关键词: Biomarker IL-1β IL-6 SARS-CoV-2 TNF-α proinflammatory cytokine

来  源:   DOI:10.1097/MS9.0000000000000679   PDF(Pubmed)

Abstract:
The cytokine storm is a complication related to SARS-CoV-2 infection worldwide. This study aimed to address the level of three cytokines which were interleukin-1-beta (IL-1β), interleukin-6 (IL-6), and tumour necrosis factor-alpha (TNF-α), with different blood parameters to the formation of cytokine storm or any complication among COVID-19 patients.
UNASSIGNED: A total of 104 serum samples were included for this purpose, and they were divided into three categories the healthy control group (n=30), mild COVID-19 patients (n=23), and severe cases of COVID-19 patients (n=51). The cytokine concentration was measured by enzyme-linked immunosorbent assays (ELISA). Serum ferritin, C-reactive protein (CRP) levels, and erythrocyte sedimentation rate were also evaluated and compared with the concentration of the proinflammatory cytokines.
UNASSIGNED: The data analysis showed a significant relationship between the serum IL-6 level with serum ferritin and CRP and the progression to the severity of SARS-CoV-2 infection. The IL-6 level was increased in mild COVID-19 patients and was significantly elevated in severe COVID-19 patients. Patients in the severe group had significantly higher serum ferritin, CRP, and erythrocyte sedimentation rate levels than those in the mild and healthy groups. The IL-1β and TNF-α were not significantly different in the groups compared with the healthy control group.
UNASSIGNED: This study revealed that the proinflammatory cytokines and biochemical laboratory tests are promising biomarkers for detecting the severity of COVID-19 cases.
摘要:
细胞因子风暴是全球范围内与SARS-CoV-2感染有关的并发症。这项研究旨在解决三种细胞因子的水平,白细胞介素-1-β(IL-1β),白细胞介素-6(IL-6),和肿瘤坏死因子-α(TNF-α),COVID-19患者中不同的血液参数导致细胞因子风暴或任何并发症的形成。
为此目的共纳入104份血清样本,他们分为三类健康对照组(n=30),轻度COVID-19患者(n=23),和COVID-19患者的重症病例(n=51)。通过酶联免疫吸附测定(ELISA)测量细胞因子浓度。血清铁蛋白,C反应蛋白(CRP)水平,还评估了红细胞沉降率,并将其与促炎细胞因子的浓度进行了比较。
数据分析显示血清IL-6水平与血清铁蛋白和CRP与SARS-CoV-2感染严重程度的进展之间存在显着关系。轻度COVID-19患者的IL-6水平升高,重度COVID-19患者的IL-6水平显着升高。重症组患者血清铁蛋白明显增高,CRP,和红细胞沉降率水平高于轻度和健康组。各组IL-1β、TNF-α与健康对照组比较差异无统计学意义。
这项研究表明,促炎细胞因子和生化实验室测试是检测COVID-19病例严重程度的有希望的生物标志物。
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