Evidence map›Paper›PMID 39361431›Full record

ArticleAllergy2025

Notch4 regulatory T cells and SARS-CoV-2 viremia shape COVID19 survival outcome.

Mehdi Benamar, Peggy S Lai, Ching-Ying Huang, Qian Chen, Fatma Betul Oktelik, Paola Contini, Muyun Wang, Daniel Okin, Elena Crestani, Jason Fong and 14 more

Abstract read
In one paragraph

Article in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mehdi BenamarDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-1532-8642
Peggy S LaiDivision of Pulmonary and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ching-Ying HuangDivision of Pulmonary and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA.
Qian ChenDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Fatma Betul OktelikDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Paola ContiniDepartment of Internal Medicine, Unit of Clinical Immunology and Translational Medicine, University of Genova, Genova, Italy.
Muyun WangDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Daniel OkinDivision of Pulmonary and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA.
Elena CrestaniDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Jason FongDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6164-6110
Tsz Man Chan FionDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Merve Nida GokbakDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9220-9455
Hani HarbDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-8218-2538
Wanda PhipatanakulDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.
Luca MarriDepartment of Internal Medicine, Unit of Clinical Immunology and Translational Medicine, University of Genova, Genova, Italy.
Chiara VassalloClinical Immunology Division, IRCCS-San Martino Hospital, Genoa, Italy.
Andrea GuastallaClinical Immunology Division, IRCCS-San Martino Hospital, Genoa, Italy.
Minsik KimDivision of Pulmonary and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA.
Hui-Yu SuiDivision of Pulmonary and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lorenzo BerraDepartment of Anaesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Marcia B GoldbergInfectious Diseases Division, Massachusetts General Hospital, Boston, Massachusetts, USA.
Claudia AngeliniIstituto per le Applicazioni del Calcolo "M. Picone", Consiglio Nazionale delle Ricerche, Naples, Italy.ORCID https://orcid.org/0000-0001-8350-8464
Raffaele De PalmaDepartment of Internal Medicine, Unit of Clinical Immunology and Translational Medicine, University of Genova, Genova, Italy.
Talal A ChatilaDivision of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-7439-2762

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Molecular Basis of Hyper lgE ImmunodeficiencyR01AI065617 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Talal Amine Chatila · 2006 to 2026
$10.9M
The school microbiome and asthma morbidity in inner-city childrenR01AI144119 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2019 to 2023
$3.7M
Control of regulatory T cell homeostasis and function by Notch signalingR01AI115699 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI CHATILA, TALAL AMINE · 2017 to 2021
$2.2M
Boston Children's HospitalDeutsche Gesellschaft für Suchtforschung und SuchttherapieNCATS NIH HHS UL1 TR002541NIAID NIH HHS R01 AI065617NIAID NIH HHS R01 AI115699NIAID NIH HHS R01 AI144119NIH HHS
6 · The paper itself

Abstract

backgroundImmune dysregulation and SARS-CoV-2 plasma viremia have been implicated in fatal COVID-19 disease. However, how these two factors interact to shape disease outcomes is unclear.

methodsWe carried out viral and immunological phenotyping on a prospective cohort of 280 patients with COVID-19 presenting to acute care hospitals in Boston, Massachusetts and Genoa, Italy between June 1, 2020 and February 8, 2022. Disease severity, mortality, plasma viremia, and immune dysregulation were assessed. A mouse model of lethal H1N1 influenza infection was used to analyze the therapeutic potential of Notch4 and pyroptosis inhibition in disease outcome.

resultsStratifying patients based on %Notch4

conclusionsThe clinical trajectory and survival outcome in hospitalized patients with COVID-19 is predicated on two cardinal factors in disease pathogenesis: viremia and Notch4

Indexed as

COVID-19Receptor, Notch4SARS-CoV-2T-Lymphocytes, RegulatoryViremiaAdultAgedAnimalsDisease Models, AnimalFemaleHumansInfluenza A Virus, H1N1 SubtypeMaleMiceMiddle AgedProspective StudiesReceptor, Notch4COVID19Notch4pyroptosisregulatory T cellssurvivalviremia

Identifiers

PMID39361431
PMCPMC11805648

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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.