Evidence map›Paper›PMID 34128959›Full record

ArticleThe Journal of experimental medicine2021

Multi-omic profiling reveals widespread dysregulation of innate immunity and hematopoiesis in COVID-19.

Aaron J Wilk, Madeline J Lee, Bei Wei, Benjamin Parks, Ruoxi Pi, Giovanny J Martínez-Colón, Thanmayi Ranganath, Nancy Q Zhao, Shalina Taylor, Winston Becker and 12 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 2 pooled it
12.4field-weighted citation impact, top 1% of its field
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

147 citing papers in PubMed, 2 syntheses or guidelines pooled it, 226 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
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  12. Aryl hydrocarbon receptor activation alters emergency hematopoiesis during influenza A virus infection.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
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87 more citing papers are in PubMed but not listed here.

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

22 authors at 3 institutions in 1 country.

Aaron J Wilk *Stanford Medical Scientist Training Program, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-1430-5852
Madeline J Lee *Stanford Immunology Program, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-5039-6806
Bei Wei *Department of Genetics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-1516-8802
Benjamin Parks *Department of Genetics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-0261-7472
Ruoxi PiDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-2491-0979
Giovanny J Martínez-ColónDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-6792-8004
Thanmayi RanganathDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-9865-2119
Nancy Q ZhaoDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-6217-854X
Shalina TaylorDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-5573-6483
Winston BeckerDepartment of Genetics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-7876-5060
Stanford COVID-19 Biobank
David Jimenez-MoralesDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-4356-6461
Andra L BlomkalnsDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-5760-6351
Ruth O'HaraDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-6583-4995
Euan A AshleyDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-9418-9577
Kari C NadeauDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-2146-2955
Samuel YangDepartment of Emergency Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-1123-9036
Susan HolmesDepartment of Statistics, Stanford University, Stanford, CA.ORCID 0000-0002-2208-8168
Marlene RabinovitchDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-7886-7104
Angela J RogersDepartment of Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-6969-6200
William J GreenleafDepartment of Genetics, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-1409-3095
Catherine A BlishStanford Medical Scientist Training Program, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-6946-7627
Stanford University · USCardiovascular Institute of the South · USChan Zuckerberg Initiative (United States) · US

Funding

VACCINE INDUCED IMMUNITY IN THE YOUNG AND AGEDU19AI057266 · NIAID · EMORY UNIVERSITY · PI Rafi Ahmed · 2003 to 2026
$81.7M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007365 · NIGMS · STANFORD UNIVERSITY · PI CHUA, KATRIN F · 1985 to 2021
$33.8M
MOLECULAR &CELLULAR IMMUNOBIOLOGYT32AI007290 · NIAID · STANFORD UNIVERSITY · PI Sean Curtis Bendall, Olivia M Martinez · 1985 to 2026
$27.0M
PRODUCTION CENTER FOR MAPPING REGULATORY REGIONS OF THE HUMAN GENOMEUM1HG009442 · NHGRI · STANFORD UNIVERSITY · PI SNYDER, MICHAEL P. · 2017 to 2021
$20.1M
The Cellular Response to Elafin in PAHP01HL108797 · NHLBI · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2011 to 2021
$19.7M
Special EquipmentP50HG007735 · NHGRI · STANFORD UNIVERSITY · PI CHANG, HOWARD Y · 2014 to 2018
$15.2M
Center for Personal Dynamic RegulomesRM1HG007735 · NHGRI · STANFORD UNIVERSITY · PI CHANG, HOWARD Y · 2019 to 2023
$13.8M
Innate immune determinants of HIV rebound and persistenceR01HD103571 · NICHD · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JULIE M. OVERBAUGH · 2020 to 2026
$6.7M
University of Michigan Postbaccalaureate Research Education Program (UM PREP)R25GM086262 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALLEN, BENJAMIN · 2009 to 2024
$6.1M
High-throughput systematic characterization of regulatory element functionUM1HG009436 · NHGRI · STANFORD UNIVERSITY · PI BASSIK, MICHAEL C, GREENLEAF, WILLIAM JAMES · 2017 to 2021
$5.4M
Targeting natural killer cells to HIV in intravenous drug usersDP1DA046089 · NIDA · STANFORD UNIVERSITY · PI BLISH, CATHERINE A · 2018 to 2022
$3.9M
Metabolic derangements in ARDSK23HL125663 · NHLBI · STANFORD UNIVERSITY · PI ROGERS, ANGELA J · 2015 to 2018
$744k
NHGRI NIH HHS P50 HG007735NHGRI NIH HHS RM1 HG007735NHGRI NIH HHS UM1 HG009436NHGRI NIH HHS UM1 HG009442NHLBI NIH HHS K23 HL125663NHLBI NIH HHS P01 HL108797NIAID NIH HHS T32 AI007290NIAID NIH HHS U19 AI057266NICHD NIH HHS R01 HD103571NIDA NIH HHS DP1 DA046089NIGMS NIH HHS R25 GM086262NIGMS NIH HHS T32 GM007365
6 · The paper itself

Abstract

Our understanding of protective versus pathological immune responses to SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is limited by inadequate profiling of patients at the extremes of the disease severity spectrum. Here, we performed multi-omic single-cell immune profiling of 64 COVID-19 patients across the full range of disease severity, from outpatients with mild disease to fatal cases. Our transcriptomic, epigenomic, and proteomic analyses revealed widespread dysfunction of peripheral innate immunity in severe and fatal COVID-19, including prominent hyperactivation signatures in neutrophils and NK cells. We also identified chromatin accessibility changes at NF-κB binding sites within cytokine gene loci as a potential mechanism for the striking lack of pro-inflammatory cytokine production observed in monocytes in severe and fatal COVID-19. We further demonstrated that emergency myelopoiesis is a prominent feature of fatal COVID-19. Collectively, our results reveal disease severity-associated immune phenotypes in COVID-19 and identify pathogenesis-associated pathways that are potential targets for therapeutic intervention.

Indexed as

AdultAgedCase-Control StudiesCOVID-19CytokinesEpigenesis, GeneticFemaleHematopoiesisHumansImmunity, InnateKiller Cells, NaturalMaleMiddle AgedMonocytesNeutrophilsNF-kappa BCytokinesNF-kappa B

Identifiers

PMID34128959
PMCPMC8210586
OpenAlexW3173003579

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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 Socratic graph.