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10.1002/jmv.26087

http://scihub22266oqcxt.onion/10.1002/jmv.26087
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suck abstract from ncbi


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pmid32470148      J+Med+Virol 2020 ; 92 (10): 2216-2220
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  • Serum KL-6 concentrations as a novel biomarker of severe COVID-19 #MMPMID32470148
  • d'Alessandro M; Cameli P; Refini RM; Bergantini L; Alonzi V; Lanzarone N; Bennett D; Rana GD; Montagnani F; Scolletta S; Franchi F; Frediani B; Valente S; Mazzei MA; Bonella F; Bargagli E
  • J Med Virol 2020[Oct]; 92 (10): 2216-2220 PMID32470148show ga
  • Severe acute respiratory syndrome coronavirus 2-induced direct cytopathic effects against type I and II pneumocytes mediate lung damage. Krebs von den Lungen-6 (KL-6) is mainly produced by damaged or regenerating alveolar type II pneumocytes. This preliminary study analyzed serum concentrations of KL-6 in patients with coronavirus disease (COVID-19) to verify its potential as a prognostic biomarker of severity. Twenty-two patients (median age [interquartile range] 63 [59-68] years, 16 males) with COVID-19 were enrolled prospectively. Patients were divided into mild-moderate and severe groups, according to respiratory impairment and clinical management. KL-6 serum concentrations and lymphocyte subset were obtained. Peripheral natural killer (NK) cells/microL were significantly higher in nonsevere patients than in the severe group (P = .0449) and the best cut-off value was 119 cells/microL. KL-6 serum concentrations were significantly higher in severe patients than the nonsevere group (P = .0118). Receiver operating characteristic analysis distinguished severe and nonsevere patients according to KL-6 serum levels and the best cut-off value was 406.5 U/mL. NK cell analysis and assay of KL-6 in serum can help identify severe COVID-19 patients. Increased KL-6 serum concentrations were observed in patients with severe pulmonary involvement, revealing a prognostic value and supporting the potential usefulness of KL-6 measurement to evaluate COVID-19 patients' prognosis.
  • |Aged[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19/*blood/*diagnosis/immunology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Killer Cells, Natural/immunology/virology[MESH]
  • |Lung/immunology/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mucin-1/*blood[MESH]
  • |Pandemics[MESH]
  • |Prognosis[MESH]
  • |ROC Curve[MESH]


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