The DOI matches its Crossref record; 194 of the 194 references it cites were found in a registry or an index; none of the 147 sources its claims cite is checked for support yet.
COVID-19 and the human innate immune system
Open accessAbstract
The introduction of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) into the human population represents a tremendous medical and economic crisis. Innate immunity-as the first line of defense of our immune system-plays a central role in combating this novel virus. Here, we provide a conceptual framework for the interaction of the human innate immune system with SARS-CoV-2 to link the clinical observations with experimental findings that have been made during the first year of the pandemic. We review evidence that variability in innate immune system components among humans is a main contributor to the heterogeneous disease courses observed for coronavirus disease 2019 (COVID-19), the disease spectrum induced by SARS-CoV-2. A better understanding of the pathophysiological mechanisms observed for cells and soluble mediators involved in innate immunity is a prerequisite for the development of diagnostic markers and therapeutic strategies targeting COVID-19. However, this will also require additional studies addressing causality of events, which so far are lagging behind.
Overview
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Written from the paper’s full text.
TL;DR
This review proposes a conceptual framework for how the human innate immune system interacts with SARS-CoV-2 and argues that host innate variability, especially in type I interferon responses, is a major driver of heterogeneous COVID-19 courses. It synthesizes first-year pandemic evidence and calls for causal, longitudinal studies to guide stratification and therapy.
Key findings
- Disease heterogeneity is attributed mainly to host and environmental factors rather than viral genetics; 10%–20% of symptomatic patients develop severe or critical disease, while mutations such as D614G increase infectivity but do not explain the broad clinical spectrum.
- Type I interferon immunity is central: SARS-CoV-2 antagonizes it at multiple points, and severe COVID-19 has been linked to loss-of-function variants in TLR3, IRF7, and IRF9 pathways in an estimated 3.5% of severe cases, autoantibodies against type I interferons in more than 10% of severe cases, and X-chromosomal TLR7 variants in young ICU patients.
- Severe disease involves an early transient interferon/ISG wave followed by hyperinflammation with elevated IL-6, TNF, and other mediators, alongside immunosuppressive myeloid changes such as HLA-DRlo monocytes, PD-L1-expressing neutrophils, emergency myelopoiesis, and neutrophil extracellular trap formation; the “cytokine storm” label is debated, with viral sepsis proposed as an alternative description.
- Age and inflammaging are major risk factors, and a chromosome 3 risk locus inherited from Neanderthals is carried by about 50% of people in South Asia and about 16% in Europe; trained immunity via BCG is under investigation, with 21 BCG trials and 3 VPM1002 trials registered as of early 2021.
Methods
- Narrative/conceptual review rather than primary research; it integrates clinical observations, genetic association and sequencing studies, single-cell omics, proteomics, and animal-model findings from the first year of the pandemic.
- The authors organize the discussion around a five-phase disease trajectory and a systems-medicine framework linking clinical investigation, computational modeling, and experimental validation.
- No systematic search strategy, meta-analysis, or new patient cohort is described.
Limitations
- The authors state that causality of events is still lagging behind and that larger longitudinal and mechanistic studies are urgently needed; many cited findings are preliminary or correlative.
- Evident from the text: the review covers mainly early-pandemic literature, does not perform a formal quality assessment, and notes that therapeutic conclusions await results from ongoing randomized trials.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
0 of 147 cited sources checked · 0 supported · 0 flagged
In the paper
“Although many mutations decreased infectivity, the virus variant D614G in the spike protein of SARS-CoV-2 increased infectivity (Li et al., 2020).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Li et al., 2020
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“This is in stark contrast to the 2009 influenza pandemic, which had much lower incidence rates in the elderly population, indicating partial protection on population level due to earlier exposure to similar influenza viruses (Xu et al., 2010).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Xu et al., 2010
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“It is possible that cross-protection via adaptive immune responses against endemic coronaviruses might be in part responsible for mild disease courses in younger individuals (Lipsitch et al., 2020).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Lipsitch et al., 2020 source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Similar to SARS-CoV (Matsuyama et al., 2010), SARS-CoV-2 employs the cellular serine protease TMPRSS2 for S protein priming.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Matsuyama et al., 2010 source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“Here, it was even possible to predict the impact of clinical risk factors such as sex, age, and smoking history among others on gene expression level of genes associated with viral entry.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Muus et al., 2021
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesNone of the sources cited for this claim have been checked yet.
In the paper
“In the lung, ACE2 and TMPRSS2 expression has been mainly identified in alveolar epithelial type II cells (Qi et al., 2020; Zou et al., 2020).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Qi et al., 2020
- Not checked yetcites Zou et al., 2020 source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“co-infection of monocytes in the BALF with human metapneumovirus was identified in one of the severe COVID-19 patients (Bost et al., 2020)”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Bost et al., 2020 source
Strength:plain· not yet calibratedSingle caseTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“The strongest enrichment of viral RNA was observed in ciliated and epithelial progenitors.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Bost et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesNone of the sources cited for this claim have been checked yet.
In the paper
“Viral RNA was also detected in a subset of macrophages (SPP1 + macrophages) (Bost et al., 2020; Chua et al., 2020).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“the angiotensin-converting enzyme 2 (ACE2), was also a major cellular entry point for SARS-CoV-2 (Hoffmann et al., 2020).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Hoffmann et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes
- It may state two separate claims as one. 53
- Probably not a substantial claim. 9
- The quote only partly states this claim. 4
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Innate immunity—as the first line of defense of our immune system—plays a central role in combating this novel virus.”
§ COVID-19 and the human innate immune system > Abstract
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Disease courses range from mainly asymptomatic and mild courses to more severe and critical courses in 10%–20% of symptomatic patients who are at considerable risk of fatality with many different organ systems involved in differing combinations and with variable symptoms (Gupta et al., 2020)”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Gupta et al., 2020 source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“TMPRSS2 is more widely expressed than ACE2, and cells with simultaneous expression were identified in the respiratory tree, the cornea, esophagus, ileum, colon, gallbladder, and common bile duct (Sungnak et al., 2020), yet there was no evidence for simultaneous expression in immune cells.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Sungnak et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Disease severity and mortality rates are significantly higher in elderly populations pointing toward lack of widespread long-lasting pre-existing adaptive immunity by T or B cells against SARS-CoV-2 (Morens and Fauci, 2020).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Morens and Fauci, 2020
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“In vitro monocyte-derived macrophages and dendritic cells (DCs) are susceptible to SARS-CoV-2 infection, which is abortive, because these cells do not support virus replication (Yang et al., 2020a).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Yang et al., 2020a
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The virus itself, the environment, and the host can contribute to such disease heterogeneity (Morens and Fauci, 2020).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Morens and Fauci, 2020
Strength:plain· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Numerous mutations identified so far by thousands of viral sequences obtained during the first 9 months of the pandemic (Candido et al., 2020; Oude Munnink et al., 2020) suggest that viral genetic diversity, genetic evolution, variable infectivity, or co-pathogenesis might contribute to infectivity and fatality, but not so much to disease heterogeneity observed for COVID-19.”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“An interesting observation of this study was the high co-expression of genes involved in early steps of antiviral immune responses in these epithelial cells, which indicated the potential for these specialized nasal cells to play an important role in the initial viral infection, spread, but potentially also, clearance.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Sungnak et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Although there is evidence that environmental factors such as seasonality, other natural disasters, environmental degradation, quality of the public health infrastructure, or governance by state authorities have an impact on overall disease burden for society (Han et al., 2020)”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
- Not checked yetcites Han et al., 2020 source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“DeltaACE2 neither binds the SARS-CoV-2 spike protein nor serves as a carboxypeptidase.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Onabajo et al., 2020 source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Furthermore, there has been no evidence for the role of innate immune cells in SARS-CoV-2 gaining access to the retina (de Figueiredo et al., 2020) or the brain (Song et al., 2021), albeit the virus has been found in both organs.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“the host itself seems to be the major factor explaining disease severity, infection rates (Merad and Martin, 2020; Vabret et al., 2020), and long-term medical consequences (Marshall, 2020).”
