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SCUBE1 is associated with thrombotic complications, disease severity, and in-hospital mortality in COVID-19 patients
Kenan Toprak1, Mustafa Kaplangoray2, Ali Palice2
1Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Insights
Signal peptide-CUB-EGF domain-containing protein 1 (SCUBE1) levels are elevated in COVID-19 patients and predict severe disease and mortality. Higher SCUBE1 indicates increased thrombotic risk, suggesting it as a therapeutic target.
Area of Science:
- Biochemistry
- Immunology
- Pathology
Background:
- COVID-19 is associated with significant thrombotic complications, mortality, and morbidity.
- The role of Signal peptide-CUB-EGF domain-containing protein 1 (SCUBE1) in COVID-19-related thrombosis remains unclear.
Purpose of the Study:
- To investigate the diagnostic and prognostic value of SCUBE1 levels in COVID-19 patients.
- To clarify the relationship between SCUBE1 and thrombosis risk in COVID-19.
Main Methods:
- Compared SCUBE1 levels in 553 COVID-19 patients versus 553 healthy controls.
- Analyzed SCUBE1 levels in relation to disease severity, thrombotic complications, and in-hospital mortality.
Main Results:
- SCUBE1 levels were significantly higher in COVID-19 patients than controls (p < 0.001).
- Elevated SCUBE1 correlated with severe disease and thrombotic complications (p < 0.001).
- SCUBE1 independently predicted in-hospital mortality (p < 0.001).
Conclusions:
- SCUBE1 is a potential determinant of thrombotic complications in COVID-19.
- Inhibiting SCUBE1 may represent a therapeutic strategy for COVID-19 patients.
Introduction:
COVID-19 disease, which has recently become an important cause of mortality and morbidity all over the world, is remarkably associated with thrombotic complications. Although many factors are responsible for these increased thrombotic complications in COVID-19 disease, its relationship with a marker that increases the risk of thrombosis such as Signal peptide-CUB-EGF domain-containing protein 1 (SCUBE1) has not yet been clarified. This is the first study to examine the potential diagnostic and prognostic value of SCUBE1 levels in patients with COVID-19. In this study, we aimed to clarify the relationship between the increased risk of thrombosis and SCUBE1 in the course of COVID-19 disease.
Materials And Methods:
553 patients with COVID-19 and 553 healthy controls were compared in terms of SCUBE1 levels. Additionally, patients with COVID-19 were divided into two groups according to their SCUBE1 levels and compared in terms of severity of disease, thrombotic complications and ın-hospital mortality.
Results:
SCUBE1 levels were significantly higher in patients with COVID-19 compared to the control group (p < 0.001). Plasma SCUBE1 levels were significantly higher in patients with severe disease and thrombotic complications, those with mild to moderate disease, and those without thrombotic complications (p < 0.001, for both). In addition, SCUBE1 was found to be an independent predictor of in-hospital mortality (p < 0.001).
Conclusions:
SCUBE1 may be one of the major determinants of thrombotic complications, which is an increased cause of mortality and morbidity in COVID-19 patients so inhibition of this peptide may be among the therapeutic targets in patients with COVID-19.
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