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10.1016/j.lfs.2020.118167

http://scihub22266oqcxt.onion/10.1016/j.lfs.2020.118167
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suck abstract from ncbi


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pmid32735885      Life+Sci 2020 ; 258 (ä): 118167
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  • The role of cytokine profile and lymphocyte subsets in the severity of coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis #MMPMID32735885
  • Akbari H; Tabrizi R; Lankarani KB; Aria H; Vakili S; Asadian F; Noroozi S; Keshavarz P; Faramarz S
  • Life Sci 2020[Oct]; 258 (ä): 118167 PMID32735885show ga
  • AIMS: This study aimed to make a comparison between the clinical laboratory-related factors, complete blood count (CBC) indices, cytokines, and lymphocyte subsets in order to distinguish severe coronavirus disease 2019 (COVID-19) cases from the non-severe ones. MATERIALS AND METHODS: Relevant studies were searched in PubMed, Embase, Scopus, and Web of Science databases until March 31, 2020. Cochrane's Q test and the I(2) statistic were used to determine heterogeneity. We used the random-effect models to pool the weighted mean differences (WMDs) and 95% confidence intervals (CIs). KEY FINDINGS: Out of a total of 8557 initial records, 44 articles (50 studies) with 7865 patients (ranging from 13 to 1582), were included. Our meta-analyses with random-effect models showed a significant decrease in lymphocytes, monocyte, CD4+ T cells, CD8+ T cells, CD3 cells, CD19 cells, and natural killer (NK) cells and an increase in the white blood cell (WBC), neutrophils, neutrophil to lymphocyte ratio (NLR), C-reactive protein (CRP)/hs-CRP, erythrocyte sedimentation rate (ESR), ferritin, procalcitonin (PCT), and serum amyloid A (SAA), interleukin-2 (IL-2), IL-2R, IL-4, IL-6, IL-8, IL-10, tumor necrosis factor-alpha (TNF-alpha), and interferon-gamma (INF-gamma) in the severe group compared to the non-severe group. However, no significant differences were found in IL-1beta, IL-17, and CD4/CD8 T cell ratio between the two groups. SIGNIFICANCE: Decrease in total lymphocytes and lymphocyte subsets as well as the elevation of CRP, ESR, SAA, PCT, ferritin, and cytokines, but not IL-1beta and IL-17, were closely associated with COVID-19 severity, implying reliable indicators of severe COVID-19.
  • |Betacoronavirus/immunology/isolation & purification[MESH]
  • |CD4-CD8 Ratio[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*blood/diagnosis/immunology[MESH]
  • |Cytokines/*blood/immunology[MESH]
  • |Humans[MESH]
  • |Lymphocyte Count[MESH]
  • |Lymphocytes/*immunology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*blood/diagnosis/immunology[MESH]
  • |Prognosis[MESH]


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