§ COVID-19 and the human innate immune system > Introduction
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Similarly, the human placenta is highly susceptible to SARS-CoV-2 infection, but only non-immune cells including syncytiotrophoblasts in the first trimester and extravillous trophoblasts in the second trimester express ACE2 and TMPRSS2 and have been identified as cellular targets for the virus (Ashary et al., 2020).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Ashary et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“An interesting finding is the expression of ACE2 and TMPRSS2 on platelets, considering that patients present with signs of platelet hyperactivation, particularly in severe COVID-19 (Zhang et al., 2020b).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Zhang et al., 2020b
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The dynamics of type I IFNs in severe patients is in line with findings in a murine model of SARS-CoV-2 infection illustrating that type I IFNs do not control SARS-CoV-2 replication in vivo but are significant drivers of pathologic responses (Israelow et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Israelow et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Functional testing further supported the counteracting activity of ORF3b, ORF6, NSP1, or NSP13 on type I IFN activation, of which particularly ORF6 suppressed STAT1 and STAT2 phosphorylation and STAT1 nuclear translocation, (Konno et al., 2020; Lei et al., 2020; Xia et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“A longitudinal analysis confirmed an early peak with subsequent decline of IFNα and IFNλ in mild-to-moderate COVID-19, whereas levels further increased particularly during the second week in severe patients (Lucas et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Lucas et al., 2020 source
Strength:boosted· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“CD147 is widely expressed and receptor expression and viral load does not seem to correlate (Bost et al., 2020) arguing against CD147 as a major entry receptor for SARS-CoV-2.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Bost et al., 2020 source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“In vitro exposure to SARS-CoV-2 or its Spike protein potentiated platelet aggregation, release of dense granules, upregulation of activation markers (PAC-1, CD62P), platelet spreading, and clot retraction.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Zhang et al., 2020b
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Interestingly, other coronavirus family member receptors (ANPEP and DPP4) and several proteases (CTSL, CTSB, and Furin) are uniformly expressed within the placenta throughout the first and second trimester, and genes necessary for viral budding and replication were also identified, strongly suggesting that the placenta is a vulnerable target for productive infection (Ashary et al., 2020).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
- Not checked yetcites Ashary et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“A common pattern of cell entry via endocytosis following receptor binding was established for coronaviruses, which is followed by viral RNA release into the cytoplasm, production of viral proteins, and formation of viral replication/transcription complexes on double-membrane vesicles (Snijder et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Snijder et al., 2020 source
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“SARS-CoV-2-derived non-structural protein 16 (NSP16) suppresses global mRNA splicing and diminishes recognition of viral RNA by intracellular helicase receptors, NSP1 leads to global inhibition of mRNA translation by binding to the 18S ribosomal RNA in the mRNA entry channel, and NSP8 and NSP9 interfere with protein trafficking to the cell membrane; all three mechanisms independently leading to”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The detection of viral RNA in myeloid cells derived from lung or BALF of severe COVID-19 patients still allows several explanations, including phagocytosis of cellular material derived from infected cells, which requires further assessment.”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“SARS-CoV-2 enters type II pneumocytes via ACE2 in the respiratory system leading to rapid virus replication as well as concomitantly to a proinflammatory state with elevated levels of cytokines such as IL-1, IL-6, CXCL8, and TNF”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > The next phase—from “cytokine storm” to immunosuppression
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Interaction mapping further suggested that NSP13 interacts with TBK1, NSP15 with NRDP1 (an E3 ubiquitin ligase controlling the balance between JAK2-associated cytokine receptor degradation and ectodomain shedding), ORF9b with TOMM70 (an important receptor of the outer mitochondrial membrane), and ORF6 with either KPNA2 or the IFN-induced NUP98-RAE1 nuclear export complex, which are both involved”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Similarly, the pattern recognition receptors (PRRs) involved in recognizing SARS-CoV-2 are not yet directly determined. Based on findings from other coronaviruses, the most likely candidates are Toll-like receptors 3 (TLR3) and TLR7 in the endosome (Mazaleuskaya et al., 2012) or the cytosolic sensors retinoic acid-inducible gene 1 (RIG-I) and melanoma differentiation-associated gene 5 (MDA5) (Sa R”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“In in vitro infection models utilizing cell lines, SARS-CoV-2 induced only low type I and II IFNs, consequently inducing only moderate levels of ISGs and a unique proinflammatory cytokine signature including IL1B, IL6, and TNF, as well as many chemokines (CCL20, CXCL1, CXCL2, CXCL3, CXCL5, CXCL6, and CXCL16) (Blanco-Melo et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Blanco-Melo et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Accumulation of NF-κB-dependent proinflammatory mediators can provoke an accumulation of pathogenic inflammatory neutrophils and macrophages in the lung”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > The next phase—from “cytokine storm” to immunosuppression
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesThe quote only partly states this claim.
In the paper
“RIG-I and MDA5 trigger the downstream adaptor mitochondrial antiviral signaling protein (MAVS) on mitochondria followed by activation of tumor necrosis factor receptor-associated factor 3 (TRAF3), TRAF family member-associated nuclear factor κB (NF-κB) activator binding kinase 1 (TBK1), together with inhibitor of NF-κB kinase-ε (IKK), which leads to phosphorylation of the “master regulators” IRF3”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Loo and Gale, 2011
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“These observations were further extended by illustrating a lack of expression of genes encoding type I IFNs in peripheral blood mononuclear cells (PBMCs) of COVID-19 patients and an early but transient wave of ISG expression in blood-derived immune cells, which correlated with an early burst of IFNα, likely of lung origin (Arunachalam et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Arunachalam et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Similar signaling cascades are known downstream of TLR3 and TLR7 (Figure 2C).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Loo and Gale, 2011
Strength:boosted· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“An early study in patients reported that type I IFNs were either not detected (particularly IFNβ) irrespective of disease severity or at lower levels (IFNα) in plasma mainly derived from patients with severe disease (Hadjadj et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
- Not checked yetcites Hadjadj et al., 2020 source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Furthermore, the virus facilitates the release of coagulation factors, the secretion of inflammatory cytokines, and the formation of leukocyte-platelet aggregates, which might be important mechanisms leading to thromboembolic complications observed in severe COVID-19 (Ackermann et al., 2020; Gupta et al., 2020; Zhang et al., 2020b).”
§ COVID-19 and the human innate immune system > The breach—point of entry for SARS-CoV-2
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Importantly, the type I IFN response can be rather heterogeneous. Depending on the state of the reacting cell (e.g., with respect to its metabolic or general activation state) (Talemi and Höfer, 2018), it is at least in part stochastic (Rand et al., 2012; Wimmers et al., 2018), it varies among different cell types and microenvironments, and it shows interindividual heterogeneity concerning the”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“As an immune evasion strategy, SARS-CoV-2 uses a multipronged strategy to antagonize the IFN system with the clinical consequence of an insufficient type I IFN response having been recognized in early COVID-19 studies (Acharya et al., 2020; Blanco-Melo et al., 2020; Sa Ribero et al., 2020).”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Alarming the immune system—recognition, interferon response, and immune evasion
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Type I IFN therapy in patients with genetic deficits in the IFN system (Zhang et al., 2020a), but not in those with autoimmune phenocopies of these deficits (Bastard et al., 2020), might be beneficial if provided sufficiently early (Hadjadj et al., 2020; Wang et al., 2020b).”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
What the sources say
- Not matchedcites Zhang et al., 2020a
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked yetcites Bastard et al., 2020 source
- Not matchedcites Hadjadj et al., 2020; Wang et al., 2020b
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Not matched
In the paper
“a scenario emerges with rather differently programmed innate immune cells in mild versus severe disease courses”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Changes in the innate immune cell compartment
What the sources say
- Not checked yetcites Sette and Crotty, 2021 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one. The quote only partly states this claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“suggesting that immune parameters might be used for disease classification or outcome prediction.”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Immune parameters as biomarkers
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“point toward complement activation as an early innate immune activation mechanism”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > The next phase—from “cytokine storm” to immunosuppression
What the sources say
- Not checked yetcites Shen et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“better summarized as viral sepsis, with the upregulation of proinflammatory mediators being only one part of a derailed innate immune response”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > The next phase—from “cytokine storm” to immunosuppression
What the sources say
- Not checked yetcites Riva et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“four cytokines (IL-6, CXCL8, TNF, and IL-1β) were assessed in serum from 1,484 COVID-19 patients (Del Valle et al., 2020) of which TNF, IL-1β, and IL-6 were elevated in COVID-19 patients, and TNF and IL-6 turned out to be independent predictors of disease severity and fatal outcome.”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Immune parameters as biomarkers
What the sources say
- Not checked yetcites Del Valle et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“suggested that host genetics might contribute to disease susceptibility and severity”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Genetic factors impacting the immune response to SARS-CoV-2
What the sources say
- Not checked yetcites Ovsyannikova et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“A specialized form of innate immune adaptation is the induction of immune memory (also termed trained immunity)”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Adaptation of innate immune cells: A role for trained immunity?
