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SARS-CoV-2–related MIS-C: A key to the viral and genetic causes of Kawasaki disease?

2021· review· en· 150 citations· W3158468209 on OpenAlex· 10.1084/jem.20210446

Why is this work in the frame?

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

Canadian affiliationAn author listed a Canadian institution. This is the only route the usual frame has.
Canadian funderA Canadian agency funded it. The work may carry no Canadian affiliation at all.

Full frame distilled prediction

Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

Candidate categories
none
Consensus categories
none
Domain
Candidate signal: noneConsensus signal: none
Study design
Candidate signal: Not applicableConsensus signal: none
Genre
Candidate signal: ReviewConsensus signal: Review
Teacher disagreement score
0.767
Threshold uncertainty score
0.670
Validation status
machine_predicted_unvalidated · codex-gemma-dda1882f352a

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Opus teacher head0.069
GPT teacher head0.398
Teacher spread
0.329 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

Multisystem inflammatory syndrome in children (MIS-C) emerged in April 2020 in communities with high COVID-19 rates. This new condition is heterogenous but resembles Kawasaki disease (KD), a well-known but poorly understood and clinically heterogenous pediatric inflammatory condition for which weak associations have been found with a myriad of viral illnesses. Epidemiological data clearly indicate that SARS-CoV-2 is the trigger for MIS-C, which typically occurs about 1 mo after infection. These findings support the hypothesis of viral triggers for the various forms of classic KD. We further suggest that rare inborn errors of immunity (IEIs) altering the immune response to SARS-CoV-2 may underlie the pathogenesis of MIS-C in some children. The discovery of monogenic IEIs underlying MIS-C would shed light on its pathogenesis, paving the way for a new genetic approach to classic KD, revisited as a heterogeneous collection of IEIs to viruses.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

The record

Venue
The Journal of Experimental Medicine
Topic
Kawasaki Disease and Coronary Complications
Field
Medicine
Canadian institutions
BC Children's HospitalUniversity of British Columbia
Funders
National Human Genome Research InstituteNIHR Imperial Biomedical Research CentreInstituto de Salud Carlos IIINational Institutes of HealthSCOR Corporate Foundation for ScienceNational Health and Medical Research CouncilNovo Nordisk FondenFondation pour la Recherche MédicaleAgencia Estatal de InvestigaciónYale UniversityUniversity of New South WalesNational Institute of Allergy and Infectious DiseasesAgence Nationale de la RechercheUniversité de ParisImperial College Healthcare NHS TrustImperial College LondonRockefeller UniversityUK Research and InnovationMinisterio de Ciencia e InnovaciónNational Institute for Health and Care ResearchInstitut National de la Santé et de la Recherche MédicaleBurroughs Wellcome FundFondation du SouffleAmerican Academy of Allergy Asthma and ImmunologyMichael Smith Health Research BCSt. Giles FoundationNational Center for Advancing Translational SciencesMedical Research CouncilHoward Hughes Medical Institute
Keywords
Kawasaki diseasePathogenesisDiseaseImmunologyImmune systemImmunityCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)BiologyViral pathogenesisViral infectionVirologyMedicineVirusInfectious disease (medical specialty)Viral replicationPathology
Has abstract in OpenAlex
yes