Evidence map›Paper›PMID 40064870›Full record

ArticleNature communications2025

Age-associated differences in mucosal and systemic host responses to SARS-CoV-2 infection.

Jillian H Hurst, Aditya A Mohan, Trisha Dalapati, Ian A George, Jhoanna N Aquino, Debra J Lugo, Trevor S Pfeiffer, Javier Rodriguez, Alexandre T Rotta, Nicholas A Turner and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. SARS-CoV-2 mutant spectrum complexity is an epidemiologically evolvable trait.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. 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

22 authors.

Jillian H Hurst *Department of Pediatrics, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-5079-9920
Aditya A Mohan *Department of Biomedical Engineering, Duke University School of Medicine, Durham, NC, USA.
Trisha DalapatiDepartment of Molecular Genetics and Microbiology, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-6319-5253
Ian A GeorgeDuke University School of Medicine, Durham, NC, USA.
Jhoanna N AquinoDepartment of Pediatrics, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.
Debra J LugoDepartment of Pediatrics, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.
Trevor S PfeifferDepartment of Pediatrics, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.
Javier RodriguezChildren's Clinical Research Unit, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Alexandre T RottaDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-4406-2276
Nicholas A TurnerDepartment of Medicine, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0003-0650-4894
Thomas W BurkeDepartment of Medicine, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0003-0592-5822
Micah T McClainDepartment of Medicine, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-8034-1136
Ricardo HenaoDepartment of Biostatistics and Informatics, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4980-845X
C Todd DeMarcoDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Raul LouzaoDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Thomas N DennyDuke Human Vaccine Institute, Duke University School of Medicine, Durham, NC, USA.
Kyle M WalshChildren's Health and Discovery Institute, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-5879-9981
Zhaohui XuDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-0645-1737
Asuncion MejiasDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-5983-8006
Octavio RamiloDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-0565-5239
Christopher W WoodsDepartment of Medicine, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-7240-2453
Matthew S KellyDepartment of Pediatrics, Division of Infectious Diseases, Duke University School of Medicine, Durham, NC, USA. mkelly3@uams.edu.ORCID http://orcid.org/0000-0001-8819-2315

Funding

Early life B cell responses and inflammation following SARS-CoV-2 infectionR01AI161008 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI FOUDA AMOU OU, GENEVIEVE GINY, KELLY, MATTHEW SCOTT · 2021 to 2025
$4.0M
Nasopharyngeal Microbiome and Risk of Bacterial Pathogen Colonization in InfantsK23AI135090 · NIAID · DUKE UNIVERSITY · PI KELLY, MATTHEW SCOTT · 2018 to 2022
$860k
Clinical and host microbiome features in the development of acute otitis mediaK01AI173398 · NIAID · DUKE UNIVERSITY · PI Jillian Heyward Hurst · 2023 to 2026
$509k
Rational identification of Corynebacterium strains for use as probioticsR21AI154081 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI KELLY, MATTHEW SCOTT, SEED, PATRICK C. · 2022 to 2023
$439k
NIAID NIH HHS K01 AI173398NIAID NIH HHS K23 AI135090NIAID NIH HHS R01 AI161008NIAID NIH HHS R21 AI154081U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01-AI161008, K23-AI135090, K23-AI135090
6 · The paper itself

Abstract

Age is among the strongest risk factors for severe outcomes from SARS-CoV-2 infection. Here we describe upper respiratory tract (URT) and peripheral blood transcriptomes of 202 participants (age range of 1 week to 83 years), including 137 non-hospitalized individuals with mild SARS-CoV-2 infection and 65 healthy individuals. Among healthy children and adolescents, younger age is associated with higher URT expression of innate and adaptive immune pathways. SARS-CoV-2 infection induces broad upregulation of URT innate and adaptive immune responses among children and adolescents. Peripheral blood responses among SARS-CoV-2-infected children and adolescents are dominated by interferon pathways, while upregulation of myeloid activation, inflammatory, and coagulation pathways is observed only in adults. Among SARS-CoV-2-infected individuals, fever is associated with blunted URT immune responses and more pronounced systemic immune activation. These findings demonstrate that immune responses to SARS-CoV-2 differ across the lifespan, from distinct signatures in childhood and adolescence to age-associated alterations in adults.

Indexed as

COVID-19SARS-CoV-2Adaptive ImmunityAdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolFemaleHumansImmunity, InnateInfantInfant, NewbornMale

Identifiers

PMID40064870
PMCPMC11894178

What OpenQuestion holds

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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.