Evidence map›Paper›PMID 40676633›Full record

ArticleImmunity & ageing : I & A2025

Ageing and dysregulated lung immune responses in fatal COVID-19.

Natália de Souza Xavier Costa, Jôse Mara de Brito, Carla Froio, Gabriel Ribeiro Júnior, Ana Carolina Alves Lamounier, Leila Antonangelo, Caroline Silvério Faria, Juliana Tiyaki Ito, Fernanda Degobbi Tenorio Quirino Dos Santos Lopes, Renata Aparecida de Almeida Monteiro and 5 more

Abstract read
In one paragraph

Article in Immunity & ageing : I & A, 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. Clinical predictors of impaired pulmonary diffusing capacity in patients recovering from COVID-19: A secondary analysis of multicentre datasets.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Article
  2. 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

15 authors.

Natália de Souza Xavier CostaLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Jôse Mara de BritoLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Carla FroioLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Gabriel Ribeiro JúniorLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Ana Carolina Alves LamounierUnidade de Pneumologia Pediátrica, Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Leila AntonangeloLaboratório de Investigação Médica (LIM03), Faculdade de Medicina, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Caroline Silvério FariaLaboratório de Investigação Médica (LIM03), Faculdade de Medicina, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Juliana Tiyaki ItoLaboratório de Terapêutica Experimental (LIM-20), Departamento de Clínica Médica, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Fernanda Degobbi Tenorio Quirino Dos Santos LopesLaboratório de Terapêutica Experimental (LIM-20), Departamento de Clínica Médica, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Renata Aparecida de Almeida MonteiroLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Amaro Nunes Duarte-NetoLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Paulo Hilário Nascimento SaldivaLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Luiz Fernando Ferraz da SilvaLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Marisa DolhnikoffLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Thais MauadLaboratório de Patologia Ambiental e Experimental, Departamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. tmauad@usp.br.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 308023/2023-4Conselho Nacional de Desenvolvimento Científico e Tecnológico 401825/2020-5Fundação Bill e Melinda Gates, Estados Unidos INV 002396Fundação de Amparo à Pesquisa do Estado de São Paulo 2020/10281-0Fundação de Amparo à Pesquisa do Estado de São Paulo, Brasil 2022/01769-5Fundação Faculdade de Medicina 209.639Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, HC Convida HC-02.18/2020
6 · The paper itself

Abstract

Elderly individuals were disproportionally affected during the COVID-19 pandemic, and more than 80% of the global COVID-19-related deaths between 2020 and 2021 occurred among people aged 60 years or older. Several cellular modifications in aged cells may lead to systemic inflammation and fibrotic responses. Age or exogenous insults induce cellular senescence, further increasing the release of pro-inflammatory mediators, leading to the condition known as inflammaging, that can contribute to disease severity. Older individuals presented signs of systemic hyperinflammation in severe COVID-19, but few studies analyzed the influence of age on lung tissue responses in cases of severe COVID-19. We hypothesized that age related alterations regarding innate/acquired immunity and cellular senescence in lung tissue of individuals without lung diseases could predispose to viral infection. We also aimed to identify how the aged lung responded to severe COVID-19 infection. We studied lung tissues from 19 individuals that died from non-pulmonary causes and 28 adult individuals who died from COVID-19 between March and May of 2020, divided according to their age (> or < 60 years). Tissue sections were stained, via immunohistochemistry, and 19 markers among immune cells, COVID-19 receptors, cytokines and senescence were analyzed in the lung parenchyma of both groups. In the COVID-19 group, the Luminex multiplex assay technique was used to detect a panel of 25 cytokines/chemokines. In control lungs, aged individuals had a lower TLR7 expression, without differences in other markers. Older patients had a shorter time between onset of symptoms and death, with a significant negative correlation with age. Unlike the adult younger group, older COVID - 19 patients presented significant differences in relation to their age matched controls in the expression of CD8 + T cells, IFN-α2, TLR7, pSTAT-3, p21 and p53. They also presented higher protein expression that IFN-α2 and TGF-beta than the adult COVID-19 group, with a trend to decreased CD20 + cell density in the lungs. Taken together, our data show age adversely affects the lung expression of key proteins related to COVID-19 susceptibility and severity, by perpetuating inflammation and increasing pro-fibrotic responses.

Indexed as

AutopsyCOVID-19ImmunopathologyLung inflammationSenescence

Identifiers

PMID40676633
PMCPMC12269165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.