Evidence map›Paper›PMID 37891416›Full record

ArticleMolecular and cellular pediatrics2023

B cell phenotype and serum levels of interferons, BAFF, and APRIL in multisystem inflammatory syndrome in children associated with COVID-19 (MIS-C).

Adam Klocperk, Marketa Bloomfield, Zuzana Parackova, Ludovic Aillot, Jiri Fremuth, Lumir Sasek, Jan David, Filip Fencl, Aneta Skotnicova, Katerina Rejlova and 3 more

Open access · goldAbstract read
In one paragraph

Article in Molecular and cellular pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

13 authors at 3 institutions in 1 country.

Adam Klocperk *Department of Immunology, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, V Uvalu 84, 150 06, Prague, Czech Republic. adam.klocperk@fnmotol.cz.
Marketa Bloomfield *Department of Immunology, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, V Uvalu 84, 150 06, Prague, Czech Republic.
Zuzana ParackovaDepartment of Immunology, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, V Uvalu 84, 150 06, Prague, Czech Republic.
Ludovic AillotInstitute of Organic Chemistry and Biochemistry of the Czech Academy of Sciences, IOCB Gilead Research Center, Prague, Czech Republic.
Jiri FremuthDepartment of Paediatrics - PICU, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Lumir SasekDepartment of Paediatrics - PICU, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Jan DavidDepartment of Paediatrics, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Filip FenclDepartment of Paediatrics, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Aneta SkotnicovaDepartment of Pediatric Hematology, CLIP - Childhood Leukaemia Investigation Prague, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Katerina RejlovaDepartment of Pediatric Hematology, CLIP - Childhood Leukaemia Investigation Prague, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Martin MagnerDepartment of Paediatrics and Inherited Metabolic Disorders, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.
Ondrej HrusakDepartment of Pediatric Hematology, CLIP - Childhood Leukaemia Investigation Prague, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Czech Republic.
Anna SedivaDepartment of Immunology, 2nd Faculty of Medicine, Charles University and University Hospital in Motol, V Uvalu 84, 150 06, Prague, Czech Republic.
Charles University · CZUniversity Hospital in Motol · CZCzech Academy of Sciences, Institute of Organic Chemistry and Biochemistry · CZ

Funding

Czech Health Research Council and Ministry of Health NU20-05-00320
6 · The paper itself

Abstract

backgroundMultisystem inflammatory syndrome in children associated with COVID-19 (MIS-C) is a late complication of pediatric COVID-19, which follows weeks after the original SARS-CoV-2 infection, regardless of its severity. It is characterized by hyperinflammation, neutrophilia, lymphopenia, and activation of T cells with elevated IFN-γ. Observing the production of autoantibodies and parallels with systemic autoimmune disorders, such as systemic lupus erythematodes (SLE), we explored B cell phenotype and serum levels of type I, II, and III interferons, as well as the cytokines BAFF and APRIL in a cohort of MIS-C patients and healthy children after COVID-19.

resultsWe documented a significant elevation of IFN-γ, but not IFN-α and IFN-λ in MIS-C patients. BAFF was elevated in MIS-C patient sera and accompanied by decreased BAFFR expression on all B cell subtypes. The proportion of plasmablasts was significantly lower in patients compared to healthy post-COVID children. We noted the pre-IVIG presence of ENA Ro60 autoantibodies in 4/35 tested MIS-C patients.

conclusionsOur work shows the involvement of humoral immunity in MIS-C and hints at parallels with the pathophysiology of SLE, with autoreactive B cells driven towards autoantibody production by elevated BAFF.

Indexed as

APRILBAFFCOVID-19InterferonMIS-CPIMS-TSSLE

Identifiers

PMID37891416
PMCPMC10611647
OpenAlexW4387996493

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.