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10.1038/s41420-021-00429-9

http://scihub22266oqcxt.onion/10.1038/s41420-021-00429-9
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33723251!7958587!33723251
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suck abstract from ncbi


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pmid33723251      Cell+Death+Discov 2021 ; 7 (1): 55
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  • Plasma IL-6 levels following corticosteroid therapy as an indicator of ICU length of stay in critically ill COVID-19 patients #MMPMID33723251
  • Awasthi S; Wagner T; Venkatakrishnan AJ; Puranik A; Hurchik M; Agarwal V; Conrad I; Kirkup C; Arunachalam R; O'Horo J; Kremers W; Kashyap R; Morice W 2nd; Halamka J; Williams AW; Faubion WA Jr; Badley AD; Gores GJ; Soundararajan V
  • Cell Death Discov 2021[Mar]; 7 (1): 55 PMID33723251show ga
  • Intensive care unit (ICU) admissions and mortality in severe COVID-19 patients are driven by "cytokine storms" and acute respiratory distress syndrome (ARDS). Interim clinical trial results suggest that the corticosteroid dexamethasone displays better 28-day survival in severe COVID-19 patients requiring ventilation or oxygen. In this study, 10 out of 16 patients (62.5%) that had an average plasma IL-6 value over 10 pg/mL post administration of corticosteroids also had worse outcomes (i.e., ICU stay >15 days or death), compared to 8 out of 41 patients (19.5%) who did not receive corticosteroids (p-value = 0.0024). Given this potential association between post-corticosteroid IL-6 levels and COVID-19 severity, we hypothesized that the glucocorticoid receptor (GR or NR3C1) may be coupled to IL-6 expression in specific cell types that govern cytokine release syndrome (CRS). Examining single-cell RNA-seq data from BALF of severe COVID-19 patients and nearly 2 million cells from a pan-tissue scan shows that alveolar macrophages, smooth muscle cells, and endothelial cells co-express NR3C1 and IL-6, motivating future studies on the links between the regulation of NR3C1 function and IL-6 levels.
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