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10.1186/s12931-021-01666-3

http://scihub22266oqcxt.onion/10.1186/s12931-021-01666-3
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33658032!7928197!33658032
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suck abstract from ncbi


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pmid33658032      Respir+Res 2021 ; 22 (1): 76
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  • Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients #MMPMID33658032
  • Ricci A; Pagliuca A; D'Ascanio M; Innammorato M; De Vitis C; Mancini R; Giovagnoli S; Facchiano F; Sposato B; Anibaldi P; Marcolongo A; De Dominicis C; Laghi A; Muscogiuri E; Sciacchitano S
  • Respir Res 2021[Mar]; 22 (1): 76 PMID33658032show ga
  • BACKGROUND: Several immune mechanisms activate in COVID-19 pathogenesis. Usually, coronavirus infection is characterized by dysregulated host immune responses, interleukine-6 increase, hyper-activation of cytotoxic CD8 T lymphocytes. Interestingly, Vitamin D deficiency has been often associated with altered immune responses and infections. In the present study, we evaluated Vitamin D plasma levels in patients affected with different lung involvement during COVID-19 infection. METHODS: Lymphocyte phenotypes were assessed by flow cytometry. Thoracic CT scan involvement was obtained by an image analysis program. RESULTS: Vitamin D levels were deficient in (80%) of patients, insufficient in (6.5%) and normal in (13.5%). Patients with very low Vitamin D plasma levels had more elevated D-Dimer values, a more elevated B lymphocyte cell count, a reduction of CD8 + T lymphocytes with a low CD4/CD8 ratio, more compromised clinical findings (measured by LIPI and SOFA scores) and thoracic CT scan involvement. CONCLUSIONS: Vitamin D deficiency is associated with compromised inflammatory responses and higher pulmonary involvement in COVID-19 affected patients. Vitamin D assessment, during COVID-19 infection, could be a useful analysis for possible therapeutic interventions. TRIAL REGISTRATION: 'retrospectively registered'.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |CD8-Positive T-Lymphocytes/metabolism[MESH]
  • |COVID-19/*blood/diagnostic imaging/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Vitamin D Deficiency/*blood/diagnostic imaging/*epidemiology[MESH]


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