What the sources say
- Not checked yetcites Netea et al., 2020a
- Not checked yetcites Giamarellos-Bourboulis et al., 2020b
- Not checked yetcites Moorlag et al., 2020 source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Inflammaging is considered a chronic, sterile inflammation characterized by elevated levels of inflammatory mediators in the circulation including IL-6, TNF, CXCL8, CCL2, CRP, and PLA2GD”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Age, inflammaging, and COVID-19
What the sources say
- Not checked yetcites Franceschi et al., 2017 source
- Not checked yetcites Frasca and Blomberg, 2016
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Mild COVID-19 patients were marked by circulating HLA-DR hi CD11c hi inflammatory monocytes with an interferon-stimulated gene signature”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Changes in the innate immune cell compartment
What the sources say
- Not checked yetcites Schulte-Schrepping et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one. The quote only partly states this claim.
None of the sources cited for this claim have been checked yet.
In the paper
“suggesting the lung as a source for the elevated plasma levels of type I IFNs early on infection”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Changes in the innate immune cell compartment
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one. The quote only partly states this claim.
None of the sources cited for this claim have been checked yet.
In the paper
“An increase in circulating neutrophils versus a decrease in lymphocytes has been appreciated as a hallmark of severe COVID-19”
§ COVID-19 and the human innate immune system > Cytokine alterations and innate immune cell responses following infection > Changes in the innate immune cell compartment
What the sources say
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“These include chronic fatigue syndrome (Salisbury, 2020) and a spectrum of psychiatric disorders ranging from cognitive decline, depression, to even neurodegeneration (Taquet et al., 2021).”
§ COVID-19 and the human innate immune system > Summary and outlook
What the sources say
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Along these lines, therapies targeting the kallikrein-kinin system with icatibant (van de Veerdonk et al., 2020), or the coagulation system with antibodies against C5a and C3a (Mastellos et al., 2020), have been introduced as additional options to ameliorate clinical symptoms and reduce mortality rates.”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
What the sources say
Strength:plain· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“suppressed the production of proinflammatory cytokines in lung macrophages, and the recruitment of neutrophils to the lung (Hoang et al., 2021).”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
What the sources say
- Not checked yetcites Hoang et al., 2021 source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Further, molecular prediction of drug responses may guide the way for precision medicine approaches following patient stratification.”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“Indeed, dexamethasone was shown to be beneficial, particularly in patients with severe disease courses where it reduced 28-day mortality in randomized clinical trials (RECOVERY Collaborative Group et al., 2021; Tomazini et al., 2020; WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group et al., 2020).”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
What the sources say
- Not checked yetcites RECOVERY Collaborative Group et al., 2021
- Not checked yetcites Tomazini et al., 2020 source
- Not checked yetcites WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group et al., 2020
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“different combinations of soluble factors were assessed in different studies in context of COVID-19 with only a few choosing comprehensive approaches (Messner et al., 2020; Su et al., 2020).”
§ COVID-19 and the human innate immune system > Factors that influence disease severity > Immune parameters as biomarkers
What the sources say
- Not checked yetcites Messner et al., 2020 source
- Not checked yetcites Su et al., 2020
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“More evidence accumulates suggesting that a yet unknown fraction of patients will suffer from what is described as Long COVID-19, a chronic illness with very heterogeneous symptoms (Marshall, 2020).”
§ COVID-19 and the human innate immune system > Summary and outlook
What the sources say
- Not checked yetcites Marshall, 2020 source
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Based on results from phase-III vaccine trials utilizing mRNA vaccines (Anderson et al., 2020; Polack et al., 2020), two vaccines have been approved in the United States, United Kingdom, Israel, and the European Union, and several million individuals have been vaccinated since late 2020.”
§ COVID-19 and the human innate immune system > Therapeutic options targeting immune deviation
What the sources say
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For example, the vicious cycle of viral sepsis developing in an affected individual already suffering from chronic obstructive pulmonary disease (COPD) might differ from the disease course observed in an obese person and therefore might require other therapies.”
§ COVID-19 and the human innate immune system > Summary and outlook
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Parameters measurable at earlier phases of the disease would be useful to predict the outcome of viral sepsis.”
§ COVID-19 and the human innate immune system > Summary and outlook
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“A better understanding of the molecular immune mechanisms, particularly at the transition from a local to a systemic response phase and during viral sepsis, is a prerequisite to introduce novel therapies.”
§ COVID-19 and the human innate immune system > Summary and outlook
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“This is similarly true for a potential role of innate immune cells such as NK cells, innate lymphoid cells, mast cells, basophils, or eosinophils, which have not yet been studied in sufficient detail in COVID-19.”
§ COVID-19 and the human innate immune system > Summary and outlook
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Organ involvement, magnitude of clinical symptoms, and length of this phase is highly variable”
§ COVID-19 and the human innate immune system > Summary and outlook
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
The authors state this as an assumption.
The majority of humankind does not have an extended cross-reaction to other viruses of the coronavirus family.
“assuming that the majority of humankind does not have an extended cross-reaction to other viruses of the coronavirus family (Braun et al., 2020; Grifoni et al., 2020; Mateus et al., 2020)”
The authors state this as an assumption.
Most steps of the interaction between the virus and the host follow a normal distribution of attributes or parameters required to describe the outcome of the interaction.
“Bearing in mind that most of the steps of the interaction between the virus and the host will follow a normal distribution of attributes or parameters required to describe the outcome of the interaction”
The paper relies on this without support.
The virus counteracts the type I IFN system.
“Because SARS-CoV-2 antagonizes the type I IFN system”
The paper relies on this without support.
COVID-19 is clinically heterogeneous.
“Because COVID-19 presents with such heterogeneity”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Like other pathogenic respiratory RNA viruses (including other coronaviruses, respiratory syncytial virus and enteroviruses)55, SARS-CoV-2 can evade innate immune responses via multiple mechanisms55,56, indicating that innate immunity is likely crucial for host protection54,57.”
From Immunological mechanisms of vaccine-induced protection against COVID-19 in humans (2021) · cites this paper as [56]
Citations
Cites
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30183-5 · Cited by 48,884
Clinical characteristics of coronavirus disease 2019 in China
Guan, W.-J., Ni, Z.-Y., Hu, Y., Liang, W.-H., Ou, C.-Q., He, J.-X., Liu, L., Shan, H., Lei, C.-L., Hui, D. S. C., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa2002032 · Cited by 30,246
Hoffmann, M., Kleine-Weber, H., Schroeder, S., Krüger, N., Herrler, T., Erichsen, S., Schiergens, T. S., Herrler, G., Wu, N.-H., Nitsche, A., et al. (2020) · Cell · doi:10.1016/j.cell.2020.02.052 · Cited by 20,286
Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine
Polack, F. P., Thomas, S. J., Kitchin, N., Absalon, J., Gurtman, A., Lockhart, S., Perez, J. L., Pérez Marc, G., Moreira, E. D., Zerbini, C., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa2034577 · Cited by 14,592
A new coronavirus associated with human respiratory disease in China
Wu, F., Zhao, S., Yu, B., Chen, Y.-M., Wang, W., Song, Z.-G., Hu, Y., Tao, Z.-W., Tian, J.-H., Pei, Y.-Y., et al. (2020) · Nature · doi:10.1038/s41586-020-2008-3 · Cited by 11,688 · cited 4×
“, 2020), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Kim et al., 2020; Wu et al., 2020; Yao et al., 2020; Zhang and Holmes, 2020) is a rather heterogeneous disease.”
