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10.1101/2021.02.24.21252357

http://scihub22266oqcxt.onion/10.1101/2021.02.24.21252357
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33655257!7924277!33655257
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suck abstract from ncbi


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pmid33655257      medRxiv 2021 ; ä (ä): ä
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  • SARS-CoV-2 Viremia is Associated with Distinct Proteomic Pathways and Predicts COVID-19 Outcomes #MMPMID33655257
  • Li Y; Schneider AM; Mehta A; Sade-Feldman M; Kays KR; Gentili M; Charland NC; Gonye ALK; Gushterova I; Khanna HK; LaSalle TJ; Lavin-Parsons KM; Lilly BM; Lodenstein CL; Manakongtreecheep K; Margolin JD; McKaig BN; Parry BA; Rojas-Lopez M; Russo BC; Sharma N; Tantivit J; Thomas MF; Regan J; Flynn JP; Villani AC; Hacohen N; Goldberg MB; Filbin MR; Li JZ
  • medRxiv 2021[Feb]; ä (ä): ä PMID33655257show ga
  • BACKGROUND: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) plasma viremia has been associated with severe disease and death in coronavirus disease 2019 (COVID-19) in small-scale cohort studies. The mechanisms behind this association remain elusive. METHODS: We evaluated the relationship between SARS-CoV-2 viremia, disease outcome, inflammatory and proteomic profiles in a cohort of COVID-19 emergency department participants. SARS-CoV-2 viral load was measured using qRT-PCR based platform. Proteomic data were generated with Proximity Extension Assay (PEA) using the Olink platform. RESULTS: Three hundred participants with nucleic acid test-confirmed COVID-19 were included in this study. Levels of plasma SARS-CoV-2 viremia at the time of presentation predicted adverse disease outcomes, with an adjusted odds ratio (aOR) of 10.6 (95% confidence interval [CI] 4.4, 25.5, P<0.001) for severe disease (mechanical ventilation and/or 28-day mortality) and aOR of 3.9 (95%CI 1.5, 10.1, P=0.006) for 28-day mortality. Proteomic analyses revealed prominent proteomic pathways associated with SARS-CoV-2 viremia, including upregulation of SARS-CoV-2 entry factors (ACE2, CTSL, FURIN), heightened markers of tissue damage to the lungs, gastrointestinal tract, endothelium/vasculature and alterations in coagulation pathways. CONCLUSIONS: These results highlight the cascade of vascular and tissue damage associated with SARS-CoV-2 plasma viremia that underlies its ability to predict COVID-19 disease outcomes.
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