Evidence map›Paper›PMID 40583075›Full record

ArticleIntensive care medicine experimental2025

29-mRNA host response signatures for classification of bacterial infection, viral infection and disease progression in COVID-19 pneumonia: a post hoc analysis of the SAVE-MORE randomized clinical trial.

Evdoxia Kyriazopoulou, Antigone Kotsaki, Asimina Safarika, Garyfallia Poulakou, Haralampos Milionis, Simeon Metallidis, Georgios Adamis, Archontoula Fragkou, Aggeliki Rapti, Pierluigi Del Vecchio and 31 more

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

41 authors.

Evdoxia Kyriazopoulou4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Antigone Kotsaki4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Asimina Safarika4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Garyfallia Poulakou3rd Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Haralampos Milionis1st Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.
Simeon Metallidis1st Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Georgios Adamis1st Department of Internal Medicine, G. Gennimatas General Hospital of Athens, Athens, Greece.
Archontoula FragkouDepartment of Internal Medicine, Elpis General Hospital, Athens, Greece.
Aggeliki Rapti2nd Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Pierluigi Del VecchioUnità Operativa Complessa (UOC) Malattie Infettive-Dipartimento Di Scienze Mediche E Chirurgiche, Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
Ioannis Kalomenidis1st Department of Critical Care and Pulmonary Medicine, Medical School, Evangelismos General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Danae Kitzoglou10th Department of Internal Medicine, Tzaneio General Hospital of Piraeus, Athens, Greece.
Andrea AnghebenDepartment of Infectious-Tropical Diseases and Microbiology, IRCSS Sacro Cuore Hospital, Negrar, Verona, Italy.
Ilias Kainis10th Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases of Athens, Athens, Greece.
Konstantina Iliopoulou2nd Department of Internal Medicine, Thriasio General Hospital of Eleusis, Athens, Greece.
Francesco Saverio SerinoDepartment of Internal Medicine, Hospital of Jesolo, Lido Di Jesolo, Italy.
Petros Bakakos1st Department of Chest Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Vassiliki Tzavara1st Department of Internal Medicine, Korgialeneion-Benakeion General Hospital, Athens, Greece.
Sofia IoannouDepartment of Therapeutics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS Ospedale San Raffaele & Vita-Salute San Raffaele University, Milan, Italy.
Katerina Dimakou5th Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Glykeria Tzatzagou1st Department of Internal Medicine, Papageorgiou General Hospital of Thessaloniki, Thessaloniki, Greece.
Maria Chini3rd Department of Internal Medicine and Infectious Diseases Unit, Korgialeneion-Benakeion General Hospital, Athens, Greece.
Matteo BassettiInfectious Diseases Clinic, Ospedale Policlinico San Martino IRCCS and Department of Health Sciences, University of Genova, Genoa, Italy.
Vasileios Kotsis3rd Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
George Tsoukalas4th Department of Pulmonary Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Carlo SelmiHumanitas Research Hospital, Milan, Italy.
Sofia NikolakopoulouCovid-19 Department, Asklipieio General Hospital of Voula, Athens, Greece.
Michael Samarkos1st Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Michael Doumas2nd Department of Propedeutic Medicine, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Aikaterini Masgala2nd Department of Internal Medicine, Konstantopouleio General Hospital, Athens, Greece.
Ilias PapanikolaouDepartment of Pulmonary Medicine, General Hospital of Kerkyra, Corfu, Greece.
Aikaterini ArgyrakiDepartment of Internal Medicine, Sotiria General Hospital of Chest Diseases, Athens, Greece.
Karolina AkinosoglouDepartment of Internal Medicine, University of Patras, Rion, Greece.
Styliani Symbardi1st Department of Internal Medicine, Thriasio General Hospital of Eleusis, Athens, Greece.
Periklis Panagopoulos2nd Department of Internal Medicine, Medical School, Democritus University of Thrace, 681 00, Alexandroupolis, Greece.
George N DalekosDepartment of Medicine and Research Laboratory of Internal Medicine, National Expertise Center of Greece in Autoimmune Liver Diseases, General University Hospital of Larissa, 41110, Larissa, Greece.
Oliver LiesenfeldInflammatix, Inc., Sunnyvale, CA, USA.
Timothy E SweeneyInflammatix, Inc., Sunnyvale, CA, USA.
Purvesh KhatriInstitute for Immunity, Transplantation and Infection, School of Medicine, Stanford University, Stanford, CA, USA.
Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece. egiamarel@med.uoa.gr.ORCID http://orcid.org/0000-0003-4713-3911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiomarkers based on host response signatures are currently under development for the critically ill. We applied a 29-mRNA classifier for the diagnosis and prognosis of suspected acute infection and sepsis (TriVerity

methodsWe applied three scores from locked classifiers (IMX-BVN-4 and IMX-SEV-4) from the 29-mRNA TriVerity

resultsA total of 471 patients were studied. At baseline nearly 90% had a Very Low or Low IMX-BVN-4 Bacterial Score and Moderate, High or Very High IMX-BVN-4 Viral Score. Anakinra treatment had an effect on the expression of genes indicating IMX-SEV-4 High or Very High scores after a 7 day treatment compared to baseline (12.9% of anakinra-treated patients continued being classified as high severity vs 20.4% of placebo-treated patients, p 0.046).

conclusionsThe classifiers were well tested in COVID-19 pneumonia and may become a useful tool for hospitalized patients.

Indexed as

AnakinraBacterial infectionCOVID-19DiagnosticsGene expressionHost responseMortalitySecondary infectionSeverityViral infection

Identifiers

PMID40583075
PMCPMC12206681

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.