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SARS-CoV-2 Infection and Candidate Biomarkers
1Health Services Vocational School, Bayburt University, Bayburt, Turkey.
Abstract:
Severe acute respiratory syndrome coronavirus 2 is a virus that can still infect individuals and whose deadly effects continue despite the current vaccines and drugs. Since 2019, many studies on the pathogenesis of the disease have been completed and continue to be done. In addition to the diagnosis and treatment of the disease, many molecules that can be markers of the disease have been investigated. In the early stages of the pandemic, many nonspecific and infection-related laboratory findings and chest computed tomography were used to obtain information about the diagnosis of the disease. The more individual molecules became associated with the disease yet. The purpose of this review is to summarize the impact and role of many molecules associated with coronavirus disease-2019 infection that have been previously used and newly revealed. Numerous studies are summarized in this review. The obtained data show that previously used laboratory findings and new potential biomarkers are not specific to the disease. New potential biomarkers have been associated with the severity of the disease itself, as can be seen with lung imaging and even with routine laboratory findings. One of the important points that are seen frequently in studies is that the effectiveness of these molecules has been shown not only in coronavirus disease-2019 infection but also in many other diseases. This removes the pathogenesis of the disease from being a unique mechanism created by the Severe acute respiratory syndrome coronavirus 2 and provides a general perspective formed by viral or bacterial infections. However, there are still many molecular changes that need to be investigated. Future studies will continue to update themselves with the mutations of the virus.
Insights
Biomarkers for Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are not unique and can indicate disease severity. Further research is needed to understand molecular changes and virus mutations.
Area of Science:
- Infectious Diseases
- Molecular Biology
- Biochemistry
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to cause severe illness despite vaccines and treatments.
- Early diagnosis relied on nonspecific laboratory findings and chest CT scans.
- Ongoing research investigates specific molecular markers for SARS-CoV-2 infection.
Purpose of the Study:
- To review and summarize the roles of various molecules associated with coronavirus disease-2019 (COVID-19) infection.
- To assess the impact of previously used and newly identified biomarkers.
- To provide a comprehensive overview of molecular markers in COVID-19 pathogenesis.
Main Methods:
- Literature review of numerous studies on COVID-19 molecular markers.
- Analysis of data on laboratory findings, imaging, and molecular associations.
- Synthesis of information regarding biomarker specificity and correlation with disease severity.
Main Results:
- Previously utilized laboratory findings and novel potential biomarkers are not specific to COVID-19.
- New biomarkers correlate with disease severity, similar to lung imaging and routine lab results.
- The effectiveness of these molecules extends beyond COVID-19 to other diseases.
Conclusions:
- The pathogenesis of COVID-19 may involve general mechanisms common to various viral and bacterial infections, rather than a unique SARS-CoV-2 pathway.
- Current biomarkers lack specificity for COVID-19, but can indicate disease severity.
- Further investigation into molecular changes is necessary, especially considering ongoing viral mutations.

