Evidence map›Paper›PMID 40821834›Full record

ArticleFrontiers in immunology2025

Treatment with intravenous immunoglobulin modulates coagulation- and complement-related pathways in COVID-19 patients.

Dominic McGrosso, Jessica Raygoza, Avnee J Kumar, Michael T Y Lam, Laura A Barnes, Sophia Karandashova, Alexia Perryman, Matthew Geriak, Mazen F Odish, Nicole G Coufal and 5 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Dominic McGrosso *Department of Pharmacology, University of California, San Diego, La Jolla, CA, United States.
Jessica Raygoza *Department of Pharmacology, University of California, San Diego, La Jolla, CA, United States.
Avnee J KumarPulmonary and Critical Care Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA, United States.
Michael T Y LamPulmonary and Critical Care Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA, United States.
Laura A BarnesPulmonary and Critical Care Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA, United States.
Sophia KarandashovaDivision of Respiratory Medicine, Department of Pediatrics, University of California San Diego, La Jolla, CA, United States.
Alexia PerrymanPulmonary and Critical Care Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA, United States.
Matthew GeriakSharp Center for Research, San Diego, CA, United States.
Mazen F OdishDepartment of Medicine, Division of Pulmonary, Critical Care, Sleep and Physiology, University of California, San Diego, La Jolla, CA, United States.
Nicole G CoufalSanford Consortium for Regenerative Medicine, La Jolla, CA, United States.
Brian LichtensteinDivision of Hospital Medicine, Department of Internal Medicine, Sharp Rees Stealy Medical Group, San Diego, CA, United States.
George SakoulasDivision of Hospital Medicine, Department of Internal Medicine, Sharp Rees Stealy Medical Group, San Diego, CA, United States.
Angela MeierDepartment of Anesthesiology, Division of Critical Care, University of California, San Diego, La Jolla, CA, United States.
Victor NizetSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, United States.
Jorge A Masso-SilvaPulmonary and Critical Care Section, Veterans Affairs San Diego Healthcare System, La Jolla, CA, United States.

Funding

Optimal Ventilator Management in Patients with ARDS on ECMOK23HL181397 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Mazen Faris Odish · 2025 to 2026
$358k
BLRD VA IK2 BX005908NHLBI NIH HHS K23 HL181397
6 · The paper itself

Abstract

Introduction: Intravenous immunoglobulin (IVIG) is a therapy that uses pooled immunoglobulins from thousands of different donors. While it is primarily used to treat immunodeficiency and autoimmune diseases due to its immunomodulatory properties, IVIG has also been used as an off-label therapy for respiratory infections, including COVID-19. Clinical data regarding the efficacy of IVIG for COVID-19 has been controversial, and although some smaller studies have shown beneficial effects, others including a large randomized trial found no significant clinical impact but noted detrimental secondary effects. Methods: We describe the first proteomic analysis from the plasma of COVID-19 patients treated with IVIG, as well as clinical outcomes. Results: Patients that received IVIG early upon hospitalization have faster clinical improvement. Proteomic analysis showed that serum from patients with COVID-19 has increased levels of proteins associated with inflammatory responses, activation of coagulation and complement pathways, and dysregulation of lipid metabolism. IVIG therapy significantly impacted pathways related to coagulation. Given known crosstalk between coagulation and complement pathways, we also analyzed complement-related proteins. Overall, treatment with IVIG appeared to modulate coagulation (KNG1, ACTB, FGA, F13B, and CPB2) and complement (C1RL, C8G and CFD) related proteins. Discussion: Our data is supported by similar findings observed in disease states other than COVID-19, where IVIG can impact coagulation and complement proteins. However, early administration seems to be critical determinants to optimize responsiveness to IVIG therapy in COVID-19.

Indexed as

Blood CoagulationComplement System ProteinsCOVID-19COVID-19 Drug TreatmentImmunoglobulins, IntravenousSARS-CoV-2AdultAgedComplement ActivationFemaleHumansMaleMiddle AgedProteomicsTreatment OutcomeComplement System ProteinsImmunoglobulins, IntravenousARDScoagulationcomplementCOVID-19intravenous immunoglobulinIVIgmass spectrometrytandem mass tag

Identifiers

PMID40821834
PMCPMC12350128

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.