BackgroundInfluentialDexamethasone in Hospitalized Patients with Covid-19
The RECOVERY Collaborative Group (2021) · New England Journal of Medicine · doi:10.1056/nejmoa2021436 · Cited by 11,477
Effect of Dexamethasone in Hospitalized Patients with COVID-19 – Preliminary Report
Horby, P., Lim, W. S., Emberson, J., Mafham, M., Bell, J., Linsell, L., Staplin, N., Brightling, C., Ustianowski, A., Elmahi, E., et al. (2020) · doi:10.1101/2020.06.22.20137273 · Cited by 11,475 · cited 3×
“…shown to be beneficial, particularly in patients with severe disease courses where it reduced 28-day mortality in randomized clinical trials (RECOVERY Collaborative Group et al., 2021; Tomazini et al., 2020; WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group et al., 2020).”
BackgroundRichardson, S., Hirsch, J. S., Narasimhan, M., Crawford, J. M., McGinn, T., Davidson, K. W., and the Northwell COVID-19 Research Consortium, Barnaby, D. P., Becker, L. B., Chelico, J. D., et al. (2020) · JAMA · doi:10.1001/jama.2020.6775 · Cited by 9,254
Gorbalenya, A. E., Baker, S. C., Baric, R. S., de Groot, R. J., Drosten, C., Gulyaeva, A. A., Haagmans, B. L., Lauber, C., Leontovich, A. M., Neuman, B. W., et al. (2020) · Nature Microbiology · doi:10.1038/s41564-020-0695-z · Cited by 8,745 · cited 2×
“…and based on its close relationship with the SARS coronavirus (SARS-CoV) (Coronaviridae Study Group of the International Committee on Taxonomy of Viruses, 2020), it became quickly clear that the surface receptor for SARS-CoV (Li et al., 2003), the angiotensin-converting enzyme 2 (ACE2), was…”
BackgroundFactors associated with COVID-19-related death using OpenSAFELY
Williamson, E. J., Walker, A. J., Bhaskaran, K., Bacon, S., Bates, C., Morton, C. E., Curtis, H. J., Mehrkar, A., Evans, D., Inglesby, P., et al. (2020) · Nature · doi:10.1038/s41586-020-2521-4 · Cited by 6,674
Flagged first, then by citations
Research works printed but not linked: 2
- de Chaisemartin, 2020, BCG vaccination in infancy does not protect against COVID-19. Evidence from a natural experiment in Sweden, Clin. Infect. Dis.
- Muus, 2021, Integrated analyses of single-cell atlases reveal age, gender, and smoking status associations with cell type-specific expression of mediators of SARS-CoV-2 viral entry and highlights inflammatory programs in putative target cells, Nat Med.
Cited by
Sorted by citations
Items 301–400 of 612
Hysenaj, L., Little, S., Kulhanek, K. R., Magnen, M., Bahl, K., Gbenedio, O. M., Prinz, M., Rodriguez, L., Andersen, C., Rao, A. A., et al. (2023) · Stem Cell Reports · doi:10.1016/j.stemcr.2023.01.011 · Cited by 13
“SARS-CoV-2 research has focused on the immune cells (Schultze and Aschenbrenner, 2021; Sette and Crotty, 2021), but many questions regarding airway epithelial responses to SARS-CoV-2 infection have remained unanswered.”
A review of the effect of COVID-19 on immune responses of the body
Hekmatnia, Y., Rahmani, F., Feili, Z., & Ebrahimzadeh, F. (2022) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_677_21 · Cited by 12
Epigenetics at the Intersection of COVID-19 Risk and Environmental Chemical Exposures
Bulka, C. M., Enggasser, A. E., & Fry, R. C. (2022) · Current Environmental Health Reports · doi:10.1007/s40572-022-00353-9 · Cited by 10
The SARS-CoV-2 Nucleoprotein Induces Innate Memory in Human Monocytes
Urbán, P., Italiani, P., Boraschi, D., & Gioria, S. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.963627 · Cited by 9
Holms, R., & Ataullakhanov, R. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222111688 · Cited by 9
Maurya, R., Shamim, U., Chattopadhyay, P., Mehta, P., Mishra, P., Devi, P., Swaminathan, A., Saifi, S., Khare, K., Yadav, A., et al. (2022) · Clinical and Translational Medicine · doi:10.1002/ctm2.856 · Cited by 9
Yao, Y., Dai, Y.-Y., & Zhao, J.-S. (2022) · Chemical engineering research & design · doi:10.1016/j.psep.2022.03.023 · Cited by 9
Purwono, P. B., Vacharathit, V., Manopwisedjaroen, S., Ludowyke, N., Suksatu, A., & Thitithanyanont, A. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301330 · Cited by 12
Yang, T., Wang, S. C., Ye, L., Maimaitiyiming, Y., & Naranmandura, H. (2023) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2023.2175812 · Cited by 12
Proteomic profiling identifies biomarkers of COVID-19 severity
Harriott, N. C., & Ryan, A. L. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e23320 · Cited by 11
“…on these hypotheses, a more robust innate immune response in response to infection with SARS-CoV-2 is observed in children compared to adults [19,20], and a dysregulation of innate immune function, similar to the “ inflammaging ” reported in aged populations, is observed in severe COVID-19 [21].”
BackgroundDevi, P., Kumari, P., Yadav, A., Tarai, B., Budhiraja, S., Shamim, U., & Pandey, R. (2023) · iScience · doi:10.1016/j.isci.2023.107779 · Cited by 16
Sagulkoo, P., Suratanee, A., & Plaimas, K. (2022) · Biomolecules · doi:10.3390/biom12050690 · Cited by 9
“These molecules are recognized by pattern recognition receptors (PRRs) in the host cells such as TLR-3, 7, and 8, retinoic acid-inducible gene 1 (RIG-1)-like receptors (RLRs)/melanoma differentiation-associated gene 5 (MDA5), and NOD-like receptors (NLRs) [25].”
BackgroundCOVID ‐19 and primary wound healing: A new insights and advance
Li, D., Cao, W., Zhou, Q., Wu, X., Song, X., & Qin, H. (2023) · International Wound Journal · doi:10.1111/iwj.14324 · Cited by 10
“Schultze et al. 32 reports that the variability in innate immune system components can be observed among COVID-19 patients.”
BackgroundEffects of draught on thermal comfort and respiratory immunity
Cheng, X., Zhou, Z.-Y., Yang, C.-H., Zheng, X.-H., Liu, C., Huang, W.-B., Yang, Z., & Qian, H. (2022) · Building and Environment · doi:10.1016/j.buildenv.2022.109537 · Cited by 9
SARS-CoV-2-associated gut microbiome alteration; A new contributor to colorectal cancer pathogenesis
Mozaffari, S. A., Salehi, A., Mousavi, E., Zaman, B. A., Nassaj, A. E., Ebrahimzadeh, F., Nasiri, H., Valedkarimi, Z., Adili, A., Asemani, G., et al. (2022) · Pathology - Research and Practice · doi:10.1016/j.prp.2022.154131 · Cited by 13
“In cancer patients, respiratory infections have a significant lethal burden due to dysregulated immune response that leads to a reduced ability to cope with disorders [15].”
BackgroundThe Immune Response to Respiratory Viruses: From Start to Memory
Reijnders, T. D. Y., Schuurman, A. R., & van der Poll, T. (2021) · Seminars in Respiratory and Critical Care Medicine · doi:10.1055/s-0041-1736459 · Cited by 11
SARS-CoV-2 intra-host single-nucleotide variants associated with disease severity
Zhang, Y., Jiang, N., Qi, W., Li, T., Zhang, Y., Wu, J., Zhang, H., Zhou, M., Cui, P., Yu, T., et al. (2022) · Virus Evolution · doi:10.1093/ve/veac106 · Cited by 11
Haider, M., Anand, V., Enayathullah, M. G., Parekh, Y., Ram, S., Kumari, S., Anmol, Panda, G., Shukla, M., Dholakia, D., et al. (2021) · bioRxiv · doi:10.1186/s12906-022-03584-3 · Cited by 9
“There are a number of factors which modulate the viral-host interactions which can be explored for better understanding the mechanism of action of promising antivirals such as interactions with the membrane components such as lipid rafts and ACE2, and other key non-structural proteins of the virus [6, 46].”
