Evidence map›Paper›PMID 40242753›Full record

ArticleFrontiers in immunology2025

Differential immunoregulation by human surfactant protein A variants determines severity of SARS-CoV-2-induced lung disease.

Ikechukwu B Jacob, Akinkunmi O Lawal, Salma S Mahmoud, Emerson M Kopsack, Erin S Reynolds, Qinghe Meng, Hongkuan Fan, Paul T Massa, Saravanan Thangamani, Hongpeng Jia and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ikechukwu B JacobDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Akinkunmi O LawalDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Salma S MahmoudDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Emerson M KopsackDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Erin S ReynoldsDepartment of Microbiology and Immunology, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Qinghe MengDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Hongkuan FanDepartment of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States.
Paul T MassaDepartment of Microbiology and Immunology, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Saravanan ThangamaniDepartment of Microbiology and Immunology, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.
Hongpeng JiaDepartment of Surgery, Johns-Hopkins University, Baltimore, MD, United States.
Guirong WangDepartment of Surgery, The State University of New York (SUNY) Upstate Medical University, Syracuse, NY, United States.

Funding

The role of ACE2 in Influenza viral infection mediated immune compromise and subsequent bacterial lung infectionR01AI148446 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JIA, HONGPENG · 2020 to 2024
$2.9M
The Role of Pericytes in Brain Hypoperfusion in Alzheimer's Disease DevelopmentR01AG081807 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Hongkuan Fan · 2023 to 2026
$2.5M
The Role of Pericytes in the Vascular Dysfunction of SepsisR35GM149203 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Hongkuan Fan · 2023 to 2026
$1.8M
Mechanisms of differential susceptibility of human SP-B genetic variants to pneumonia and lung injuryR01HL136706 · NHLBI · UPSTATE MEDICAL UNIVERSITY · PI WANG, GUIRONG · 2017 to 2020
$1.6M
Roles of human surfactant collectin variants in the susceptibility of COVID-19R21AI171574 · NIAID · UPSTATE MEDICAL UNIVERSITY · PI WANG, GUIRONG · 2022 to 2023
$448k
NHLBI NIH HHS R01 HL136706NIAID NIH HHS R01 AI148446NIAID NIH HHS R21 AI171574NIA NIH HHS R01 AG081807NIGMS NIH HHS R35 GM149203
6 · The paper itself

Abstract

Introduction: COVID-19 remains a significant threat to public health globally. Infection in some susceptible individuals causes life-threatening acute lung injury (ALI/ARDS) and/or death. Human surfactant protein A (SP-A) is a C-type lectin expressed in the lung and other mucosal tissues, and it plays a critical role in host defense against various pathogens. The human SP-A genes ( Methods: Six genetically-modified mouse lines, expressing both hACE2 (SARS-CoV-2 receptor) and individual SP-A variants: (hACE2/6A Results: Infected KO and 1A Conclusion: These findings demonstrate that human SP-A variants differentially modulate SARS-CoV-2-induced lung injury and disease severity by differentially inhibiting viral infectivity and regulating immune-related gene expressions.

Indexed as

COVID-19Pulmonary Surfactant-Associated Protein ASARS-CoV-2AnimalsDisease Models, AnimalFemaleHumansLungMiceMice, KnockoutMice, TransgenicSeverity of Illness IndexPulmonary Surfactant-Associated Protein ASFTPA1 protein, humanSFTPA2 protein, humanhumanized transgenic miceinnate immunitySARS-CoV-2 infectionsignaling pathwaysurfactant protein Asusceptibility

Identifiers

PMID40242753
PMCPMC12000003

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.