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10.3389/fimmu.2020.575047

http://scihub22266oqcxt.onion/10.3389/fimmu.2020.575047
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33123154!7573491!33123154
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suck abstract from ncbi


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pmid33123154      Front+Immunol 2020 ; 11 (ä): 575047
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  • Increased Plasma Heparanase Activity in COVID-19 Patients #MMPMID33123154
  • Buijsers B; Yanginlar C; de Nooijer A; Grondman I; Maciej-Hulme ML; Jonkman I; Janssen NAF; Rother N; de Graaf M; Pickkers P; Kox M; Joosten LAB; Nijenhuis T; Netea MG; Hilbrands L; van de Veerdonk FL; Duivenvoorden R; de Mast Q; van der Vlag J
  • Front Immunol 2020[]; 11 (ä): 575047 PMID33123154show ga
  • Reports suggest a role of endothelial dysfunction and loss of endothelial barrier function in COVID-19. It is well established that the endothelial glycocalyx-degrading enzyme heparanase contributes to vascular leakage and inflammation. Low molecular weight heparins (LMWH) serve as an inhibitor of heparanase. We hypothesize that heparanase contributes to the pathogenesis of COVID-19, and that heparanase may be inhibited by LMWH. To test this hypothesis, heparanase activity and heparan sulfate levels were measured in plasma of healthy controls (n = 10) and COVID-19 patients (n = 48). Plasma heparanase activity and heparan sulfate levels were significantly elevated in COVID-19 patients. Heparanase activity was associated with disease severity including the need for intensive care, lactate dehydrogenase levels, and creatinine levels. Use of prophylactic LMWH in non-ICU patients was associated with a reduced heparanase activity. Since there is no other clinically applied heparanase inhibitor currently available, therapeutic treatment of COVID-19 patients with low molecular weight heparins should be explored.
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/immunology/pathology[MESH]
  • |Creatinine/blood[MESH]
  • |Critical Care[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Endothelium/*pathology[MESH]
  • |Female[MESH]
  • |Glucuronidase/*antagonists & inhibitors/*blood/metabolism[MESH]
  • |Heparin Antagonists/*therapeutic use[MESH]
  • |Heparin, Low-Molecular-Weight/*therapeutic use[MESH]
  • |Heparitin Sulfate/blood[MESH]
  • |Humans[MESH]
  • |Interleukin-6/blood[MESH]
  • |L-Lactate Dehydrogenase/blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/immunology/pathology[MESH]
  • |SARS-CoV-2[MESH]


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