Evidence map›Paper›PMID 39198441›Full record

ArticleNature communications2024

Early biological markers of post-acute sequelae of SARS-CoV-2 infection.

Scott Lu, Michael J Peluso, David V Glidden, Michelle C Davidson, Kara Lugtu, Jesus Pineda-Ramirez, Michel Tassetto, Miguel Garcia-Knight, Amethyst Zhang, Sarah A Goldberg and 23 more

Abstract 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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The immunology behind inflammaging-causes, sources, and mechanisms.The Journal of allergy and clinical immunology · 2026
    Review
  3. Persistent CD4Cellular immunology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. CROI 2025: Acute and Postacute COVID-19.Topics in antiviral medicine · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Targeting the SARS-CoV-2 reservoir in long COVID.The Lancet. Infectious diseases · 2025
    Review
  20. 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

33 authors.

Scott Lu *Institute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Michael J Peluso *Division of HIV, Infectious Diseases, and Global Medicine, UCSF, San Francisco, CA, USA.ORCID 0000-0003-0585-6230
David V GliddenDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.
Michelle C DavidsonSchool of Medicine, UCSF, San Francisco, CA, USA.ORCID 0000-0002-5518-9774
Kara LugtuInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Jesus Pineda-RamirezInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Michel TassettoDepartment of Microbiology and Immunology, UCSF, San Francisco, CA, USA.
Miguel Garcia-KnightDepartment of Microbiology and Immunology, UCSF, San Francisco, CA, USA.
Amethyst ZhangDepartment of Microbiology and Immunology, UCSF, San Francisco, CA, USA.
Sarah A GoldbergDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.ORCID 0000-0002-8642-1468
Jessica Y ChenDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.ORCID 0000-0002-4491-2584
Maya Fortes-CobbyInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Sara ParkInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Ana MartinezInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Matthew SoInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Aidan DonovanDivision of HIV, Infectious Diseases, and Global Medicine, UCSF, San Francisco, CA, USA.
Badri ViswanathanDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.ORCID 0009-0001-4779-5037
Rebecca HohDivision of HIV, Infectious Diseases, and Global Medicine, UCSF, San Francisco, CA, USA.
Kevin DonohueSchool of Medicine, UCSF, San Francisco, CA, USA.ORCID 0000-0002-4237-5957
David R McIlwainDepartment of Microbiology and Immunology, Stanford, CA, USA.
Brice GaudiliereDepartment of Microbiology and Immunology, Stanford, CA, USA.ORCID 0000-0002-3475-5706
Khamal AnglinInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Brandon C YeeLabCorp - Monogram Biosciences, South San Francisco, San Francisco, CA, USA.ORCID 0000-0003-4649-7975
Ahmed ChennaLabCorp - Monogram Biosciences, South San Francisco, San Francisco, CA, USA.
John W WinslowLabCorp - Monogram Biosciences, South San Francisco, San Francisco, CA, USA.
Christos J PetropoulosLabCorp - Monogram Biosciences, South San Francisco, San Francisco, CA, USA.ORCID 0000-0001-5496-8090
Steven G DeeksDivision of HIV, Infectious Diseases, and Global Medicine, UCSF, San Francisco, CA, USA.ORCID 0000-0001-6371-747X
Melissa Briggs-HagenDivision of Respiratory Viral Pathogens, CDC, Atlanta, USA.
Raul AndinoDepartment of Microbiology and Immunology, UCSF, San Francisco, CA, USA.ORCID 0000-0001-5503-9349
Claire M MidgleyDivision of Respiratory Viral Pathogens, CDC, Atlanta, USA.ORCID 0000-0001-5196-4713
Jeffrey N MartinDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA.ORCID 0000-0002-9773-3256
Sharon SaydahDivision of Respiratory Viral Pathogens, CDC, Atlanta, USA.ORCID 0000-0002-6350-5300
J Daniel KellyInstitute for Global Health Sciences, University of California, San Francisco (UCSF), San Francisco, CA, USA. dan.kelly@ucsf.edu.ORCID 0000-0002-7616-0321

Funding

Characterizing the virologic and immunologic signatures of HIV exceptional controlK23AI157875 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PELUSO, MICHAEL JOSEPH · 2021 to 2025
$927k
Understanding the epidemiology and natural history of unrecognized Ebola virus infectionK23AI146268 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KELLY, JOHN DANIEL · 2019 to 2022
$748k
CDC HHS 75D30120C08009NIAID NIH HHS K23 AI146268NIAID NIH HHS K23 AI157875U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) K23AI157875
6 · The paper itself

Abstract

To understand the roles of acute-phase viral dynamics and host immune responses in post-acute sequelae of SARS-CoV-2 infection (PASC), we enrolled 136 participants within 5 days of their first positive SARS-CoV-2 real-time PCR test. Participants self-collected up to 21 nasal specimens within the first 28 days post-symptom onset; interviewer-administered questionnaires and blood samples were collected at enrollment, days 9, 14, 21, 28, and month 4 and 8 post-symptom onset. Defining PASC as the presence of any COVID-associated symptom at their 4-month visit, we compared viral markers (quantity and duration of nasal viral RNA load, infectious viral load, and plasma N-antigen level) and host immune markers (IL-6, IL-10, TNF-α, IFN-α, IFN-γ, MCP, IP-10, and Spike IgG) over the acute period. Compared to those who fully recovered, those reporting PASC demonstrated significantly higher maximum levels of SARS-CoV-2 RNA and N-antigen, burden of RNA and infectious viral shedding, and lower Spike-specific IgG levels within 9 days post-illness onset. No significant differences were identified among a panel of host immune markers. Our results suggest early viral dynamics and the associated host immune responses play a role in the pathogenesis of PASC, highlighting the importance of understanding early biological markers in the natural history of PASC.

Indexed as

BiomarkersCOVID-19RNA, ViralSARS-CoV-2Viral LoadAdultAgedAntibodies, ViralCytokinesFemaleHumansImmunoglobulin GMaleMiddle AgedPost-Acute COVID-19 SyndromeAntibodies, ViralBiomarkersCytokinesImmunoglobulin GRNA, Viral

Identifiers

PMID39198441
PMCPMC11358427

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.