BackgroundPandey, V. K., Tripathi, A., Srivastava, S., Pandey, S., Dar, A. H., SINGH, R. K., Duraisamy, P., Singh, P., & Shaikh, A. M. (2023) · Applied Food Research · doi:10.1016/j.afres.2023.100291 · Cited by 14
Children’s SARS-CoV-2 Infection and Their Vaccination
Gupta, S. L., Tyagi, R., Dhar, A., Oswal, N., Khandelwal, A., & Jaiswal, R. K. (2023) · Vaccines · doi:10.3390/vaccines11020418 · Cited by 10
“These enzymes are angiotensin converting enzyme (ACE2) and transmembrane protease, serine 2 (TMPRSS2) [59].”
BackgroundThe use of alpha 1 thymosin as an immunomodulator of the response against SARS-Cov2
Espinar-Buitrago, M. D. L. S., Tarancón‐Díez, L., Vázquez‐Alejo, E., Magro-López, E., Genebat, M., Romero-Candau, F., Leal, M., & Muñoz‐Fernández, M. Á. (2023) · Immunity & Ageing · doi:10.1186/s12979-023-00351-x · Cited by 8
“Dysregulations of the immune system by COVID-19 disease, such as lymphopenia and cytokine storm, have been associated with disease severity, suggesting a pivotal role of the host response in pathogenesis [2].”
BackgroundIs IFN expression by NK cells a hallmark of severe COVID-19?
Csordas, B. G., Palmeira, P. H. D. S., Peixoto, R. F., Comberlang, F. C. Q. D. D. S., de Medeiros, I. A., de Azevedo, F. A. B. D., Veras, R., Janebro, D., Amaral, I. P. G., Barbosa-Filho, J., et al. (2022) · Cytokine · doi:10.1016/j.cyto.2022.155971 · Cited by 8
Assmus, F., Driouich, J., Abdelnabi, R., Vangeel, L., Touret, F., Adehin, A., Chotsiri, P., Cochin, M., Foo, C., Jochmans, D., et al. (2022) · Microorganisms · doi:10.3390/microorganisms10081639 · Cited by 8
“A worsening of symptoms usually occurs 7 to 10 days after initial clinical symptoms, possibly linked to a cytokine storm resulting from a strong immune response and accompanied by a high risk of thrombosis [7].”
BackgroundTakashima, Y., Inaba, T., Matsuyama, T., Yoshii, K., Tanaka, M., Matsumoto, K., Sudo, K., Tokuda, Y., Omi, N., Nakano, M., et al. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1319980 · Cited by 16
Zhang, H., Chen, A., Li, S., Chen, K., You, X., Bian, Y., Li, C., Liu, S., Huang, J., & Zhang, S. (2025) · Electrophoresis · doi:10.1002/elps.202400160 · Cited by 8
“Although not all cases were confirmed, individuals exhibited varying degrees of symptom onset, including reduced immunity, elevated body temperature, coughing, and muscle aches [44].”
InfluentialLehtinen, M. J., Kumar, R., Zabel, B., Mäkelä, S. M., Nedveck, D. A., Tang, P., Latvala, S., Guery, S., & Budinoff, C. R. (2022) · iScience · doi:10.1016/j.isci.2022.104445 · Cited by 8
“Netea et al. have suggested that the training of the human innate immune system, for example by vaccines, before SARS-CoV-2 infection could reduce the susceptibility to and the risk of severe COVID-19 (Netea et al., 2020).”
InfluentialSARS-CoV-2 Portrayed against HIV: Contrary Viral Strategies in Similar Disguise
Duerr, R., Crosse, K. M., Valero-Jimenez, A. M., & Dittmann, M. (2021) · Microorganisms · doi:10.3390/microorganisms9071389 · Cited by 12
“Among the heavily distorted innate immune response typical of COVID-19, the latewave inflammatory response in particular is linked to COVID-19 disease severity [398,456,457].”
BackgroundRole of the regulation of mesenchymal stem cells on macrophages in sepsis
Xing, J., Wang, R., Cui, F.-F., Song, L.-L., Ma, Q.-L., & Xu, H.-Y. (2023) · International Journal of Immunopathology and Pharmacology · doi:10.1177/03946320221150722 · Cited by 8
“Also the high mortality rate of severe patients with COVID-19 is also mainly caused by septic shock.(2) The impaired immune function and out-of-control immune response are the main pathological mechanism for sepsis, and the excessive release of “waterfall” cytokines from activated macrophage is the main cause of immun…”
BackgroundSystems analysis of human innate immunity in COVID-19
Müller, S. M., & Schultze, J. L. (2023) · Seminars in Immunology · doi:10.1016/j.smim.2023.101778 · Cited by 9
“At the beginning of the pandemic, we conceptualized how these technologies could be utilized to better understand the pathophysiology of the SARS-CoV-2 infection and to determine mechanisms that might explain the heterogeneous dynamics and disease trajectories of COVID-19 [15].”
InfluentialSelf-citationHuang, Z., Cheng, Z.-W., Deng, X., Yang, Y., Sun, N., Hou, P.-B., Fan, R., & Liu, S. (2024) · Journal of Inflammation Research · doi:10.2147/jir.s454284 · Cited by 7
Laveneziana, P., Straus, C., & Meiners, S. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.628288 · Cited by 7
Beksaç, M., Akin, H., Gencer-Oncul, E. B., Yousefzadeh, M., Seval, G. C., Gulten, E., Kalkan, İ. A., Cınar, G., Memikoğlu, O., Karaağaoğlu, E., et al. (2021) · Immunogenetics · doi:10.1007/s00251-021-01227-4 · Cited by 7
COVID-19-Omics Report: From Individual Omics Approaches to Precision Medicine
Louis, I. V.-S., Fang, D., Amer, Y., & Mohei, H. (2023) · Reports — Medical Cases Images and Videos · doi:10.3390/reports6040045 · Cited by 8
A virus-encoded microRNA contributes to evade innate immune response during SARS-CoV-2 infection
Singh, M., Chazal, M., Quarato, P., Bourdon, L., Malabat, C., Vallet, T., Vignuzzi, M., van der Werf, S., Behillil, S., Donati, F., et al. (2021) · bioRxiv · doi:10.1101/2021.09.09.459577 · Cited by 7
“Several studies have highlighted the central role of interferons (IFNs) in the outcome of COVID-19 disease (Acharya et al, 2020; Kim & Shin, 2021; Schultze & Aschenbrenner, 2021).”
BackgroundRegulation of SARS-CoV-2 infection by diet-modulated gut microbiota
Tieu, V., Tibi, S., & Ling, J. (2023) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2023.1167827 · Cited by 9
“The non-structural proteins (NSPs) of the coronavirus, such as NSP16 and NSP1, play a role in antagonizing PRR antigen recognition and the production of proinflammatory cytokines (Schultze and Aschenbrenner, 2021).”
BackgroundJiang, X., Tan, M., Xia, M., Huang, P., & Kennedy, M. (2021) · Emerging Microbes and Infections · doi:10.1080/22221751.2021.1935329 · Cited by 7
“in innate immune system components among humans also may contribute to the heterogenous disease courses of COVID-19 patients [40] which also need”
BackgroundChoto, T. A., Makupe, I., Cakana, A., Sibanda, E., & Mduluza, T. (2022) · PLoS ONE · doi:10.1371/journal.pone.0273186 · Cited by 7
“According to preceding reports, COVID-19 is markedly heterogeneous and at least 14% of all infected individuals may exhibit severe symptoms [7, 16, 20].”
