Evidence map›Paper›PMID 38005840›Full record

ArticleViruses2023

Immune Profiles in Multisystem Inflammatory Syndrome in Children with Cardiovascular Abnormalities.

Nathella Pavan Kumar, Aishwarya Venkataraman, Arul Nancy, Nandhini Selvaraj, Kadar Moideen, Shaik Fayaz Ahamed, Rachel Marriam Renji, Kandasamy Sasidaran, Sandip Kumar, Muthiah Periyakuppan and 4 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 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
1.3field-weighted citation impact, top 19% 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, 4 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

14 authors at 4 institutions in 2 countries.

Nathella Pavan KumarICMR-National Institute for Research in Tuberculosis, Chennai 600031, India.
Aishwarya VenkataramanICMR-National Institute for Research in Tuberculosis, Chennai 600031, India.
Arul NancyNational Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, Chennai 600031, India.
Nandhini SelvarajNational Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, Chennai 600031, India.
Kadar MoideenNational Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, Chennai 600031, India.
Shaik Fayaz AhamedICMR-National Institute for Research in Tuberculosis, Chennai 600031, India.
Rachel Marriam RenjiNational Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, Chennai 600031, India.
Kandasamy SasidaranDr. Mehta's Children's Hospital, Chennai 600031, India.
Sandip KumarDr. Mehta's Children's Hospital, Chennai 600031, India.
Muthiah PeriyakuppanDr. Mehta's Children's Hospital, Chennai 600031, India.
Thankgavelu SangaralingamDr. Mehta's Children's Hospital, Chennai 600031, India.
Poovazhagi VaradarajanInstitute of Child Health and Hospital for Children, Chennai 600008, India.
Elilarasi ChelladuraiInstitute of Child Health and Hospital for Children, Chennai 600008, India.ORCID 0009-0000-8931-592X
Subash BabuNational Institutes of Health-National Institute for Research in Tuberculosis-International Center for Excellence in Research, Chennai 600031, India.ORCID 0000-0001-9783-8042
Dr. Mehta's Children's Hospital · INNational Institute of Research in Tuberculosis · INInstitute of Child Health · INNational Institutes of Health · US

Funding

Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID)
6 · The paper itself

Abstract

backgroundMultisystem inflammatory syndrome in children (MIS-C), a sequela of severe acute respiratory syndrome coronavirus-2 infection (SARS-CoV2), has been progressively reported worldwide, with cardiac involvement being a frequent presentation. Although the clinical and immunological characteristics of MIS-C with and without cardiac involvement have been described, the immunological differences between cardiac and non-cardiac MIS-C are not well understood.

methodsThe levels of type 1, type 2, type 17, other proinflammatory cytokines and CC chemokines and CXC chemokines were measured using the Magpix multiplex cytokine assay system in MIS-C children with MIS-C cardiac (MIS-C (C) (

resultsMIS-C children with cardiac manifestations presented with significantly increased levels of cytokines such as IFN-γ, IL-2, TNFα, IL-5, IL-1α, IL-1β, IL-6, IL-10 and IL-12p70 and chemokines such as CCL2, CCL3, CCL11 and CXCL10 in comparison to MIS-C children without cardiac manifestations. Clustering analysis revealed that cytokines and chemokines could clearly distinguish MIS-C children with and without cardiac manifestations. In addition, these responses significantly diminished and normalized 9 months after treatment.

conclusionsThis is one of the first studies characterizing and differentiating systemic inflammation in MIS-C with and without cardiac involvement from a low- and middle-income country (LMIC). Our study contributes to the existing body of evidence and advances our knowledge of the immunopathogenesis of MIS-C in children.

Indexed as

Cardiovascular AbnormalitiesRNA, ViralChildCOVID-19CytokinesHumansSystemic Inflammatory Response SyndromeCytokinesRNA, Viralcardiac manifestationchemokinescytokinesMIS-CSARS-CoV-2

Identifiers

PMID38005840
PMCPMC10674423
OpenAlexW4387971785

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.