Evidence map›Paper›PMID 39504354›Full record

ArticleScience translational medicine2024

Transient anti-interferon autoantibodies in the airways are associated with recovery from COVID-19.

Benjamin R Babcock, Astrid Kosters, Devon J Eddins, Maria Sophia Baluyot Donaire, Sannidhi Sarvadhavabhatla, Vivian Pae, Fiona Beltran, Victoria W Murray, Gurjot Gill, Guorui Xie and 10 more

Abstract read
In one paragraph

Article in Science translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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  8. Observational
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  10. Review
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  14. Article
  15. Systems biology of B cells in COVID-19.Seminars in immunology · 2024
    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

20 authors.

Benjamin R BabcockDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0002-2902-8045
Astrid KostersDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.
Devon J EddinsDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0002-7905-8306
Maria Sophia Baluyot DonaireDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0009-0007-9647-2473
Sannidhi SarvadhavabhatlaDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0009-0003-8326-8423
Vivian PaeDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0009-0008-2415-6647
Fiona BeltranDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.
Victoria W MurrayDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0000-0002-4479-2359
Gurjot GillDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0000-0002-3207-6582
Guorui XieGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0000-0002-9295-2724
Brian S DoboshDepartment of Pediatrics, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0003-1537-7188
Vincent D GiacaloneDepartment of Pediatrics, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0002-3496-7776
Rabindra M TirouvanziamDepartment of Pediatrics, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0003-3526-9985
Richard P RamonellDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0002-2385-0636
Scott A JenksDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0001-7485-8331
Ignacio SanzDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0003-4182-587X
F Eun-Hyung LeeDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.
Nadia R RoanGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0000-0002-5464-1976
Sulggi A LeeDivision of HIV, Infectious Diseases & Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, USA.ORCID 0000-0003-1560-2250
Eliver E B GhosnDivision of Immunology and Rheumatology, Department of Medicine, Lowance Center for Human Immunology, Emory University, Atlanta, GA 30322, USA.ORCID 0000-0001-7258-906X

Funding

Regulation of Pathogenic Plasma Cells in Human SLEP01AI125180 · NIAID · EMORY UNIVERSITY · PI Ignacio E. Sanz · 2016 to 2026
$28.2M
Project-004U54CA260563 · NCI · EMORY UNIVERSITY · PI DHODAPKAR, MADHAV V, SANZ, IGNACIO E. · 2020 to 2024
$10.2M
Understanding Survival of Human Bone Marrow Long-Lived Plasma CellsR01AI121252 · NIAID · EMORY UNIVERSITY · PI LEE, FRANCES EUN-HYUNG · 2016 to 2020
$2.7M
Integrin-dependent modulation of macrophage functionR01AI123126 · NIAID · EMORY UNIVERSITY · PI GHOSN, ELIVER · 2016 to 2020
$2.3M
flowBEAT: a multiparameter flow cytometry assay to discover longitudinal antibody responses associated with efficient recovery from COVID-19R21AI167032 · NIAID · EMORY UNIVERSITY · PI GHOSN, ELIVER · 2022 to 2023
$425k
NCI NIH HHS U54 CA260563NIAID NIH HHS P01 AI125180NIAID NIH HHS R01 AI121252NIAID NIH HHS R01 AI123126NIAID NIH HHS R21 AI167032
6 · The paper itself

Abstract

Preexisting anti-interferon-α (anti-IFN-α) autoantibodies in blood are associated with susceptibility to life-threatening COVID-19. However, it is unclear whether anti-IFN-α autoantibodies in the airways, the initial site of infection, can also determine disease outcomes. In this study, we developed a multiparameter technology, FlowBEAT, to quantify and profile the isotypes of anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and anti-IFN-α antibodies in longitudinal samples collected over 20 months from the airways and blood of 129 donors spanning mild to severe COVID-19. We found that nasal IgA1 anti-IFN-α autoantibodies were induced after infection onset in more than 70% of mild and moderate COVID-19 cases and were associated with robust anti-SARS-CoV-2 immunity, fewer symptoms, and efficient recovery. Nasal anti-IFN-α autoantibodies followed the peak of host IFN-α production and waned with disease recovery, revealing a regulated balance between IFN-α and anti-IFN-α response. In contrast, systemic IgG1 anti-IFN-α autoantibodies appeared later and were detected only in a subset of patients with elevated systemic inflammation and worsening symptoms. These data reveal a protective role for nasal anti-IFN-α in the immunopathology of COVID-19 and suggest that anti-IFN-α autoantibodies may serve a homeostatic function to regulate host IFN-α after viral infection in the respiratory mucosa.

Indexed as

AutoantibodiesCOVID-19Interferon-alphaSARS-CoV-2AdultFemaleHumansImmunoglobulin AImmunoglobulin GMaleMiddle AgedRespiratory SystemAutoantibodiesImmunoglobulin AImmunoglobulin GInterferon-alpha

Identifiers

PMID39504354
PMCPMC11924959

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.