Evidence map›Paper›PMID 39624009›Full record

ArticleJournal of medical virology2024

Elevated Soluble ACE2 Activity in Children and Adults After SARS-CoV-2 Exposure Irrespective of Laboratory-Confirmed Infection.

Maximilian Stich, Vladimir Gonçalves Magalhães, Friederike Bürger, Sven F Garbade, Kathrin Jeltsch, Kerstin Mohr, Anneke Haddad, Roland Elling, Peter Lang, Armin Rabsteyn and 11 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2024. 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

21 authors.

Maximilian StichHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.ORCID 0000-0002-6237-9058
Vladimir Gonçalves MagalhãesGerman Cancer Research Center (DKFZ), Division Virus-Associated Carcinogenesis, Research Group "Dynamics of Early Viral Infection and the Innate Antiviral Response", Heidelberg, Germany.ORCID 0000-0002-4593-3467
Friederike BürgerHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.
Sven F GarbadeHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.ORCID 0000-0002-7420-4757
Kathrin JeltschHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.ORCID 0000-0002-3658-5691
Kerstin MohrGerman Cancer Research Center (DKFZ), Division Virus-Associated Carcinogenesis, Research Group "Dynamics of Early Viral Infection and the Innate Antiviral Response", Heidelberg, Germany.
Anneke HaddadInstitute for Infection Prevention and Control, University Medical Centre and Faculty of Medicine Freiburg, Freiburg im Breisgau, Germany.ORCID 0000-0003-3429-0475
Roland EllingCenter for Pediatrics and Adolescent Medicine, University Medical Centre and Faculty of Medicine Freiburg, Freiburg im Breisgau, Germany.ORCID 0000-0002-2209-4154
Peter LangUniversity Children's Hospital Tübingen, Department of Hematology/Oncology, Tübingen, Germany.ORCID 0000-0001-7737-2142
Armin RabsteynUniversity Children's Hospital Tübingen, Department of Hematology/Oncology, Tübingen, Germany.ORCID 0000-0002-0553-2693
Eva-Maria JacobsenDepartment of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0003-4750-0136
Sebastian F N BodeDepartment of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0001-7217-3312
Barbara MüllerHeidelberg University, Medical Faculty Heidelberg, Department of Infectious Diseases, Virology, Heidelberg, Germany.ORCID 0000-0001-5726-5585
Hans-Georg KräusslichGerman Center for Infection Research (DZIF), Heidelberg Partner Site, Heidelberg, Germany.ORCID 0000-0002-8756-329X
Georg Friedrich HoffmannHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.ORCID 0000-0002-6593-896X
Jürgen G OkunHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.
Ralf BartenschlagerHeidelberg University, Medical Faculty Heidelberg, Department of Infectious Diseases, Molecular Virology, Heidelberg, Germany.ORCID 0000-0001-5601-9307
Marco BinderGerman Cancer Research Center (DKFZ), Division Virus-Associated Carcinogenesis, Research Group "Dynamics of Early Viral Infection and the Innate Antiviral Response", Heidelberg, Germany.ORCID 0000-0002-5805-6109
Aleš JandaDepartment of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm, Germany.ORCID 0000-0001-5604-8378
Hanna RenkUniversity Children's Hospital Tübingen, Department of Pediatric Neurology and Developmental Medicine, Tübingen, Germany.ORCID 0000-0001-7793-0968
Burkhard TönshoffHeidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department of Pediatrics I, Heidelberg, Germany.ORCID 0000-0002-6598-6910

Funding

The study was funded by the Ministry of Science, Research and the Arts in Baden-Württemberg, Germany, within the framework of the special funding line for COVID-19 research, part of the measures to combat the SARS-CoV-2 pandemic in the field of medical research. Maximilian Stich was funded by the DZIF clinical leave stipend of the German Center for Infection Research.
6 · The paper itself

Abstract

The pivotal role of the cell entry receptor ACE2 for SARS-CoV-2 infection is well-established. When ACE2 is shed from cell surface into plasma as soluble ACE2 (sACE2), it can effectively neutralize SARS-CoV-2. This longitudinal prospective cohort study analyzed sACE2 activity in 1192 participants, aged 4 months to 81 years, 3 and 12 months after SARS-CoV-2 household exposure. Following SARS-CoV-2 exposure, participants exhibited significantly elevated sACE2 activity, irrespective of confirmed infection, with the highest levels observed in exposed children. Longitudinal analysis revealed a decline in sACE2 levels over time, reaching levels comparable to age- and sex-matched pre-pandemic controls. An increase in sACE2 activity was also confirmed in vitro in Calu-3 (human lung) cells within hours of SARS-CoV-2 exposure, providing a direct link between SARS-CoV-2 exposure and elevated sACE2. This study, therefore, challenges the dichotomy of categorizing SARS-CoV-2 exposed participants as infected or not infected solely on currently established diagnostic assays. It demonstrates lasting host responses independent of B- and T-cell memory and may help to keep SARS-CoV-2 infections in balance and contribute to successful virus clearance in children and adults lacking humoral and cellular immune responses following SARS-CoV-2 exposure. Trial Registration: German Registry for Clinical Studies; Identifier: D 00021521.

Indexed as

Angiotensin-Converting Enzyme 2COVID-19SARS-CoV-2AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantLongitudinal StudiesMaleMiddle AgedProspective StudiesACE2 protein, humanAngiotensin-Converting Enzyme 2ACE2childrenexposurepersistenceSARS‐CoV‐2

Identifiers

PMID39624009
PMCPMC11612704

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.