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Characterization of Immune Cells and Proinflammatory Mediators in the Pulmonary Environment
Published on: June 24, 2020
The association between high mobility group box 1 (HMGB1) and Interleukin-18 (IL-18) serum concentrations in COVID-19
Sri Wulandari1,2, Titik Nuryastuti3, Farida Nur Oktoviani3
1Doctorate Program of Medicine and Health Science, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
High mobility group box 1 (HMGB1) and interleukin-18 (IL-18) levels were elevated in COVID-19 patients. Their association suggests a potential cytokine storm mechanism in COVID-19 pathogenesis.
Area of Science:
- Immunology
- Infectious Diseases
- Biochemistry
Background:
- High mobility group box 1 (HMGB1) and interleukin-18 (IL-18) are implicated in various non-coronavirus disease processes.
- These proteins are recognized as potential biomarkers for coronavirus disease (COVID-19).
- The specific role of HMGB1 and IL-18 in COVID-19 pathogenesis remains underexplored.
Purpose of the Study:
- To investigate the association between serum concentrations of HMGB1 and IL-18 in patients with COVID-19 compared to those without.
- To explore the relationship between these biomarkers and COVID-19 severity.
Main Methods:
- Serum samples from 30 COVID-19 patients and 30 non-COVID-19 patients were analyzed.
- Enzyme-linked immunosorbent assay (ELISA) was used to quantify HMGB1 and IL-18 levels.
- Patient data, including demographics and comorbidities, were collected from medical records.
Main Results:
- HMGB1 concentrations were significantly higher in COVID-19 inpatients compared to non-COVID-19 outpatients.
- IL-18 concentrations were also elevated in COVID-19 inpatients relative to non-COVID-19 outpatients.
- A positive correlation was observed between HMGB1 and IL-18 levels in COVID-19 inpatients.
Conclusions:
- The elevated levels and association of HMGB1 and IL-18 in COVID-19 patients suggest a potential role in disease progression.
- This interplay may contribute to a cytokine storm, a dangerous hyperinflammatory response in COVID-19.
- Further research is warranted to elucidate the precise mechanisms and therapeutic implications.
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