IL-6 is a predictor and potential therapeutic target for coronavirus disease 2019-related heart failure: A

Yan Xi1, Yu Mao2, Wei Zhu3

  • 1Department of General Practice, Tongji Hospital, School of Medicine, Tongji University, Shanghai 20065, China.

Cytokine
|January 26, 2024
PubMed

Insights

Elevated interleukin-6 (IL-6) levels are significantly linked to heart failure (HF) in patients with coronavirus disease 2019 (COVID-19). This finding highlights IL-6 as a key inflammatory marker in COVID-19-related HF.

Area of Science:

  • Cardiology
  • Immunology
  • Infectious Diseases

Background:

  • Inflammation plays a role in coronavirus disease 2019 (COVID-19)-related heart failure (HF), but underlying mechanisms require further elucidation.
  • Specific inflammatory factors' association with COVID-19-related HF remains unclear.

Purpose of the Study:

  • To investigate the relationship between specific inflammatory factors and the occurrence of heart failure in COVID-19 patients.
  • To identify key inflammatory markers associated with COVID-19-related heart failure.

Main Methods:

  • A retrospective study of 212 adult COVID-19 patients hospitalized between March and May 2022.
  • Comparison of inflammatory markers, including interleukin-6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), and procalcitonin (PCT), between patients with and without HF.
  • Logistic regression analysis to determine associations between inflammatory factors and HF.

Main Results:

  • Patients with COVID-19-related HF showed significant differences in sex, age, hs-CRP, PCT, and IL-6 levels compared to those without HF.
  • Logistic regression revealed a significant positive association between IL-6 levels and HF (odds ratio = 1.055, p < 0.005).
  • Older age, higher hs-CRP, and higher IL-6 levels were associated with an increased risk of HF.

Conclusions:

  • Increased levels of interleukin-6 (IL-6) are significantly associated with heart failure in patients with COVID-19.
  • IL-6 may serve as a crucial inflammatory biomarker for predicting or understanding COVID-19-related heart failure.
Abstract

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