Evidence map›Paper›PMID 39394771›Full record

ArticleJournal of dental research2024

Immune Dysregulation in the Oral Cavity during Early SARS-CoV-2 Infection.

C Graves, E Babikow, N Ghaltakhchyan, T Q Ngo, C Liu, S Wang, A Shoji, C Bocklage, S T Phillips, M Markovetz and 6 more

Abstract read
In one paragraph

Article in Journal of dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

C GravesDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-7387-2462
E BabikowDepartment of Orthodontics, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
N GhaltakhchyanDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
T Q NgoDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
C LiuDepartment of Biostatistics, University of North Carolina, Chapel Hill, NC, USA.
S WangDepartment of Biostatistics, University of North Carolina, Chapel Hill, NC, USA.
A ShojiDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
C BocklageDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
S T PhillipsGoHealth Clinical Research Unit, Department of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
M MarkovetzCystic Fibrosis and Pulmonary Research Center, Marisco Lung Institute, University of North Carolina, Chapel Hill, NC, USA.
S A Frazier-BowersDepartment of Orthodontics, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
K DivarisDepartment of Pediatric Dentistry and Dental Public Health, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0003-1290-7251
M FreireDepartment of Genomic Medicine and Infectious Diseases, J. Craig Venter Institute, La Jolla, CA, USA.ORCID 0000-0003-4906-7698
S WalletDepartment of Oral Biology, College of Dentistry, University of Florida, Gainesville, FL, USA.
D WuDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
L A JacoxDepartment of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0003-1923-6825

Funding

BASIC MICROBIOLOGY &INFECTIOUS DISEASEST32AI007110 · NIAID · UNIVERSITY OF FLORIDA · PI Stephanie M Karst · 1985 to 2026
$4.3M
Orthognathic speech pathology: Understanding how jaw disharmonies and their surgical correction influence speechK08DE030235 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JACOX, LAURA ANNE · 2021 to 2025
$889k
Evaluating Efficacy of Antiseptic Mouth Rinses on Salivary SARS-CoV-2 InfectivityR03DE031301 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JACOX, LAURA ANNE · 2022 to 2023
$311k
Investigating the microbial basis of early childhood caries via metagenomics and metatranscriptomics analysesR03DE028983 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WU, DI · 2019 to 2020
$299k
NIDCR NIH HHS K08 DE030235NIDCR NIH HHS R03 DE028983NIDCR NIH HHS R03 DE031301
6 · The paper itself

Abstract

Tissue-specific immune responses are critical determinants of health-maintaining homeostasis and disease-related dysbiosis. In the context of COVID-19, oral immune responses reflect local host-pathogen dynamics near the site of infection and serve as important "windows to the body," reflecting systemic responses to the invading SARS-CoV-2 virus. This study leveraged multiplex technology to characterize the salivary SARS-CoV-2-specific immunological landscape (37 cytokines/chemokines and 11 antibodies) during early infection. Cytokine/immune profiling was performed on unstimulated cleared whole saliva collected from 227 adult SARS-CoV-2+ participants and 37 controls. Statistical analysis and modeling revealed significant differential abundance of 25 cytokines (16 downregulated, 9 upregulated). Pathway analysis demonstrated early SARS-CoV-2 infection is associated with local suppression of oral type I/III interferon and blunted natural killer-/T-cell responses, reflecting a potential novel immune-evasion strategy enabling infection. This virus-associated immune suppression occurred concomitantly with significant upregulation of proinflammatory pathways including marked increases in the acute phase proteins pentraxin-3 and chitinase-3-like-1. Irrespective of SARS-CoV-2 infection, prior vaccination was associated with increased total α-SARS-CoV-2-spike (trimer), -S1 protein, -RBD, and -nucleocapsid salivary antibodies, highlighting the importance of COVID-19 vaccination in eliciting mucosal responses. Altogether, our findings highlight saliva as a stable and accessible biofluid for monitoring host responses to SARS-CoV-2 over time and suggest that oral-mucosal immune dysregulation is a hallmark of early SARS-CoV-2 infection, with possible implications for viral evasion mechanisms.

Indexed as

COVID-19CytokinesMouthSalivaSARS-CoV-2AdultAntibodies, ViralCase-Control StudiesFemaleHumansMaleMiddle AgedAntibodies, ViralCytokinescoronavirusCOVID-19cytokinesinflammationmucosal immunitysaliva

Identifiers

PMID39394771
PMCPMC11562286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.