在巴西,COVID-19和葡萄糖-6-酸盐脱酶活性之间的关联
Maria Gabriela de Almeida Rodrigues1,2, Wuelton Marcelo Monteiro1,2, Gisely Cardoso de Melo1,2
1Universidade do Estado do Amazonas, Manaus, Brazil.
The American journal of tropical medicine and hygiene
|April 9, 2024
概括
葡萄糖-6酸脱酶缺乏 (G6PDd) 并没有增加COVID-19的严重程度. 在急性COVID-19疾病期间测试G6PDd可能不可靠,需要仔细解释结果.
科学领域:
- 医学科学 医学科学 医学科学
- 传染性疾病 传染性疾病
- 遗传学 是一个遗传学.
背景情况:
- 葡萄糖-6酸脱酶缺乏 (G6PDd) 被假设为严重的COVID-19的危险因素.
- G6PDd影响红细胞,在全球范围内很常见.
研究的目的:
- 为了调查G6PDd和COVID-19严重程度之间的关联.
- 为了评估COVID-19疾病期间和之后的G6PD活动.
主要方法:
- 753名成年COVID-19患者的前性队列研究.
- 在入院和出院1年后测量G6PD活动.
- 基因型为常见的G6PDd单核酸多态.
主要成果:
- 16.3%的患者患有G6PD缺乏症.
- 在G6PD缺陷和非缺陷组之间,医院住院或机械通风风险没有显著差异.
- 在正常G6PD水平的患者中观察到较高的死亡风险 (P=0.022).
- 在急性疾病和退院1年后之间,G6PD缺乏测试结果存在显著的不一致.
结论:
- G6PDd与COVID-19严重程度的增加没有关联.
- 在急性COVID-19期间进行G6PD测试可能会产生不准确的结果.
- 在急性COVID-19患者中查G6PDd时,建议小心.
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