Evidence map›Paper›PMID 38368384›Full record

ArticleNature communications2024

COVID-19 immune signatures in Uganda persist in HIV co-infection and diverge by pandemic phase.

Matthew J Cummings, Barnabas Bakamutumaho, Julius J Lutwama, Nicholas Owor, Xiaoyu Che, Maider Astorkia, Thomas S Postler, John Kayiwa, Jocelyn Kiconco, Moses Muwanga and 15 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

25 authors at 7 institutions in 3 countries.

Matthew J CummingsDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA. mjc2244@columbia.edu.ORCID 0000-0003-2906-0966
Barnabas BakamutumahoDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Julius J LutwamaDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Nicholas OworDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Xiaoyu CheCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Maider AstorkiaCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Thomas S PostlerDepartment of Microbiology and Immunology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.ORCID 0000-0002-3558-9084
John KayiwaDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Jocelyn KiconcoDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Moses MuwangaEntebbe Regional Referral Hospital, Entebbe, Uganda.
Christopher NserekoEntebbe Regional Referral Hospital, Entebbe, Uganda.
Emmanuel RwamutweEntebbe Regional Referral Hospital, Entebbe, Uganda.
Irene NayigaEntebbe Regional Referral Hospital, Entebbe, Uganda.
Stephen KyebambeEntebbe Regional Referral Hospital, Entebbe, Uganda.
Mercy HaumbaDepartment of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, Entebbe, Uganda.
Henry Kyobe BosaUganda Peoples' Defence Forces, Kampala, Uganda.ORCID 0000-0001-6593-8727
Felix OcomMinistry of Health, Kampala, Uganda.
Benjamin WatyabaEuropean and Developing Countries Clinical Trials Partnership-Eastern Africa Consortium for Clinical Research, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0003-2512-8425
Bernard KikaireEuropean and Developing Countries Clinical Trials Partnership-Eastern Africa Consortium for Clinical Research, Uganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0001-9478-9062
Alin S TomoiagaDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Stevens KisakaDepartment of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda.
Noah KiwanukaDepartment of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda.
W Ian LipkinCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID 0000-0002-8768-9386
Max R O'DonnellDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Collaboration for Clinical and Laboratory Characterization of COVID-19 in Uganda
Uganda Virus Research Institute · UGColumbia University · USMinistry of Agriculture, Animal Industry and Fisheries · UGMakerere University · UGMinistry of Health · UGManhattan University · USUniversity of Nairobi · KE

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
TB and Other Pulmonary Complications of AIDS Research Training ProgramD43TW009607 · FIC · YALE UNIVERSITY · PI DAVIS, JOHN LUCIAN, KATAMBA, ACHILLES · 2013 to 2022
$3.2M
Subtyping sepsis in Uganda using clinical, pathogen, and host response profilingK23AI163364 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CUMMINGS, MATTHEW JOHN · 2022 to 2025
$733k
Multimodal immune profiling to determine mechanisms of COVID-19 clinical trajectory in UgandaR21AI171249 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CUMMINGS, MATTHEW JOHN · 2022 to 2023
$445k
FIC NIH HHS D43 TW009607Medical Research Council MC_UU_00033/1NCATS NIH HHS UL1 TR001873NIAID NIH HHS K23 AI163364NIAID NIH HHS R21 AI171249
6 · The paper itself

Abstract

Little is known about the pathobiology of SARS-CoV-2 infection in sub-Saharan Africa, where severe COVID-19 fatality rates are among the highest in the world and the immunological landscape is unique. In a prospective cohort study of 306 adults encompassing the entire clinical spectrum of SARS-CoV-2 infection in Uganda, we profile the peripheral blood proteome and transcriptome to characterize the immunopathology of COVID-19 across multiple phases of the pandemic. Beyond the prognostic importance of myeloid cell-driven immune activation and lymphopenia, we show that multifaceted impairment of host protein synthesis and redox imbalance define core biological signatures of severe COVID-19, with central roles for IL-7, IL-15, and lymphotoxin-α in COVID-19 respiratory failure. While prognostic signatures are generally consistent in SARS-CoV-2/HIV-coinfection, type I interferon responses uniquely scale with COVID-19 severity in persons living with HIV. Throughout the pandemic, COVID-19 severity peaked during phases dominated by A.23/A.23.1 and Delta B.1.617.2/AY variants. Independent of clinical severity, Delta phase COVID-19 is distinguished by exaggerated pro-inflammatory myeloid cell and inflammasome activation, NK and CD8

Indexed as

CoinfectionCOVID-19HIV InfectionsAdultHumansPandemicsProspective StudiesSARS-CoV-2Uganda

Identifiers

PMID38368384
PMCPMC10874401
OpenAlexW4391896492

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.