Evidence map›Paper›PMID 35022530›Full record

ArticleMolecular psychiatry2022

In COVID-19, NLRP3 inflammasome genetic variants are associated with critical disease and these effects are partly mediated by the sickness symptom complex: a nomothetic network approach.

Michael Maes, Walton Luiz Del Tedesco Junior, Marcell Alysson Batisti Lozovoy, Mayara Tiemi Enokida Mori, Tiago Danelli, Elaine Regina Delicato de Almeida, Alexandre Mestre Tejo, Zuleica Naomi Tano, Edna Maria Vissoci Reiche, Andréa Name Colado Simão

Open access · bronzeAbstract read
In one paragraph

Article in Molecular psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  8. NLRP3, the inflammasome and COVID-19 infection.QJM : monthly journal of the Association of Physicians · 2023
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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

10 authors at 2 institutions in 4 countries.

Michael MaesDepartment of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. dr.michaelmaes@hotmail.com.
Walton Luiz Del Tedesco JuniorDepartment of Infectology, University of Londrina, Londrina, PR, Brazil.
Marcell Alysson Batisti LozovoyLaboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.
Mayara Tiemi Enokida MoriLaboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.
Tiago DanelliLaboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.ORCID http://orcid.org/0000-0002-7573-6237
Elaine Regina Delicato de AlmeidaDepartment of Pathology, Clinical Analysis and Toxicology, Laboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.
Alexandre Mestre TejoDepartment of Infectology, University of Londrina, Londrina, PR, Brazil.
Zuleica Naomi TanoDepartment of Infectology, University of Londrina, Londrina, PR, Brazil.
Edna Maria Vissoci ReicheLaboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.
Andréa Name Colado SimãoLaboratory of Research in Applied Immunology, University of Londrina, Londrina, PR, Brazil.
Universidade Estadual de Londrina · BRDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In coronavirus disease (COVID-19), the nucleotide-binding domain, leucine-rich repeat and pyrin domain-containing protein 3 (NLRP3) inflammasome is activated in response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Acute infections are accompanied by a sickness symptom complex (SSC) which is highly conserved and protects against infections and hyperinflammation. The aim of this study is to delineate the associations of COVID-19, SSC and NLPR3 rs10157379 T > C and NLPR3 rs10754558 C > G variants; and the protective role of SSC in SARS-CoV-2 infection. We recruited COVID-19 patients, 308 with critical, 63 with moderate and 157 with mild disease. Increased SSC protects against SARS, critical disease, and death due to COVID-19. Increasing age, male sex and rs10754558 CG significantly reduce SSC protection. The rs10157379 CT and rs10754558 GG genotypes are positively associated with SARS. Partial Least Squares analysis shows that a) 41.8% of the variance in critical COVID-19 symptoms is explained by SSC and oxygen saturation (inversely associated), inflammation, chest computed tomography abnormalities, increased body mass index, SARS and age (positively associated); and b) the effects of the NLRP3 rs10157379 and rs10754558 variants on critical COVID-19 are mediated via SSC (protective) and SARS (detrimental). SSC includes anosmia and dysgeusia, and maybe gastrointestinal symptoms. In conclusion, intersections among the rs10754558 variant, age, and sex increase risk towards critical COVID-19 by attenuating SSC. NLRP3 variants play an important role in SARS, and severe and critical COVID-19 especially in elderly male individuals with reduced SSC and with increased BMI, hypertension, and diabetes type 2.

Indexed as

COVID-19InflammasomesAgedHumansMaleNLR Family, Pyrin Domain-Containing 3 ProteinSARS-CoV-2InflammasomesNLR Family, Pyrin Domain-Containing 3 Protein

Identifiers

PMID35022530
PMCPMC8752583
OpenAlexW4226144431

What Socratic holds

Textmetadata
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.