review studies that have identified SARS-CoV-2 RNA/protein or immune responses indicative of a SARS-CoV-2 reservoir in PASC samples. Mechanisms by which a SARS-CoV-2 reservoir may contribute to PASC pathology, including coagulation, microbiome and neuroimmune abnormalities, are delineated. We identify research priorities to guide the further study of a SARS-CoV-2 reservoir in PASC, with the goal that clinical trials of antivirals or other therapeutics with potential to clear a SARS-CoV-2 reservoir are accelerated.

Indexed as

COVID-19Antiviral AgentsDisease ProgressionHumansPost-Acute COVID-19 SyndromeRNA, ViralSARS-CoV-2Antiviral AgentsRNA, Viral

Identifiers

PMID37667052
OpenAlexW4386438245

What OpenQuestion holds

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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.