Evidence map›Paper›PMID 37924472›Full record

ArticleInfection2024

Blood T cell phenotypes correlate with fatigue severity in post-acute sequelae of COVID-19.

Isabell Pink, Jan K Hennigs, Louisa Ruhl, Andrea Sauer, Lennart Boblitz, Marie Huwe, Jan Fuge, Christine S Falk, Thomas Pietschmann, Martina de Zwaan and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Sleep quality and efficiency in adults with post-acute sequelae of COVID-19.Sleep advances : a journal of the Sleep Research Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Isabell Pink *Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. pink.isabell@mh-hannover.de.
Jan K Hennigs *Division of Respiratory Medicine, II. Department of Medicine, University Medical Center Hamburg-Eppendorf, 20251, Hamburg, Germany.
Louisa RuhlInstitute of Transplant Immunology, Hannover Medical School, Hannover, Germany.
Andrea SauerDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Lennart BoblitzDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Marie HuweDivision of Respiratory Medicine, II. Department of Medicine, University Medical Center Hamburg-Eppendorf, 20251, Hamburg, Germany.
Jan FugeDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Christine S FalkInstitute of Transplant Immunology, Hannover Medical School, Hannover, Germany.
Thomas PietschmannInstitute of Experimental Virology, Hannover Medical School, TWINCORE Research Center, Hannover, Germany.
Martina de ZwaanDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.
Antje PrasseDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Stefan KlugeDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20251, Hamburg, Germany.
Hans KloseDivision of Respiratory Medicine, II. Department of Medicine, University Medical Center Hamburg-Eppendorf, 20251, Hamburg, Germany.
Marius M HoeperDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Tobias WelteDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Medizinische Hochschule Hannover · DEGerman Center for Lung Research · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DECenter for Experimental and Clinical Infection Research · DE

Funding

COVID-19 -Research Network of the State of Lower Saxony (COFONI), Ministry of Science and Culture of Lower Saxony, Germany 14-76103-184 CORONA-13/20COVID-19 -Research Network of the State of Lower Saxony (COFONI), Ministry of Science and Culture of Lower Saxony, Germany COFONI-2FF4Deutsches Zentrum für Infektionsforschung project 07_913
6 · The paper itself

Abstract

purposePost-acute sequelae of COVID-19 (PASC) affect approximately 10% of convalescent patients. The spectrum of symptoms is broad and heterogeneous with fatigue being the most often reported sequela. Easily accessible blood biomarkers to determine PASC severity are lacking. Thus, our study aimed to correlate immune phenotypes with PASC across the severity spectrum of COVID-19.

methodsA total of 176 originally immunonaïve, convalescent COVID-19 patients from a prospective cohort during the first pandemic phase were stratified by initial disease severity and underwent clinical, psychosocial, and immune phenotyping around 10 weeks after first COVID-19 symptoms. COVID-19-associated fatigue dynamics were assessed and related to clinical and immune phenotypes.

resultsFatigue and severe fatigue were commonly reported irrespective of initial COVID-19 severity or organ-specific PASC. A clinically relevant increase in fatigue severity after COVID-19 was detected in all groups. Neutralizing antibody titers were higher in patients with severe acute disease, but no association was found between antibody titers and PASC. While absolute peripheral blood immune cell counts in originally immunonaïve PASC patients did not differ from unexposed controls, peripheral CD3

conclusionsPatients were at similar risk of self-reported PASC irrespective of initial disease severity. The independent correlation between fatigue severity and blood T cell phenotypes indicates a possible role of CD4

Indexed as

COVID-19T-LymphocytesDisease ProgressionFatigueHumansPhenotypePost-Acute COVID-19 SyndromeProspective StudiesFatigue assessment scaleImmune phenotypesImmunodysregulationLong-COVIDNeutralizing antibodiesSARS-CoV-2

Identifiers

PMID37924472
PMCPMC10954951
OpenAlexW4388342494

What Socratic holds

Textmetadata
LicenceCC BY
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.