Evidence map›Paper›PMID 40256048›Full record

Trial reportOpen forum infectious diseases2025

SARS-CoV-2 Immune Complex-Mediated Neutrophil Activation.

Kiana C Allen, Seth Warner, Heather L Teague, Marcos J Ramos-Benitez, Rui Miao, Xin Tian, Robert Reger, Peter D Burbelo, Chi Wing Jeffrey Pang, Yogendra Kanthi and 8 more

Abstract readClinical Trial
In one paragraph

Trial report in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Association of CD16Journal of inflammation research · 2026
    Article
  6. Article
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

18 authors.

Kiana C AllenCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Seth WarnerCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Heather L TeagueCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Marcos J Ramos-BenitezMicrobiology Division, Basic Science Department, Ponce Health Science University, Ponce, Puerto Rico.
Rui MiaoOffice of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Xin TianOffice of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Robert RegerLaboratory of Transplantation Immunotherapy, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Peter D BurbeloNational Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland, USA.
Chi Wing Jeffrey PangDepartment of Defense, Washington, DC, USA.
Yogendra KanthiLaboratory of Vascular Thrombosis and Inflammation, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Jeffrey I CohenLaboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Bindu Parachalil GopalanCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Anthony F SuffrediniCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Christopher KingAdvanced Lung Disease and Lung Transplant Program, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Steven D NathanAdvanced Lung Disease and Lung Transplant Program, Inova Fairfax Hospital, Falls Church, Virginia, USA.
Richard W ChildsLaboratory of Transplantation Immunotherapy, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Daniel S ChertowCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-1675-1728
Jeffrey R StrichCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding disease pathogenesis is essential to developing therapies in patients with infections that cause critical illness. Herein, we show that SARS-CoV-2-specific antibody levels and markers of neutrophil activation are associated with disease severity in patients hospitalized with COVID-19. We also provide a link between the adaptive and innate immune response by demonstrating an association between antibody levels and multiple markers of neutrophil degranulation and NETosis. We further demonstrate through a series of in vitro assays that SARS-CoV-2 antigen-antibody immune complexes can stimulate NETosis. Last, we discuss how this NETosis is more strongly associated with IgA immune complexes than IgG and can be ameliorated with spleen tyrosine kinase inhibition.

Indexed as

antibodiesCOVID-19immune complexesneutrophil extracellular trapsneutrophils

Identifiers

PMID40256048
PMCPMC12006794

What OpenQuestion holds

Textmetadata
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.