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  1. Home
  2. Characteristics Of Cytokines/chemokines Associated With Disease Severity And Adverse Prognosis In Covid-19 Patients.
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  2. Characteristics Of Cytokines/chemokines Associated With Disease Severity And Adverse Prognosis In Covid-19 Patients.

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Characteristics of cytokines/chemokines associated with disease severity and adverse prognosis in COVID-19 patients.

Jianghao Cheng1, Haozhen Wang2, Chaodan Li1

  • 1Department of Open Laboratory Medicine, Hangzhou Xixi Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.

Frontiers in Immunology
|December 10, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Cytokine and chemokine levels, including Interleukin-10 (IL-10) and Interferon gamma-induced protein 10 (IP-10), are significantly altered in COVID-19 patients. Elevated IP-10, IL-10, and other markers can predict mortality and disease severity.

Keywords:
COVID-19SARS-CoV-2chemokinescytokinesprognosis

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Area of Science:

  • Immunology
  • Virology
  • Infectious Diseases

Background:

  • Cytokines and chemokines are key in innate immunity during SARS-CoV-2 infection.
  • Excessive immune responses, or cytokine storms, worsen COVID-19 severity.

Purpose of the Study:

  • Investigate specific cytokines/chemokines involved in COVID-19 cytokine storms.
  • Analyze changes in cytokine/chemokine levels throughout COVID-19 progression.
  • Determine the diagnostic and prognostic value of these markers for COVID-19.

Main Methods:

  • Serum samples from 50 COVID-19 patients were analyzed.
  • Flow cytometry was used to detect cytokine and chemokine levels.

Main Results:

  • Non-severe COVID-19 patients had lower levels of IL-6, IL-8, IL-10, sCD25, IP-10, and MIG compared to severe cases.
  • IP-10, MCP-1, sTREM-1, and IL-10 levels, along with the neutrophil-to-lymphocyte ratio (NLR), differentiated survivors from non-survivors.
  • IP-10 was the strongest predictor of adverse outcomes (AUC: 0.715), though not improved by combination with NLR.
  • Conclusions:

    • COVID-19 patients with severe illness or non-survival show immune dysregulation and higher inflammation.
    • Serum IP-10, MCP-1, sTREM-1, and IL-10 can serve as biomarkers for predicting adverse COVID-19 outcomes.