Evidence map›Paper›PMID 38976510›Full record

ArticleThe Journal of infectious diseases2025

Severe West Nile Virus and Severe Acute Respiratory Syndrome Coronavirus 2 Infections in a Patient With Thymoma and Anti-Type I Interferon Antibodies.

Federica Barzaghi, Camilla Visconti, Giovanni Battista Pipitone, Simone Bondesan, Giulia Molli, Stefania Giannelli, Claudia Sartirana, Vito Lampasona, Elena Bazzigaluppi, Cristina Brigatti and 9 more

Abstract readCase Reports
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. High risk of hypoxemic COVID-19 pneumonia in myasthenia gravis patients with type I IFN autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Article
  5. Review
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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

19 authors.

Federica BarzaghiPediatric Immunohematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0003-4498-1712
Camilla ViscontiPediatric Immunohematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giovanni Battista PipitoneLaboratory of Clinical Genomics, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Simone BondesanLaboratory of Clinical Genomics, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giulia MolliLaboratory of Clinical Genomics, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Stefania GiannelliSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Claudia SartiranaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Vito LampasonaSan Raffaele Diabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Elena BazzigaluppiSan Raffaele Diabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-6715-7454
Cristina BrigattiSan Raffaele Diabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Adrian GervaisLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Paul BastardLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Chiara Tassan DinClinic of Infectious Diseases, Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Chiara MolinariSan Raffaele Diabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Lorenzo PiemontiVita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-2172-2198
Jean-Laurent CasanovaLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France.
Paola CarreraLaboratory of Clinical Genomics, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giorgio CasariVita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-0115-8980
Alessandro AiutiPediatric Immunohematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-5398-1717

Funding

Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
Monogenic basis of resistance to SARS-CoV2 and predisposition to severe COVID-19R01AI088364 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Jean-Laurent Casanova, Shen-Ying Zhang · 2010 to 2026
$8.7M
Genome-wide search for inborn errors of IL-17 immunity underlying chronic mucocutaneous candidiasisR01AI127564 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Jean-Laurent Casanova · 2017 to 2026
$4.8M
Inborn errors of immunity in patients with life-threatening COVID-19R01AI163029 · NIAID · ROCKEFELLER UNIVERSITY · PI CASANOVA, JEAN-LAURENT, ZHANG, QIAN · 2021 to 2025
$3.7M
Single gene inborn errors of immunity underlying SARS-CoV-2-related multisystem inflammatory syndrome in children: a new approach to tackle a seemingly old puzzleR21AI160576 · NIAID · ROCKEFELLER UNIVERSITY · PI ZHANG, SHEN-YING · 2022 to 2023
$466k
Agence Nationale de la Recherche ANR-10-IAHU-01ANR AAILC ANR-21-LIBA-0002ANR AI2D ANR-22-CE15-0046ANR GENVIR ANR-20-CE93-003ANR-RHU COVIFERON Program ANR-21-RHUS-08Fisher Center for Alzheimer's Research FoundationFondazione Telethon, and Horizon Europe 101057100French Foundation for Medical Research EQU201903007798French government and implementedFrench Ministry of Higher Education, Research, and Innovation MESRI-COVID-19Howard Hughes Medical InstituteIntegrative Biology of Emerging Infectious Diseases Laboratory of Excellence ANR-10-LABX-62-IBEIDJPB FoundationMeyer FoundationNCATS NIH HHS UL1 TR001866NIAID NIH HHS R01 AI088364NIAID NIH HHS R01 AI127564NIAID NIH HHS R01 AI163029NIAID NIH HHS R21 AI160576NIH Clinical and Translational Science Award UL1TR001866NIH HHS R01AI163029Rockefeller UniversitySquare FoundationSt Giles Foundation
6 · The paper itself

Abstract

Patients with severe West Nile virus and SARS-CoV-2 infections deserve accurate diagnosis of underlying diseases, determining possible anti-interferon autoantibody production, since they must receive antiviral and immunological therapies to enhance antiviral response. The current study aimed to investigate determinants of severity in a previously healthy patient who experienced 2 life-threatening infections, from West Nile Virus (WNV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). During coronavirus disease 2019 (COVID-19) hospitalization he was diagnosed with a thymoma, retrospectively identified as already present at the time of WNV infection. Heterozygosity for p.Pro554Ser in the TLR3 gene, which increases susceptibility to severe COVID-19, and homozygosity for CCR5 c.554_585del, associated with severe WNV infection, were found. Neutralizing anti-interferon (IFN)-α and anti-IFN-ω autoantibodies were detected, likely induced by the underlying thymoma and increasing susceptibility to both severe COVID-19 pneumonia and West Nile encephalitis.

Indexed as

AutoantibodiesCOVID-19Interferon Type ISARS-CoV-2ThymomaWest Nile FeverWest Nile virusHumansThymus NeoplasmsToll-Like Receptor 3AutoantibodiesInterferon Type ITLR3 protein, humanToll-Like Receptor 3anti-IFN autoantibodiesCCR5COVID-19thymomaTLR3West Nile virus

Identifiers

PMID38976510
PMCPMC11793036

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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.