Hypolipidemia is associated with the severity of COVID-19

Xiuqi Wei1, Wenjuan Zeng2, Jingyu Su1

  • 1Department of Laboratory Medicine, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China.

Insights

COVID-19 patients experienced lower lipid levels, including low-density lipoprotein cholesterol (LDL-c) and total cholesterol (TC). This hypolipidemia worsened with increasing disease severity, indicating a link between COVID-19 and lipid metabolism changes.

Area of Science:

  • Medical Research
  • Biochemistry
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) is known to cause multiple organ dysfunctions.
  • The impact of COVID-19 on patient lipid profiles, specifically dyslipidemia, remains largely uncharacterized.

Purpose of the Study:

  • To investigate alterations in low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), and total cholesterol (TC) in COVID-19 patients.
  • To determine the relationship between these lipid profile changes and COVID-19 disease severity.

Main Methods:

  • A retrospective study analyzed serum lipid levels (LDL-c, HDL-c, TC) in 597 hospitalized COVID-19 patients.
  • Patients were categorized into mild, severe, and critical groups.
  • A control group of 50 healthy individuals with matched age and gender was included for comparison.

Main Results:

  • COVID-19 patients exhibited significantly lower LDL-c and TC levels compared to healthy controls.
  • A progressive decrease in LDL-c and TC levels was observed across mild, severe, and critical COVID-19 cases.
  • HDL-c levels significantly decreased only in critical COVID-19 cases.
  • Lower lipid levels correlated inversely with C-reactive protein and interleukin-6, and positively with lymphocyte count.

Conclusions:

  • Hypolipidemia, characterized by reduced lipid levels, is present even in mild COVID-19 cases.
  • The severity of hypolipidemia in COVID-19 patients correlates with the overall severity of the disease.
Abstract

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