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10.1017/S095026882000165X

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32713370!7399149!32713370
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suck abstract from ncbi


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pmid32713370      Epidemiol+Infect 2020 ; 148 (ä): e164
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  • Contribution of acute-phase reaction proteins to the diagnosis and treatment of 2019 novel coronavirus disease (COVID-19) #MMPMID32713370
  • Li L; Chen C
  • Epidemiol Infect 2020[Jul]; 148 (ä): e164 PMID32713370show ga
  • The emergence of 2019 novel coronavirus disease (COVID-19) is currently a global concern. In this study, our goal was to explore the changing expression levels of acute-phase reaction proteins (APRPs) in the serum of COVID-19 patients and to elucidate the immunological characteristics of COVID-19. In the study design, we recruited 72 COVID-19 patients, including 22 cases of mild degree, 38 cases of moderate degree and 12 cases of severe degree. We also recruited 20 patients with community-acquired pneumonia (CAP) and 20 normal control subjects as a comparison. Fasting venous blood was taken to detect the content of complement 3 (C3), complement 4 (C4), C-reactive protein (CRP), serum amyloid A (SAA) and prealbumin (PA). When compared the COVID-19 group with the CAP and normal control groups, respectively, the mean value of CRP and SAA in the COVID-19 group (including mild, moderate and severe patients) had increased significantly (P < 0.01), whereas the mean values of C3, C4 and PA decreased (P < 0.01). For the asymptomatic or mild symptomatic patients with COVID-19, the actual aggravation of disease may be more advanced than the clinical appearances. Meanwhile, the statistical analyses indicated that the development of COVID-19 brought about a significant increase in the content of CRP and SAA (P < 0.01), and a decline in the content of C3, C4 and PA (P < 0.01). These findings suggested that the changes in the level of APRPs could be used as indicators to identify the degree and progression of COVID-19, and the significant changes might demonstrate the aggravation of disease. This study provided a new approach to improve the clinical management plan and prognosis of COVID-19.
  • |Acute-Phase Proteins/*analysis/*biosynthesis[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |C-Reactive Protein/analysis/biosynthesis[MESH]
  • |COVID-19[MESH]
  • |Case-Control Studies[MESH]
  • |Community-Acquired Infections/blood/immunology[MESH]
  • |Complement C3/analysis/biosynthesis[MESH]
  • |Complement C4/analysis/biosynthesis[MESH]
  • |Coronavirus Infections/blood/*diagnosis/immunology/*therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/*diagnosis/immunology/*therapy[MESH]
  • |Pneumonia/blood/immunology[MESH]
  • |Prealbumin/analysis/biosynthesis[MESH]
  • |Prognosis[MESH]
  • |Serum Amyloid A Protein/analysis/biosynthesis[MESH]
  • |Severity of Illness Index[MESH]


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