Evidence mapPaperPMID 39805853Full record

ArticleNPJ systems biology and applications2025

Dysregulated autoantibodies targeting AGTR1 are associated with the accumulation of COVID-19 symptoms.

Dennyson Leandro M Fonseca, Maj Jäpel, Michael Adu Gyamfi, Igor Salerno Filgueiras, Gabriela Crispim Baiochi, Yuri Ostrinski, Gilad Halpert, Yael Bublil Lavi, Elroy Vojdani, Thayna Silva-Sousa and 39 more

Abstract read
In one paragraph

Article in NPJ systems biology and applications, 2025. 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
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Role of neutrophils in regulating vascular permeability in inflammatory and autoimmune diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  4. Review
  5. Article
  6. Review
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

49 authors.

Dennyson Leandro M FonsecaBIH Center for Regenerative Therapies (BCRT), Julius Wolff Institute (JWI), and Berlin Institute of Health (BIH); all Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH), 10117, Berlin, Germany. dennyson@usp.br.ORCID http://orcid.org/0000-0003-2567-5808
Maj JäpelDepartment of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany.
Michael Adu GyamfiDepartament of Nephrology and Internal Intensive Care Medicine, Charité University Hospital, Berlin, Germany.ORCID http://orcid.org/0000-0003-4772-0761
Igor Salerno FilgueirasDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Gabriela Crispim BaiochiDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Yuri OstrinskiInstitute of Microbiology and Virology, Riga Stradins University, Riga, Latvia.
Gilad HalpertThe Dina Recanati School of Medicine, Reichman University, Herzliya, Israel.
Yael Bublil LaviScakler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Elroy VojdaniRegenera Medical 11860 Wilshire Blvd., Ste. 301, Los Angeles, CA, 90025, USA.
Thayna Silva-SousaNuclear and Energy Research Institute, IPEN-CNEN/SP, São Paulo, Brazil.
Júlia Nakanishi UsudaDepartment of Vascular Surgery, Universitätsklinikum Ruppin-Brandenburg, Medizinische Hochschule Branderburg Theodor Fontane, Fehrbelliner Str. 38, 16816, Neuruppin, Germany.ORCID http://orcid.org/0000-0002-1516-162X
Juan Carlo Santos E SilvaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7327-4294
Paula P FreireDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Adriel Leal NóbileDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Anny Silva AdriDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Pedro Marçal BarcelosDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Yohan Lucas Gonçalves CorrêaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Fernando Yuri Nery do ValeDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Letícia Oliveira LopesDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Solveig Lea SchmidtDepartment of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany.
Xiaoqing WangPriority Area Chronic Lung Diseases, Research Center Borstel, Borstel, Germany.
Carl VahldieckInstitute of Physiology, University of Lübeck, Lübeck, Germany.
Benedikt FelsInstitute of Physiology, University of Lübeck, Lübeck, Germany.
Lena F SchimkeDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Gustavo Cabral-MirandaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Mario Hiroyuki HirataDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Taj Ali AKhanInstitute of Pathology and Diagnostic Medicine, Khyber Medical University, Peshawar, Pakistan.
Yen-Rei A YuUniversity of Colorado Anschutz Medical Campus, Denver, CO, USA.
Rodrigo Js DalmolinBioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil.
Howard AmitalZabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel.
Aristo VojdaniImmunosciences Laboratory, Inc, Los Angeles, CA, 90035, USA.
Haroldo Dutra DiasDepartment of Neuroscience, Institute of Biomedical Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.
Helder NakayaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo (USP), São Paulo, SP, Brazil.
Hans D OchsDepartment of Pediatrics, University of Washington School of Medicine, and Seattle Children's Research Institute, Seattle, WA, USA.
Jonathan I SilverbergSchool of Medicine and Health Sciences, George Washington University, Washington, D.C., USA.
Jason ZimmermanMaimonides Medical Center, Brooklyn, NY, USA.
Israel ZyskindMaimonides Medical Center, Brooklyn, NY, USA.
Avi Z RosenbergDepartment of Pathology, Johns Hopkins University, Baltimore, MD, USA.
Kai Schulze-ForsterCellTrend Gesellschaft mit beschränkter Haftung (GmbH), Luckenwalde, Germany.
Harald HeideckeCellTrend Gesellschaft mit beschränkter Haftung (GmbH), Luckenwalde, Germany.
Rusan Catar *Departament of Nephrology and Internal Intensive Care Medicine, Charité University Hospital, Berlin, Germany.
Guido Moll *BIH Center for Regenerative Therapies (BCRT), Julius Wolff Institute (JWI), and Berlin Institute of Health (BIH); all Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH), 10117, Berlin, Germany.ORCID http://orcid.org/0000-0001-6173-5957
Alexander Hackel *Department of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany.
Kristina Kusche-Vihrog *Institute of Physiology, University of Lübeck, Lübeck, Germany.
Yehuda Shoenfeld *The Dina Recanati School of Medicine, Reichman University, Herzliya, Israel.
Gabriela Riemekasten *Department of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany.
Reza Akbarzadeh *Department of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, Germany. r.akbarzadeh@uni-luebeck.de.ORCID http://orcid.org/0000-0001-7668-702X
Alexandre H C Marques *Bioinformatics Multidisciplinary Environment, Federal University of Rio Grande do Norte, Natal, Brazil.
Otavio Cabral-Marques *BIH Center for Regenerative Therapies (BCRT), Julius Wolff Institute (JWI), and Berlin Institute of Health (BIH); all Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH), 10117, Berlin, Germany. otavio.cmarques@usp.br.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2020/16246-2Fundação de Amparo à Pesquisa do Estado de São Paulo (São Paulo Research Foundation) 2023/13356-0
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) presents a wide spectrum of symptoms, the causes of which remain poorly understood. This study explored the associations between autoantibodies (AABs), particularly those targeting G protein-coupled receptors (GPCRs) and renin‒angiotensin system (RAS) molecules, and the clinical manifestations of COVID-19. Using a cross-sectional analysis of 244 individuals, we applied multivariate analysis of variance, principal component analysis, and multinomial regression to examine the relationships between AAB levels and key symptoms. Significant correlations were identified between specific AABs and symptoms such as fever, muscle aches, anosmia, and dysgeusia. Notably, anti-AGTR1 antibodies, which contribute to endothelial glycocalyx (eGC) degradation, a process reversed by losartan, have emerged as strong predictors of core symptoms. AAB levels increased with symptom accumulation, peaking in patients exhibiting all four key symptoms. These findings highlight the role of AABs, particularly anti-AGTR1 antibodies, in determining symptom severity and suggest their involvement in the pathophysiology of COVID-19, including vascular complications.

Indexed as

AutoantibodiesCOVID-19Receptor, Angiotensin, Type 1SARS-CoV-2AdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRenin-Angiotensin SystemAGTR1 protein, humanAutoantibodiesReceptor, Angiotensin, Type 1

Identifiers

PMID39805853
PMCPMC11730328

What Socratic holds

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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.