BackgroundUpadhyay, A. A., Hoang, T., Pino, M., Boddapati, A. K., Viox, E. G., Lee, M., Corry, J., Strongin, Z., Cowan, D. A., Beagle, E. N., et al. (2021) · bioRxiv · doi:10.1101/2021.10.05.463212 · Cited by 7
Cellular Sensors and Viral Countermeasures: A Molecular Arms Race between Host and SARS-CoV-2
Sun, H., Chan, J. F., & Yuan, S. (2023) · Viruses · doi:10.3390/v15020352 · Cited by 8
In vitro high-content tissue models to address precision medicine challenges
Afewerki, S., Stocco, T. D., Silva, A. D. R., Furtado, A. S. A., de Sousa, G. F., Ruiz‐Esparza, G. U., Webster, T. J., Marciano, F. R., Strømme, M., Zhang, Y. S., et al. (2022) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2022.101108 · Cited by 8
Circulating B10 regulatory cells are decreased in severe and critical COVID-19
Cervantes-Díaz, R., Sosa‐Hernández, V. A., Romero-Ramírez, S., Torres-Ruiz, J. J., Pérez-Fragoso, A., Meza-Sánchez, D. E., Gómez‐Martín, D., & Maravillas‐Montero, J. L. (2022) · Journal of Leukocyte Biology · doi:10.1002/jlb.5covcra0721-387rr · Cited by 8
Yelemali, P., Hao, L., & Liu, Q. (2022) · Archives of Virology · doi:10.1007/s00705-022-05513-8 · Cited by 7
Ulakcsai, Z., Szabó, L. E., Szabo, Z., Karászi, É., Szabó, T. G., Fazekas, L., Vereb, A., Kovacs, N. F., Németh, D., Kovács, E., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1179620 · Cited by 6
“All Patients (n=35) Survivors (n=9) Deceased (n=26) P value Time from COVID-19 symptoms to ECMO (days) 10 [7–14] 12 [9-14] 9.”
BackgroundLi, X., Zhang, Y., He, L., Si, J., Qiu, S., He, Y., Wei, J., Wang, Z., Xie, L., Li, Y., et al. (2022) · International Journal of Biological Sciences · doi:10.7150/ijbs.66369 · Cited by 8
“Importantly, with the continuous in-depth study, a lot of research reports have displayed that age, sex and heredity were also risk factors for severe COVID-19 [39, 172].”
BackgroundIFNL3/4 polymorphisms as a two‐edged sword: An association with COVID‐19 outcome
Matić, S., Milovanović, D., Mijailović, Ž., Djurdjevic, P., Sazdanovic, P., Stefanovic, S., Todorović, D., Popović, S., Vitošević, K., Vukićević, V., et al. (2023) · Journal of Medical Virology · doi:10.1002/jmv.28506 · Cited by 7
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“Specifically, the IFN pathway appears to be implicated through many of the identified variants indicated in the database articles, as identified previously in the innate immune response to SARSCoV-2 [11, 20, 33], and IFN therapy has already been used in clinical trials for COVID-19 patients who present with severe dis…”
BackgroundCOVID-19 and Chronic Lymphocytic Leukemia
Chatzikonstantinou, T., Herishanu, Y., Montserrat, E., Ghia, P., Cuneo, A., Foà, R., & Scarfò, L. (2021) · The Cancer Journal · doi:10.1097/ppo.0000000000000535 · Cited by 9
Kinetics of Immune Subsets in COVID-19 Patients Treated with Corticosteroids
Pappas, A., Chaliasou, A.-L., Panagopoulos, A., Dede, K., Daskalopoulou, S., Moniem, E. H. M. A. A., Polydora, E., Grigoriou, E., Psarra, K., Tsirogianni, A., et al. (2022) · Viruses · doi:10.3390/v15010051 · Cited by 8
“Overall, these findings support the notion that a dysregulated and ineffective immune response might underlie severe COVID-19 [5,10].”
BackgroundHuang, C., Feng, W., Hou, S., Jiang, Z.-D., Wu, Y.-X., Wang, Y., Ding, D., Gao, S.-S., Li, F., Zhao, X.-Z., et al. (2025) · Chemical Engineering Journal · doi:10.1016/j.cej.2025.165940 · Cited by 6
Ferrarese, R., Boutahar, S., Genoni, A., Arcari, G., Zambon, G., Dolci, M., Perego, F., D'alessandro, S., Delbue, S., Mancini, N., et al. (2025) · Journal of Medical Virology · doi:10.1002/jmv.70784 · Cited by 6
Medina, M. A., Fuentes‐Villalobos, F., Quevedo, C., Aguilera, F., Riquelme, R., Rioseco, M. L., Barria, S., Pinos, Y., Calvo, M. A., Burbulis, I. E., et al. (2024) · eLife · doi:10.7554/elife.94242 · Cited by 4
“…( Zheng et al., 2020 ), S100A8/A9 alarmins ( Bernardes et al., 2020 ), PADI2 ( Notarbartolo et al., 2021 ), and IL18Rap peptidyl-arginine deiminases ( Masood et al., 2021 ; Schultze and Aschenbrenner, 2021 ) were higher in severe patients on D0 than mild or control patients ( Figure 1D ).”
BackgroundAnbalagan, S. (2023) · Animal Models and Experimental Medicine · doi:10.1002/ame2.12364 · Cited by 12
“69-73 However, the risk will still be present in the clinical trial stage.”
BackgroundPrenatal Diagnosis and Management of Congenital Tracheal Stenosis
Yan, G., Zheng, W., Zhang, Y., & Zou, Y. (2025) · iRadiology · doi:10.1002/ird3.70006 · Cited by 1
Controlling inflammation in the elderly with BCG vaccination
Koeken, V. (2021) · Science Advances · doi:10.1126/sciadv.abk1668 · Cited by 6
“wanted to investigate if the vaccine could also be harmful for COVID-19 patients, since disease severity is clearly linked to excessive inflammation and high levels of circulating cytokines (8).”
BackgroundTobi, M., Bluth, M., Rossi, N., Demian, E., Talwar, H. S., Tobi, Y., Sochacki, P., Levi, E., Lawson, M., & McVicker, B. L. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24087536 · Cited by 6
“In their otherwise thoughtful and timely review of the human InImS, via COVID-19, Schultze and Aschenbrenner failed to address the role of the Paneth cells [43].”
BackgroundSARS-CoV-2 Antibody Responses in Pediatric Patients: A Bibliometric Analysis
Maniu, I., Maniu, G., Antonescu, E., Duică, L., Grigore, N., & Totan, M. (2023) · Biomedicines · doi:10.3390/biomedicines11051455 · Cited by 6
Safety and feasibility of third-party cytotoxic T lymphocytes for high-risk patients with COVID-19
Grosso, D. A., Wagner, J. L., O’Connor, A., Keck, K., Huang, Y., Wang, Z., Mehler, H., Leiby, B. E., Flomenberg, P. R., Gergis, U. S., et al. (2024) · Blood Advances · doi:10.1182/bloodadvances.2024013344 · Cited by 7
“Interruptions in this pathway result in delayed signaling of the adaptive immune system, 20 resulting in increased viral progression 21 and deleterious in fl ammation.”
A Suspected Case of COVID-19-Induced Immunosuppression
Seffah, K., & Agyeman, W. Y. (2022) · Cureus · doi:10.7759/cureus.32227 · Cited by 6
“However, more evidence is emerging that a dysregulated cytokine release leading to a cytokine storm may be responsible for a maladaptive response to the virus in which there is damage to the tissue of the lungs and kidneys primarily from the host immune response rather than from direct viral injury [5,7-9].”
BackgroundResultCorrelates of disease severity in bluetongue as a model of acute arbovirus infection
Herder, V., Caporale, M., MacLean, O., Pintus, D., Huang, X., Nomikou, K., Palmalux, N., Nichols, J., Scivoli, R., Boutell, C., et al. (2024) · PLoS Pathogens · doi:10.1371/journal.ppat.1012466 · Cited by 6
Impact of TRIM5α and TRIM22 Genes Expression on the Clinical Course of Coronavirus Disease 2019
Tavakoli, R., Rahimi, P., Hamidi-Fard, M., Eybpoosh, S., Doroud, D., Sadeghi, S. A., Birgani, M. Z., Aghasadeghi, M., & Fateh, A. (2022) · Archives of Medical Research · doi:10.1016/j.arcmed.2022.12.010 · Cited by 6
Homeostasis imbalance process ontology: a study on COVID-19 infectious processes
Yamagata, Y., Kushida, T., Onami, S., & Masuya, H. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02516-0 · Cited by 6
“Moreover, excessive inflammatory and immune responses in the lungs lead to acute respiratory distress syndrome (ARDS) [2].”
