Evidence map›Paper›PMID 41805702›Full record

ArticlePloS one2026

Glucocorticoids suppress early lung inflammation and impair control of SARS-CoV-2 in non-human primates.

Christine E Nelson, Keith D Kauffman, Shunsuke Sakai, Taylor Newbolt, Jay Buchanan, Taylor W Foreman, April M Walker, Felipe Gomez, Joel D Fleegle, Tuberculosis Imaging Program and 7 more

Abstract read
In one paragraph

Article in PloS one, 2026. 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. 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

17 authors.

Christine E NelsonT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.ORCID https://orcid.org/0000-0003-3879-9105
Keith D KauffmanT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Shunsuke SakaiT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Taylor NewboltT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.ORCID https://orcid.org/0009-0002-7503-4267
Jay BuchananT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Taylor W ForemanT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
April M WalkerTuberculosis Imaging Program, Division of Intramural Research, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Felipe GomezTuberculosis Imaging Program, Division of Intramural Research, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Joel D FleegleTuberculosis Imaging Program, Division of Intramural Research, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Tuberculosis Imaging Program
Richard HerbertExperimental Primate Virology Section, Comparative Medicine Branch, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Tom HillIntegrated Data Science Section, Research Technologies Branch, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.ORCID https://orcid.org/0000-0002-4661-6391
Sevilay TuranLeidos Biomedical Sciences Inc, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, Maryland, United States of America.
Katrin D Mayer-BarberInflammation and Innate Immunity Unit, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Reed F JohnsonSARS-CoV-2 Virology Core, Laboratory of Viral Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Laura E ViaTuberculosis Imaging Program, Division of Intramural Research, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.
Daniel L BarberT Lymphocyte Biology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.ORCID https://orcid.org/0000-0001-7008-7509

Funding

Chemical Biology of Infectious Diseases (CBID) Training ProgramT32AI112541 · NIAID · VANDERBILT UNIVERSITY · PI Eric P Skaar · 2015 to 2026
$4.0M
NIAID NIH HHS T32 AI112541
6 · The paper itself

Abstract

In severe cases of COVID-19, glucocorticoid treatment improves clinical outcomes. However, in non-hospitalized patients, glucocorticoids have limited benefit and may impair viral clearance. Here, we used the rhesus macaque model of acute SARS-CoV-2 infection to investigate the impact of glucocorticoids on host responses and viral control in a setting of mild disease. Rhesus macaques were pre-treated with intravenous methylprednisolone for 5 days prior to SARS-CoV-2 (Delta) infection and maintained on a daily oral prednisolone until necropsy at day 13 post infection. Glucocorticoid (GC) treatment decreased local lung inflammation measured with 18FDG-PET/CT imaging. GC treated animals also had evidence of elevated SARS-CoV-2 viral titers in the lower airways and pulmonary draining lymph nodes. Glucocorticoid treatment blunted plasmacytoid dendritic cell (pDC), eosinophil, gamma delta T cell and early SARS-CoV-2 specific CD8 T cell responses in the airways. These data reveal the cell types that are directly impacted by immunosuppression with glucocorticoids and provide insights into the mechanism of delayed viral clearance observed with glucocorticoid administration during SARS-CoV-2 infection.

Indexed as

GlucocorticoidsPneumoniaAnimalsCD8-Positive T-LymphocytesCOVID-19Dendritic CellsDisease Models, AnimalLungMacaca mulattaMaleMethylprednisolonePandemicsSARS-CoV-2Viral LoadGlucocorticoidsMethylprednisolone

Identifiers

PMID41805702
PMCPMC12974840

What OpenQuestion holds

Textmetadata
LicenceCC0
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.