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10.1371/journal.pone.0245296

http://scihub22266oqcxt.onion/10.1371/journal.pone.0245296
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33434221!7802954!33434221
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suck abstract from ncbi


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pmid33434221      PLoS+One 2021 ; 16 (1): e0245296
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  • Observational cohort study of IP-10 s potential as a biomarker to aid in inflammation regulation within a clinical decision support protocol for patients with severe COVID-19 #MMPMID33434221
  • Lev S; Gottesman T; Sahaf Levin G; Lederfein D; Berkov E; Diker D; Zaidman A; Nutman A; Ilan Ber T; Angel A; Kellerman L; Barash E; Navon R; Boico O; Israeli Y; Rosenberg M; Gelman A; Kalfon R; Simon E; Avni N; Hainrichson M; Zarchin O; Gottlieb TM; Oved K; Eden E; Tadmor B
  • PLoS One 2021[]; 16 (1): e0245296 PMID33434221show ga
  • BACKGROUND: Treatment of severely ill COVID-19 patients requires simultaneous management of oxygenation and inflammation without compromising viral clearance. While multiple tools are available to aid oxygenation, data supporting immune biomarkers for monitoring the host-pathogen interaction across disease stages and for titrating immunomodulatory therapy is lacking. METHODS: In this single-center cohort study, we used an immunoassay platform that enables rapid and quantitative measurement of interferon gamma-induced protein 10 (IP-10), a host protein involved in lung injury from virus-induced hyperinflammation. A dynamic clinical decision support protocol was followed to manage patients infected with severe acute respiratory syndrome coronavirus 2 and examine the potential utility of timely and serial measurements of IP-10 as tool in regulating inflammation. RESULTS: Overall, 502 IP-10 measurements were performed on 52 patients between 7 April and 10 May 2020, with 12 patients admitted to the intensive care unit. IP-10 levels correlated with COVID-19 severity scores and admission to the intensive care unit. Among patients in the intensive care unit, the number of days with IP-10 levels exceeding 1,000 pg/mL was associated with mortality. Administration of corticosteroid immunomodulatory therapy decreased IP-10 levels significantly. Only two patients presented with subsequent IP-10 flare-ups exceeding 1,000 pg/mL and died of COVID-19-related complications. CONCLUSIONS: Serial and readily available IP-10 measurements potentially represent an actionable aid in managing inflammation in COVID-19 patients and therapeutic decision-making. TRIAL REGISTRATION: Clinicaltrials.gov, NCT04389645, retrospectively registered on May 15, 2020.
  • |*Decision Support Systems, Clinical[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19/*blood/pathology/therapy[MESH]
  • |Chemokine CXCL10/*blood[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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