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10.1016/j.redox.2020.101764

http://scihub22266oqcxt.onion/10.1016/j.redox.2020.101764
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33126054!7574778!33126054
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suck abstract from ncbi


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pmid33126054      Redox+Biol 2021 ; 38 (ä): 101764
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  • Prediction of survival odds in COVID-19 by zinc, age and selenoprotein P as composite biomarker #MMPMID33126054
  • Heller RA; Sun Q; Hackler J; Seelig J; Seibert L; Cherkezov A; Minich WB; Seemann P; Diegmann J; Pilz M; Bachmann M; Ranjbar A; Moghaddam A; Schomburg L
  • Redox Biol 2021[Jan]; 38 (ä): 101764 PMID33126054show ga
  • SARS-CoV-2 infections cause the current coronavirus disease (COVID-19) pandemic and challenge the immune system with ongoing inflammation. Several redox-relevant micronutrients are known to contribute to an adequate immune response, including the essential trace elements zinc (Zn) and selenium (Se). In this study, we tested the hypothesis that COVID-19 patients are characterised by Zn deficiency and that Zn status provides prognostic information. Serum Zn was determined in serum samples (n = 171) collected consecutively from patients surviving COVID-19 (n = 29) or non-survivors (n = 6). Data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study were used for comparison. Zn concentrations in patient samples were low as compared to healthy subjects (mean +/- SD; 717.4 +/- 246.2 vs 975.7 +/- 294.0 mug/L, P < 0.0001). The majority of serum samples collected at different time points from the non-survivors (25/34, i.e., 73.5%) and almost half of the samples collected from the survivors (56/137, i.e., 40.9%) were below the threshold for Zn deficiency, i.e., below 638.7 mug/L (the 2.5th percentile in the EPIC cohort). In view that the Se status biomarker and Se transporter selenoprotein P (SELENOP) is also particularly low in COVID-19, we tested the prevalence of a combined deficit, i.e., serum Zn below 638.7 mug/L and serum SELENOP below 2.56 mg/L. This combined deficit was observed in 0.15% of samples in the EPIC cohort of healthy subjects, in 19.7% of the samples collected from the surviving COVID-19 patients and in 50.0% of samples from the non-survivors. Accordingly, the composite biomarker (SELENOP and Zn with age) proved as a reliable indicator of survival in COVID-19 by receiver operating characteristic (ROC) curve analysis, yielding an area under the curve (AUC) of 94.42%. We conclude that Zn and SELENOP status within the reference ranges indicate high survival odds in COVID-19, and assume that correcting a diagnostically proven deficit in Se and/or Zn by a personalised supplementation may support convalescence.
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*blood/diagnosis/*mortality[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Disease-Free Survival[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |P-Selectin/*blood[MESH]
  • |Predictive Value of Tests[MESH]
  • |SARS-CoV-2/*metabolism[MESH]
  • |Survival Rate[MESH]


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