Related Experiment Video
Updated: Oct 2, 2025

Production of Pseudotyped Particles to Study Highly Pathogenic Coronaviruses in a Biosafety Level 2 Setting
Published on: March 1, 2019
SP-D and CC-16 Pneumoproteins' Kinetics and Their Predictive Role During SARS-CoV-2 Infection.
Margherita Tiezzi1,2, Sofia Morra1,3, Jimmy Seminerio1
1Department of Cardiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Increased surfactant protein D (SP-D) levels predict better outcomes for COVID-19 patients, while higher pulmonary club cell protein 16 (CC-16) levels indicate a greater risk of death. These pneumoproteins aid in predicting patient prognosis.
Area of Science:
- Pulmonary medicine
- Critical care
- Infectious disease
Background:
- Surfactant protein D (SP-D) and pulmonary club cell protein 16 (CC-16) are key pneumoproteins involved in host defense.
- These proteins play roles in managing oxidative stress, inflammation, and viral infections.
Purpose of the Study:
- To evaluate the predictive value of SP-D and CC-16 for acute respiratory distress syndrome (ARDS) or mortality in COVID-19 patients.
- To assess the prognostic significance of these pneumoproteins in severe respiratory illness.
Main Methods:
- Retrospective analysis of 87 COVID-19 patients.
- Measurement of SP-D and CC-16 serum levels at hospital admission and on days 5 and 14.
- Multivariate analysis incorporating clinical confounders.
Main Results:
- Initial SP-D levels showed a slight positive correlation with ARDS development.
- Elevated CC-16 levels on day 1 correlated with an increased risk of fatal outcome.
- A rise in SP-D levels between days 1 and 5/14 strongly predicted a lower incidence of ARDS.
Conclusions:
- Increasing SP-D levels serve as a positive prognostic indicator in COVID-19.
- Initial CC-16 levels are associated with a slightly elevated risk of mortality.
- SP-D and CC-16 show potential utility in predicting COVID-19 patient outcomes.
Related Concept Videos
Pneumonia II: Pathophysiology
Conjugated Proteins
Nucleoproteins are protein complexes that contain nucleic acids, categorized as deoxyribonucleoproteins (DNPs) or ribonucleoproteins (RNPs) respectively. The nucleosome is a typical example of a DNP where nuclear DNA is associated with histone proteins. The major antigen for the Covid-19 virus SARS-CoV is an RNP that is critical...
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
COPD: Pathogenesis and Clinical Features
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
Single Nucleotide Polymorphisms-SNPs
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...

