Serum Calprotectin in Hospitalized Patients with COVID-19 in Relation to High-Dimensional Serum Proteomic Patterns

Åsa Parke1,2, Benedikt Strunz2, Puran Chen2

  • 1Department of Infectious Diseases, Karolinska University Hospital, 141 57 Stockholm, Sweden.

Insights

Calprotectin is a potential biomarker for severe COVID-19 and sepsis. High calprotectin levels in patients with COVID-19 indicate neutrophil-driven inflammation and disease severity.

Area of Science:

  • Immunology
  • Proteomics
  • Infectious Diseases

Background:

  • Calprotectin is a potential biomarker for severe COVID-19 and sepsis.
  • The biological role of calprotectin in these conditions requires further investigation.

Purpose of the Study:

  • To investigate the association between serum calprotectin and the circulating proteome in COVID-19 patients.
  • To explore calprotectin's role as a biomarker in viral sepsis.

Main Methods:

  • Observational study of 160 hospitalized adult COVID-19 patients.
  • Serum calprotectin measured by turbidimetric assay.
  • Proteomics analyzed using the Olink Explore 1536 platform.

Main Results:

  • Higher median calprotectin levels in severe versus moderate COVID-19.
  • Calprotectin associated with a neutrophil-centered inflammatory proteomic signature.
  • Strongest correlation found between calprotectin and S100A12.

Conclusions:

  • Calprotectin is associated with COVID-19 disease severity.
  • High calprotectin reflects neutrophil-mediated hyperinflammation in viral sepsis.
  • Findings support calprotectin as a biomarker for neutrophil-driven inflammation.

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