BackgroundInvestigating the Role of Serotonin Levels in Cognitive Impairments Associated with Long COVID-19
Eslami, Z., & Joshaghani, H. (2024) · Chonnam Medical Journal · doi:10.4068/cmj.2024.60.3.141 · Cited by 6
“37 Reduced levels of serotonin, a neurotransmitter known to regulate mood and emotions, were found to be associated with an increased activity of IFN I signaling, a key player in the immune response against viral infections.”
BackgroundExploiting Extracellular Vesicles Strategies to Modulate Cell Death and Inflammation in COVID-19
Bortot, B., Romani, A., Ricci, G., & Biffi, S. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.877422 · Cited by 6
“In severe COVID-19, a high virus load hyperactivates the innate immune system, resulting in high levels of inflammatory cytokines, a condition that has been defined as “cytokine storm” (Schultze and Aschenbrenner, 2021).”
BackgroundAlghanem, B., Mansour, F. A., Shaibah, H., Almuhalhil, K., Almourfi, F. M., Alamri, H. S., Alajmi, H., Rashid, M., Alroqi, F. J., Jalouli, M., et al. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e15224 · Cited by 9
“Additionally, innate immune responses are considered the key factors in modulating the progress of the disease towards asymptomatic, mild, moderate, severe or extremely severe clinical phenotypes [6,7].”
Robertson, S., Bedard, O., McNally, K., Shaia, C. I., Clancy, C. S., Lewis, M., Broeckel, R. M., Chiramel, A. I., Shannon, J. G., Sturdevant, G. L., et al. (2021) · bioRxiv · doi:10.1101/2021.09.17.460664 · Cited by 6
Chatterjee, B., Sandhu, H. S., & Dixit, N. M. (2021) · medRxiv · doi:10.1101/2021.06.15.21258935 · Cited by 6
“While viral factors, including emerging mutations (8), may have a role in determining the outcomes, the 46 heterogeneous outcomes were reported in early studies (2, 3), before the majority of the clades of SARS47 CoV-2 emerged (9), suggesting that the heterogeneity potentially originates from the variability in the 48…”
BackgroundInfluentialNanostructures for the Prevention, Diagnosis, and Treatment of COVID‐19: A Review
Tavakoli, Z., Ranjbar, F., Tackallou, S. H., & Ranjbar, B. (2024) · Particle & Particle Systems Characterization · doi:10.1002/ppsc.202400083 · Cited by 6
Bahrini, K., Stambouli, N., Azaiez, M. B., Rebai, A., Abid, F., Romdhani, C., Labben, I., Gharsallah, H., & Ferjani, M. (2023) · Journal of Immunological Research · doi:10.1155/2023/4059484 · Cited by 5
How SARS-CoV-2 dodges immune surveillance and facilitates infection: an analytical review
Wang, Q., Wu, X., Mao, Q., Gao, F., Liu, M., Song, Z., Bian, L., & Liang, Z. (2022) · Expert Review of Anti-infective Therapy · doi:10.1080/14787210.2022.2078307 · Cited by 5
“shown to adopt various regulatory mechanisms involved in the regulation of RNA stability, gene expression, and posttranslational modifications at almost every step during SARSCoV-2 infection and signal transduction, exacerbating this complicated situation [23].”
BackgroundEffect of Immunosuppression on the Immune Response to SARS-CoV-2 Infection and Vaccination
Leacy, E., Teh, J. W., O'Rourke, A. M., Brady, G., Gargan, S., Conlon, N., Scott, J., Dunne, J., Phelan, T., Griffin, M. D., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25105239 · Cited by 5
“These increases in immature neutrophil levels have been reported in severe SARS-CoV-2 infection [17,18], but were not seen in our immunosuppressed population.”
BackgroundCurrent perspective on biological properties of plasmacytoid dendritic cells and dysfunction in gut
Guo, X., He, C., Xin, S., Gao, H., Wang, B., Liu, X., Zhang, S., Gong, F., Yu, X., Pan, L., et al. (2023) · Immunity Inflammation and Disease · doi:10.1002/iid3.1005 · Cited by 5
“126 Innate immunity, which includes the mucosal barrier, is the body's initial line of protection against toxins and pathogenic microbes.”
BackgroundSantin, A., Spedicati, B., Pecori, A., Nardone, G. G., Concas, M., Piatti, G., Menini, A., Tirelli, G., Boscolo-Rizzo, P., & Girotto, G. (2024) · Life · doi:10.3390/life14020219 · Cited by 5
“As widely demonstrated, the innate immune system has a relevant role in fighting SARS-CoV-2 infection; therefore, a fuller knowledge of the physiopathological mechanisms underlying innate immunity has proven fundamental for the development of novel therapeutic strategies for COVID-19 [5].”
BackgroundThe Delta Variant Had Negligible Impact on COVID-19 Vaccine Effectiveness in the USAPreprint
Blaiszik, B., Graziani, C., Olds, J., & Foster, I. T. (2021) · medRxiv · doi:10.1101/2021.09.18.21263783 · Cited by 5
“The heterogeneity in clinical outcomes for COVID-19 early in the pandemic (before the advent of vaccines) is partly a function of the host’s innate [3] and adaptive immune system response [4].”
BackgroundSeyran, M. (2022) · Vaccine · doi:10.1016/j.vaccine.2022.06.052 · Cited by 5
“Internalized SARS-CoV-2 replicates several cycles with its nonstructural proteins manipulating host translation and suppress immunity [38].”
BackgroundSolimando, A. G., Bittrich, M., Shahini, E., Albanese, F., Fritz, G., & Krebs, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24108746 · Cited by 5
“events, which is currently lacking [32].”
Cellular Immune Profiling of Lung and Blood Compartments in Patients with SARS-CoV-2 Infection
Santinelli, L., Lazzaro, A., Sciarra, F., Maddaloni, L., Frasca, F., Fracella, M., Moretti, S., Borsetti, A., Bugani, G., Alessandri, F., et al. (2023) · Pathogens · doi:10.3390/pathogens12030442 · Cited by 7
Immunoregulatory effects of nanocurcumin in inflammatory milieu: Focus on COVID-19
Arab, F. L., Hoseinzadeh, A., Mohammadi, F. S., Rajabian, A., Faridzadeh, A., & Mahmoudi, M. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.116131 · Cited by 8
Hossain, M. P., Zhou, W., Leung, M. Y., & Yuan, H.-Y. (2024) · Scientific Reports · doi:10.1038/s41598-023-50474-w · Cited by 5
Hepcidin, iron, and COVID-19: is there an erythroid connection?
Means, R. T. (2022) · Journal of Investigative Medicine · doi:10.1136/jim-2022-002362 · Cited by 5
Güler, A. A., Inel, T. Y., Kaşifoğlu, T., Coşkun, C., Karadeniz, H., Yıldırım, D., Bilici, R., Satış, H., Küçük, H., Haznedaroğlu, Ş., et al. (2022) · Modern Rheumatology · doi:10.1093/mr/roac074 · Cited by 5
Epigenetic liquid biopsies reveal endothelial turnover and erythropoiesis in asymptomatic COVID-19
Ben‐Ami, R., Loyfer, N., Cohen, E., Fialkoff, G., Sharkia, I., Piyanzin, S., Bogot, N., Kochan, D., Kalak, G., Jarjoui, A., et al. (2025) · Life Science Alliance · doi:10.26508/lsa.202503417 · Cited by 8
“…between T-cell cfDNA and clinical outcome, suggests that deterioration of hospitalized patients is dictated mostly by performance of their innate immune system, combined with the extent of damage to vital organs (see below) (Schulte-Schrepping et al, 2020; Schultze & Aschenbrenner, 2021).”
