干扰的上皮透性作为严重COVID-19发展的预测因素
Duygu Yazici1, Eren Cagan2,3, Ge Tan1
1Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.
Allergy
|July 9, 2023
概括
表皮屏障完整性的生物标志物可以预测COVID-19的严重程度. 升高的细菌DNA和zonulin家族 (ZFP) 表明严重的疾病,而完整的屏障表明较温和的过程,有助于早期入院预测.
科学领域:
- 胃肠道学和传染病研究
- 对炎症状况的生物标志物发现
背景情况:
- 胃肠道上皮质屏障功能障碍与炎症性疾病有关.
- 评估表皮屏障完整性生物标志物可以预测COVID-19的严重程度.
研究的目的:
- 评估表皮屏障功能障碍生物标志物,用于预测严重的COVID-19.
- 为了确定COVID-19疾病进程的早期预测标记.
主要方法:
- 在328名COVID-19患者和49名对照组中分析了血清细菌DNA和zonulin家族 (ZFP).
- 测量了180种免疫和炎症蛋白质.
- 利用蛋白质组分析检测疾病进展标志物.
主要成果:
- 严重的COVID-19病例显示出明显更高的循环细菌DNA.
- 较高的ZFP水平是COVID-19患者的特征.
- 鉴定了六种蛋白质 (AREG,AXIN1,CLEC4C,CXCL10,CXCL11,TRANCE) 与细菌转位有很强的相关性,用于预测严重疾病 (AUC: 1).
- 在中度至重症病例中,十种蛋白质被确定为疾病进展和死亡率的预测因子 (AUC:0.88).
结论:
- 表皮屏障状态的生物标志物与COVID-19的严重程度有关.
- 这些生物标志物在入院时提供了早期预测信息.
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