Evidence map›Paper›PMID 37676726›Full record

ArticleJCI insight2023

Evidence of a Sjögren's disease-like phenotype following COVID-19 in mice and humans.

Yiran Shen, Alexandria Voigt, Laura Goranova, Mehdi Abed, David E Kleiner, Jose O Maldonado, Margaret Beach, Eileen Pelayo, John A Chiorini, William F Craft and 8 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  7. Salivary Glands and Viral Pathogenesis.Journal of dental research · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Yiran ShenDepartment of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Alexandria VoigtDepartment of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Laura GoranovaDepartment of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Mehdi AbedSalivary Disorder Unit, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
David E KleinerLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Jose O MaldonadoSalivary Disorder Unit, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
Margaret BeachSalivary Disorder Unit, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
Eileen PelayoSalivary Disorder Unit, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
John A ChioriniAAV Biology Section, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
William F CraftDepartment of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, and.
David A OstrovDepartment of Pathology, Immunology & Laboratory Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA.
Vijay RamiyaLifeSouth Community Blood Centers, Gainesville, Florida, USA.
Sukesh SukumaranValley Children's Hospital, Madera, California.
Ashley N BrownInstitute for Therapeutic Innovation, Department of Medicine, University of Florida College of Medicine, Orlando, Florida, USA.
Kaley C HanrahanInstitute for Therapeutic Innovation, Department of Medicine, University of Florida College of Medicine, Orlando, Florida, USA.
Apichai TuanyokDepartment of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Blake M WarnerSalivary Disorder Unit, National Institute of Dental and Craniofacial Research, NIH, Bethesda, Maryland, USA.
Cuong Q NguyenDepartment of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
National Institute of Dental and Craniofacial Research · USUniversity of Florida · USFlorida College · USChildren's Hospital Central California · USNational Cancer Institute · US

Funding

Adeno-associated Virus Biology And Utilization For Gene TransferZ01DE000695 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI CHIORINI, JOHN A · 2000 to 2008
$3.4M
Clinical Investigations Of Sjogren's SyndromeZ01DE000704 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI ILLEI, GABOR · 2002 to 2008
$3.0M
Mapping the T cell receptor/antigen complex and identifying the genetic-based treatment in Sjogren’s syndromeR01DE028544 · NIDCR · UNIVERSITY OF FLORIDA · PI NGUYEN, CUONG Q · 2019 to 2023
$2.6M
Harnessing High-Resolution Proteomics to Uncover and Target Neoepitopes in Sjogren's DiseaseR56DE028544 · NIDCR · UNIVERSITY OF FLORIDA · PI NGUYEN, CUONG Q · 2025 to 2025
$548k
Intramural NIH HHS Z01 DE000695Intramural NIH HHS Z01 DE000704NIDCR NIH HHS R01 DE028544NIDCR NIH HHS R56 DE028544
6 · The paper itself

Abstract

Sjögren's Disease (SjD) is a systemic autoimmune disease characterized by lymphocytic inflammation of the lacrimal and salivary glands (SG), dry eyes and mouth, and systemic symptoms. SARS-CoV-2 may trigger the development or progression of autoimmune diseases. To test this, we used a mouse model of SARS-CoV-2 infection and convalescent patients' blood and SG in order to understand the development of SjD-like autoimmunity after infection. First, SARS-CoV-2-infected human angiotensin-converting enzyme 2 (ACE2) transgenic mice exhibited decreased salivation, elevated antinuclear antibodies (ANA), and lymphocytic infiltration in the lacrimal and SG. The sera from patients with COVID-19 sera showed increased ANA (i.e., anti-SSA [Sjögren's-syndrome-related antigen A]/anti-Ro52 and anti-SSB [SS-antigen B]/anti-La). Male patients showed elevated anti-SSA compared with female patients, and female patients exhibited diverse ANA patterns. SG biopsies from convalescent COVID-19 patients were microscopically similar to SjD SG with focal lymphocytic infiltrates in 4 of 6 patients and 2 of 6 patients exhibiting focus scores of at least 2. Lastly, monoclonal antibodies produced in recovered patients blocked ACE2/spike interaction and cross-reacted with nuclear antigens. Our study shows a direct association between SARS-CoV-2 and SjD. Hallmark features of SjD-affected SGs were histologically indistinguishable from convalescent COVID-19 patients. The results implicate that SARS-CoV-2 could be an environmental trigger for SjD.

Indexed as

COVID-19Sjogren's SyndromeAngiotensin-Converting Enzyme 2AnimalsFemaleHumansMaleMiceMice, TransgenicPhenotypeSARS-CoV-2Angiotensin-Converting Enzyme 2AutoimmunityCOVID-19Rheumatology

Identifiers

PMID37676726
PMCPMC10807711
OpenAlexW4386525140

What OpenQuestion holds

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LicenceCC BY
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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.