Evidence map›Paper›PMID 37686069›Full record

ArticleInternational journal of molecular sciences2023

The Role of Toll-like Receptor-4 in Macrophage Imbalance in Lethal COVID-19 Lung Disease, and Its Correlation with Galectin-3.

Maria Carmela Pedicillo, Ilenia Sara De Stefano, Rosanna Zamparese, Raffaele Barile, Mario Meccariello, Alessio Agostinone, Giuliana Villani, Tommaso Colangelo, Gaetano Serviddio, Tommaso Cassano and 7 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 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
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Single-Cell Insights Into Macrophage Subtypes in Pulmonary Infections.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  2. Article
  3. Inverse Regulation of TLR4 and PD-L1 Shapes the Inflammatory Tumor Microenvironment in Oral Squamous Cell Carcinomas.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025
    Article
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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

17 authors at 4 institutions in 1 country.

Maria Carmela PedicilloDepartment of Clinical and Experimental Medicine, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.
Ilenia Sara De StefanoDepartment of Clinical and Experimental Medicine, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.ORCID 0000-0002-4955-2039
Rosanna ZampareseLegal Medicine Unit, Ascoli Piceno Hospital C-G. Mazzoni, Viale Degli Iris 13, 63100 Ascoli Piceno, Italy.
Raffaele BarileDepartment of Medical and Surgical Sciences, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.
Mario MeccarielloDepartment of Medical and Surgical Sciences, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.
Alessio AgostinoneDepartment of Clinical and Experimental Medicine, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.
Giuliana VillaniPoliclinico Riuniti, University-Hospital, Viale L.Pinto 1, 71122 Foggia, Italy.ORCID 0000-0003-2362-5022
Tommaso ColangeloDepartment of Medical and Surgical Sciences, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.
Gaetano ServiddioDepartment of Medical and Surgical Sciences, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.ORCID 0000-0002-6424-7841
Tommaso CassanoDepartment of Medical and Surgical Sciences, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.ORCID 0000-0001-6330-806X
Andrea RonchiPathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "L Vanvitelli", via Luciano Armanni, 80138 Naples, Italy.
Renato FrancoPathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "L Vanvitelli", via Luciano Armanni, 80138 Naples, Italy.ORCID 0000-0002-8340-3184
Paola PannoneFederico II, Department of Clinical Medicine and Surgery, School of medicine and Surgery, University of Naples, via Sergio Pasini, 80131 Naples, Italy.
Federica Zito MarinoPathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "L Vanvitelli", via Luciano Armanni, 80138 Naples, Italy.
Francesco MieleDepartment of Surgery, University of Campania "L Vanvitelli", 80138 Naples, Italy.
Maurizio MunicinòForensic Medicine Unit, "S. Giuliano" Hospital, via Giambattista Basile, 80014 Giugliano in Campania, Italy.
Giuseppe PannoneDepartment of Clinical and Experimental Medicine, University of Foggia, Viale L.Pinto 1, 71122 Foggia, Italy.ORCID 0000-0003-4198-407X
University of Foggia · ITUniversity of Campania "Luigi Vanvitelli" · ITOspedali Riuniti di Foggia · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To the current data, there have been 6,955,141 COVID-19-related deaths worldwide, reported to WHO. Toll-like receptors (TLRs) implicated in bacterial and virus sensing could be a crosstalk between activation of persistent innate-immune inflammation, and macrophage's sub-population alterations, implicated in cytokine storm, macrophage over-activation syndrome, unresolved Acute Respiratory Disease Syndrome (ARDS), and death. The aim of this study is to demonstrate the association between Toll-like-receptor-4 (TLR-4)-induced inflammation and macrophage imbalance in the lung inflammatory infiltrate of lethal COVID-19 disease. Twenty-five cases of autopsy lung tissues were studied by digital pathology-based immunohistochemistry to evaluate expression levels of TLR-4 (CD 284), pan-macrophage marker CD68 (clone KP1), sub-population marker related to alveolar macrophage Galectin-3 (GAL-3) (clone 9C4), and myeloid derived CD163 (clone MRQ-26), respectively. SARS-CoV-2 viral persistence has been evaluated by in situ hybridation (ISH) method. This study showed TLR-4 up-regulation in a subgroup of patients, increased macrophage infiltration in both Spike-1

Indexed as

COVID-19Galectin 3HumansMacrophagesSARS-CoV-2Toll-Like Receptor 4Galectin 3Toll-Like Receptor 4ARDSCD163CD68galectin-3lethal COVID-19lung diseaseM1 macrophagesM2 macrophagesmacrophage shiftSARS-CoV-2TLR-4TLRs

Identifiers

PMID37686069
PMCPMC10487501
OpenAlexW4386221207

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.