Tufan, A., & Matucci‐Cerinic, M. (2021) · TURKISH JOURNAL OF MEDICAL SCIENCES · doi:10.3906/sag-2110-179 · Cited by 4
“Immune deficiency, being on corticosteroids for inflammatory diseases, delayed interferon response, and advanced age are adverse prognostic factors that impair viral clearance [6].”
BackgroundZhu, K., Chen, Z., Xiao, Y., Lai, D., Wang, X., Fang, X.-M., & Shu, Q. (2023) · The EPMA Journal · doi:10.1007/s13167-023-00317-5 · Cited by 5
“Innate immunity system plays an important role in combating the SARS-CoV-2 [21].”
BackgroundTawinprai, K., Siripongboonsitti, T., Porntharukchareon, T., Wittayasak, K., Thonwirak, N., Soonklang, K., Sornsamdang, G., Auewarakul, C. U., & Mahanonda, N. (2022) · Expert Review of Vaccines · doi:10.1080/14760584.2022.2099380 · Cited by 6
“Both innate and adaptive immune systems are required for an effective response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection [1,2].”
BackgroundActivation of the Interferon Pathway in Trophoblast Cells Productively Infected with SARS-CoV-2
Kallol, S., Martin-Sancho, L., Morey, R., Aisagbonhi, O., Pizzo, D., Meads, M., Chanda, S., & Soncin, F. (2023) · Stem Cells and Development · doi:10.1089/scd.2022.0255 · Cited by 5
“The IFN-mediated response is usually observed at the onset of the local immune response upon viral infection and triggers a cascade of events resulting in the activation of antiviral ISGs and the upregulation of chemokines and cytokines, which have both local and systemic effects [53].”
RAGE engagement by SARS-CoV-2 enables monocyte infection and underlies COVID-19 severity
Angioni, R., Bonfanti, M., Caporale, N., Sánchez-Rodríguez, R., Munari, F., Savino, A., Buratto, D., Pagani, I., Bertoldi, N., Zanon, C., et al. (2022) · bioRxiv · doi:10.1101/2022.05.22.492693 · Cited by 5
Silva, M. G., Falcoff, N. L., Corradi, G. R., Alfie, J., Seguel, R. F., Tabaj, G. C., Iglesias, L. I., Núñez, M., Guman, G. R., & Gironacci, M. M. (2022) · Life Sciences · doi:10.1016/j.lfs.2022.120324 · Cited by 10
“SARS-CoV-2 enters type II pneumocytes via ACE2 in the respiratory system leading to rapid virus replication as well as to a proinflammatory state with elevated levels of cytokines with the subsequent accumulation of pathogenic inflammatory neutrophils and macrophages in the lung, resulting in an excessive inflammatory…”
InfluentialMapping the epithelial–immune cell interactome upon infection in the gut and the upper airways
Poletti, M., Treveil, A., Csabai, L., Gul, L., Módos, D., Madgwick, M., Olbei, M. L., Bohár, B., Valdeolivas, A., Türei, D., et al. (2022) · npj Systems Biology and Applications · doi:10.1038/s41540-022-00224-x · Cited by 8
“Notably, four chemokine receptors identi fi ed by our study (CXCR6 in the ileum, CCR1/2 and CCR9 in both ileum and colon) are coded in a genomic region found to be a COVID-19 risk locus on chromosome 3, further validating our predictions 49 .”
MethodAkhtar, E., Mily, A., Sarker, P., Chanda, B. C., Haque, F., Kuddusi, R. U., Haq, M. A., Lourda, M., Brighenti, S., & Raqib, R. (2023) · Immunobiology · doi:10.1016/j.imbio.2023.152350 · Cited by 5
“Together these findings indicate that symptomatic infection triggered dynamic changes in the innate immune system that continued for longer period in children (Schultze and Aschenbrenner, 2021).”
Chen, Y., Mendez, K. M., Begum, S., Dean, E., Chatelaine, H., Braisted, J. C., Fangal, V. D., Cote, M. F., Huang, M., Chu, S. H., et al. (2023) · EBioMedicine · doi:10.1016/j.ebiom.2023.104791 · Cited by 6
Koo, H., & Morrow, C. D. (2024) · Retrovirology · doi:10.1186/s12977-024-00652-z · Cited by 4
Pulsioximetría: papel en el paciente COVID-19 domiciliario
Serrano-Cumplido, A., Calvo, E., Matarín, L. G., Herrero, A. D. R., Ruiz, F. J. G., Escribano, F., & Zancada, S. V. (2021) · Semergen · doi:10.1016/j.semerg.2021.03.004 · Cited by 4
van de Garde, M. D. B., Bedate, A. M., Nanlohy, N. M., Jacobi, R. H. J., Meijer, A., Reukers, D. F. M., van Beek, J., van Els, C. A. C. M., van Baarle, D., Rots, N. Y., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1359993 · Cited by 4
Shekhawat, U., & (Chakravarty), A. R. C. (2022) · Journal of biological physics (Print) · doi:10.1007/s10867-022-09615-x · Cited by 4
“The cause of the epidemic of new coronavirus disease 2019 (COVID-19) is severe acute respiratory syndrome corona-virus 2 (SARS-CoV-2) [7, 8].”
BackgroundWang, K., Ni, X., Deng, X., Nan, J., Ma-Lauer, Y., von Brunn, A., Zeng, R., & Lei, J. (2024) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2024.136123 · Cited by 4
SARS-CoV-2 spike protein induces salivary gland dysfunction and immune infiltration in C57BL/6 mice
Felix, F. A., Jiang, Y., Zhou, J., Li, D., Zhou, V., de Sousa, S. F., Byrd, K., & Yu, Q. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1667597 · Cited by 4
Buttenschön, J., Vogt, S., & Mattner, J. (2022) · Cellular & Molecular Immunology · doi:10.1038/s41423-021-00822-5 · Cited by 4
“Although it is known that SARS-CoV-2 suppresses innate and antiviral immunity, causes peripheral lymphopenia, and promotes hyperinflammatory macrophage/monocyte activation [4], the distinct pathophysiologic mechanisms underlying severe COVID-19 have remained largely unknown.”
BackgroundPharmacological Effect of Cepharanthine on SARS-CoV-2-Induced Disease in a Syrian Hamster Model.
Uematsu, T., Takai-Todaka, R., Haga, K., Kobayashi, H., Imajima, M., Kobayashi, N., Katayama, K., & Hanaki, H. (2024) · Journal of Infection and Chemotherapy · doi:10.1016/j.jiac.2024.08.020 · Cited by 4
Aouissi, Ababsa, M., Leveau, C., Petrișor, A., Słomka, A., Yasuhara, J., Epelboin, L., & Ohmagari, N. (2022) · medRxiv · doi:10.1101/2022.01.23.22269214 · Cited by 4
“441 Variability in immune system components (innate) is a major contributor to the heterogeneous disease courses noticed 442 for Sars-CoV-2 [152].”
BackgroundResearch progress on critical viral protease inhibitors for coronaviruses and enteroviruses.
Hu, S.-L., Zhong, Q., Xie, X., Zhang, S., Wang, J.-L., Liu, H., & Dai, W.-H. (2025) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2025.130168 · Cited by 4
Metadata
- Authors
- Schultze, J. L., & Aschenbrenner, A. C.
- Affiliations
- University of Bonn (DE)
- Corresponding author
- Schultze, Joachim L.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2021-04
- Volume
- 184
- Issue
- 7
- Pages
- 1671-1692
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC7885626
- OpenAlex
- W3131820551
- Cited by
- 714
- References
- 202
- Citations by year
- 2026: 30 · 2025: 57 · 2024: 96 · 2023: 174 · 2022: 235 · 2021: 122
- FWCI
- 18.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DZNE Pub (submittedVersion)
- Funders
- Rheinische Friedrich-Wilhelms-Universität Bonn
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
- Keywords
- COVID-19 pandemic, SARS-CoV-2, innate immunity, disease heterogeneity, soluble immune mediators, pathophysiology, diagnostic biomarkers, treatment options, host-virus interaction
- MeSH terms
- Host Microbial Interactions, COVID-19, SARS-CoV-2, Humans, Immunity, Innate, Severity of Illness Index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-06, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-06 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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