Evidence map›Paper›PMID 40421029›Full record

Observational studyFrontiers in immunology2025

Distinct immunity dynamics of natural killer cells in mild and moderate COVID-19 cases during the Omicron variant phase.

Yukari Nishikawa, Kosuke Yamaguchi, Ma'arif Athok Shofiudin, Momone Mimura, Miyako Takata, Shu Mihara, Takeru Kawakami, Ayumu Doi, Risa Matsuda, Hiroyuki Kato and 10 more

Abstract readObservational Study
In one paragraph

Observational study 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. NK Cells: A Powerful Squad Versus SARS-CoV-2.International journal of molecular sciences · 2025
    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.

Yukari Nishikawa *Division of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Kosuke Yamaguchi *Department of Multidisciplinary Internal Medicine, Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago, Japan.
Ma'arif Athok ShofiudinDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Momone MimuraDepartment of Pathobiological Science and Technology, Faculty of Medicine, Tottori University, Yonago, Japan.
Miyako TakataDepartment of Pathobiological Science and Technology, Faculty of Medicine, Tottori University, Yonago, Japan.
Shu MiharaDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Takeru KawakamiDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Ayumu DoiDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Risa MatsudaDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Hiroyuki KatoDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Ryo OkamotoDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Kengo MukudaDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Naoki KinoshitaDepartment of Multidisciplinary Internal Medicine, Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago, Japan.
Kensaku OkadaDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Tsuyoshi KitauraDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Masaki NakamotoDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Hisashi NomaDepartment of Interdisciplinary Statistical Mathematics, The Institute of Statistical Mathematics, Tachikawa, Japan.
Yusuke EndoOrganisation for Research Institute and Promotion, Tottori University, Yonago, Japan.
Akira YamasakiDepartment of Multidisciplinary Internal Medicine, Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago, Japan.
Hiroki ChikumiDivision of Infectious Diseases, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The SARS-CoV-2 Omicron variant is associated with milder COVID-19 symptoms than previous strains. This study analyzed alterations in natural killer (NK) cell-associated immunity dynamics in mild and moderate COVID-19 cases during the Omicron phase of the COVID-19 pandemic. Methods: We conducted a retrospective observational cohort study of patients aged ≥16 with confirmed SARS-CoV-2 infection who were hospitalized at Tottori University Hospital between January 2022 and May 2022. A total of 27 patients were included in the analysis. Of these, 11 and 16 were diagnosed with mild and moderate COVID-19, respectively, based on the Japanese COVID-19 clinical practice guideline. Peripheral blood NK cell subsets and surface markers, including the activating receptor NKG2D and the inhibitory receptor TIGIT, as well as serum levels of 24 immunoregulatory markers, such as cytokines and cytotoxic mediators, were measured at admission and recovery. In addition, to explore immune patterns associated with disease severity, differences in 24 serum markers and soluble UL16-binding protein 2 (sULBP2) at the clinically most symptomatic time point during hospitalization were visualized using a volcano plot and analyzed with Spearman's rank correlation analysis and principal component analysis (PCA). Results: Patients with mild COVID-19 exhibited expanded subsets of unconventional CD56 Conclusions: The results of study highlight the differences in NK cell-associated immune alterations between mild and moderate COVID-19 cases. Elevated IL-6 and sULBP2 levels, along with their correlations with inflammatory mediators, reflects differences in immune response based on disease severity. These findings provide insight into the immune response to infection caused by the Omicron variant of SARS-CoV-2 and improve our understanding of its immunological features.

Indexed as

COVID-19Killer Cells, NaturalSARS-CoV-2AdultAgedBiomarkersCytokinesFemaleHumansMaleMiddle AgedNK Cell Lectin-Like Receptor Subfamily KReceptors, ImmunologicRetrospective StudiesSeverity of Illness IndexBiomarkersCytokinesKLRK1 protein, humanNK Cell Lectin-Like Receptor Subfamily KReceptors, ImmunologicTIGIT protein, humanCOVID-19cytokinesdisease severitynatural killer cellsNKG2DOmicron variantTIGITULBP2

Identifiers

PMID40421029
PMCPMC12104262

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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.