Evidence map›Paper›PMID 38212801›Full record

ArticleImmunity & ageing : I & A2024

Accelarated immune ageing is associated with COVID-19 disease severity.

Janet M Lord, Tonny Veenith, Jack Sullivan, Archana Sharma-Oates, Alex G Richter, Neil J Greening, Hamish J C McAuley, Rachael A Evans, Paul Moss, Shona C Moore and 14 more

Open access · goldAbstract read
In one paragraph

Article in Immunity & ageing : I & A, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
10.1field-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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  12. LatentBiomolecules · 2025
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  17. PD-1Respiratory research · 2024
    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

24 authors at 9 institutions in 1 country.

Janet M LordMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research, Office 6, University of Birmingham Research Labs, Institute of Inflammation and Ageing, Queen Elizabeth Hospital, Birmingham, UK.
Tonny VeenithNIHR Surgical Reconstruction and Microbiology Research Centre, University Hospital Birmingham, Birmingham, UK.
Jack SullivanMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research, Office 6, University of Birmingham Research Labs, Institute of Inflammation and Ageing, Queen Elizabeth Hospital, Birmingham, UK.
Archana Sharma-OatesSchool of Biosciences, University of Birmingham, Birmingham, UK.
Alex G RichterInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Neil J GreeningInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Hamish J C McAuleyInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Rachael A EvansInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Paul MossInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Shona C MooreNIHR Health Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Lance TurtleNIHR Health Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Nandan GautamQueen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Ahmed GilaniQueen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Manan BajajQueen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Louise V WainInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Christopher BrightlingInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Betty RamanRadcliffe Department of Medicine, University of Oxford, Oxford, UK.
Michael MarksLondon School of Hygiene and Tropical Medicine, University of London, London, UK.
Amisha SingapuriInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Omer ElneimaInstitute for Lung Health, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.
Peter J M OpenshawNational Heart and Lung Institute, Imperial College London, London, UK.
Niharika A DuggalMRC-Versus Arthritis Centre for Musculoskeletal Ageing Research, Office 6, University of Birmingham Research Labs, Institute of Inflammation and Ageing, Queen Elizabeth Hospital, Birmingham, UK. aroran@bham.ac.uk.
PHOSP-COVID Study collaborative group
ISARIC4C investigators
Imperial College London · GBUniversity of London · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Leicester · GBUniversity of Oxford · GBUniversity of Birmingham · GBUniversity of Liverpool · GBQueen Elizabeth Hospital Birmingham · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GB

Funding

British Heart Foundation CH/16/2/32089British Heart Foundation CH/F/21/90010British Heart Foundation RG/16/1/32092Medical Research Council MC_PC_19059Medical Research Council MC_PC_20031Medical Research Council MC_PC_20060Medical Research Council MR/R502121/1Medical Research Council MR/V040162/1Wellcome Trust
6 · The paper itself

Abstract

backgroundThe striking increase in COVID-19 severity in older adults provides a clear example of immunesenescence, the age-related remodelling of the immune system. To better characterise the association between convalescent immunesenescence and acute disease severity, we determined the immune phenotype of COVID-19 survivors and non-infected controls.

resultsWe performed detailed immune phenotyping of peripheral blood mononuclear cells isolated from 103 COVID-19 survivors 3-5 months post recovery who were classified as having had severe (n = 56; age 53.12 ± 11.30 years), moderate (n = 32; age 52.28 ± 11.43 years) or mild (n = 15; age 49.67 ± 7.30 years) disease and compared with age and sex-matched healthy adults (n = 59; age 50.49 ± 10.68 years). We assessed a broad range of immune cell phenotypes to generate a composite score, IMM-AGE, to determine the degree of immune senescence. We found increased immunesenescence features in severe COVID-19 survivors compared to controls including: a reduced frequency and number of naïve CD4 and CD8 T cells (p < 0.0001); increased frequency of EMRA CD4 (p < 0.003) and CD8 T cells (p < 0.001); a higher frequency (p < 0.0001) and absolute numbers (p < 0.001) of CD28

conclusionsOur analyses reveal a state of enhanced immune ageing in survivors of severe COVID-19 and suggest this could be related to SARS-Cov-2 infection. Our data support the rationale for trials of anti-immune ageing interventions for improving clinical outcomes in these patients with severe disease.

Identifiers

PMID38212801
PMCPMC10782727
OpenAlexW4390746649

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.