Evidence map›Paper›PMID 38891942›Full record

ArticleInternational journal of molecular sciences2024

Detection of SARS-CoV-2 Viral Genome and Viral Nucleocapsid in Various Organs and Systems.

George Călin Oprinca, Cosmin-Ioan Mohor, Alina-Simona Bereanu, Lilioara-Alexandra Oprinca-Muja, Iancu Bogdan-Duică, Sorin Radu Fleacă, Adrian Hașegan, Atasie Diter, Ioana Boeraș, Adrian Nicolae Cristian and 2 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

12 authors.

George Călin OprincaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Cosmin-Ioan MohorFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Alina-Simona BereanuFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Lilioara-Alexandra Oprinca-MujaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Iancu Bogdan-DuicăCounty Clinical Emergency Hospital, Bld. Corneliu Coposu, Nr. 2-4, 550245 Sibiu, Romania.
Sorin Radu FleacăFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.ORCID 0000-0002-2444-9828
Adrian HașeganFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.ORCID 0000-0002-3739-0562
Atasie DiterFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Ioana BoerașFaculty of Sciences, Lucian Blaga University of Sibiu, 550012 Sibiu, Romania.ORCID 0000-0002-1952-5654
Adrian Nicolae CristianFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Elena-Teodora TâlvanFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Călin Ilie MohorFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.

Funding

Ministry of Research, Innovation and Digitization Romania 28PFE/30.12.2021
6 · The paper itself

Abstract

While considerable attention has been devoted to respiratory manifestations, such as pneumonia and acute respiratory distress syndrome (ARDS), emerging evidence underlines the significance of extrapulmonary involvement. In this study, we examined 15 hospitalized patients who succumbed to severe complications following SARS-CoV-2 infection. These patients were admitted to the Sibiu County Clinical Emergency Hospital in Sibiu, Romania, between March and October 2021. All patients were ethnic Romanians. Conducted within a COVID-19-restricted environment and adhering to national safety protocols, autopsies provided a comprehensive understanding of the disease's multisystemic impact. Detailed macroscopic evaluations and histopathological analyses of myocardial, renal, hepatic, splenic, and gastrointestinal tissues were performed. Additionally, reverse transcription-quantitative polymerase chain reaction (rt-qPCR) assays and immunohistochemical staining were employed to detect the viral genome and nucleocapsid within the tissues. Myocardial lesions, including ischemic microstructural changes and inflammatory infiltrates, were prevalent, indicative of COVID-19's cardiac implications, while renal pathology revealed the chronic alterations, acute tubular necrosis, and inflammatory infiltrates most evident. Hepatic examination identified hepatocellular necroinflammatory changes and hepatocytic cytopathy, highlighting the hepatic involvement of SARS-CoV-2 infection. Splenic parenchymal disorganization was prominent, indicating systemic immune dysregulation. Furthermore, gastrointestinal examinations unveiled nonspecific changes. Molecular analyses detected viral genes in various organs, with immunohistochemical assays confirming viral presence predominantly in macrophages and fibroblasts. These findings highlighted the systemic nature of SARS-CoV-2 infection, emphasizing the need for comprehensive clinical management strategies and targeted therapeutic approaches beyond respiratory systems.

Indexed as

COVID-19Genome, ViralSARS-CoV-2AdultAgedAged, 80 and overAutopsyCoronavirus Nucleocapsid ProteinsFemaleHumansKidneyLiverMaleMiddle AgedMyocardiumNucleocapsidCoronavirus Nucleocapsid ProteinsautopsyhearthistopathologyimmunohistochemistryintestineskidneylivermolecularSARS-CoV-2spleen

Identifiers

PMID38891942
PMCPMC11172220

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.