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10.4084/MJHID.2021.016

http://scihub22266oqcxt.onion/10.4084/MJHID.2021.016
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suck abstract from ncbi


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pmid33747397      Mediterr+J+Hematol+Infect+Dis 2021 ; 13 (1): e2021016
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  • Elevated P-Selectin in Severe Covid-19: Considerations for Therapeutic Options #MMPMID33747397
  • Agrati C; Bordoni V; Sacchi A; Petrosillo N; Nicastri E; Del Nonno F; D'Offizi G; Palmieri F; Marchioni L; Capobianchi MR; Antinori A; Ippolito G; Bibas M
  • Mediterr J Hematol Infect Dis 2021[]; 13 (1): e2021016 PMID33747397show ga
  • BACKGROUND: Coronavirus disease 2019 (COVID-19) is mainly a respiratory tract disease and acute respiratory failure with diffuse microvascular pulmonary thrombosis are critical aspects of the morbidity and mortality of this new syndrome. PURPOSE: The aim of our study was to investigate, in severe COVID-19 hospitalized patients, the P-selectin plasma concentration as a biomarker of endothelial dysfunction and platelet activation. METHODS: 46 patients with severe or critical SARS-CoV-2 infection were included in the study. Age-matched patients then were divided in those requiring admission to the intensive care unit (ICU, ICU cases) vs those not requiring ICU hospitalization (non-ICU cases). Blood samples of severe COVID-19 patients were collected at the time of hospital admission. The quantification of soluble P-selectin was performed by ELI, assay. RESULTS: Our study showed a higher P-selectin plasma concentration in patients with Covid-19, regardless of ICU admission, compared to the normal reference values and compared to ten contextually sampled healthy donors (HD); (COVID-19): median 65.2 (IQRs: 45.1-81.1) vs. HD: 40.3 (IQRs: 24.3-48.7), p=0023. Moreover, results showed a significant reduction of P-sele din after platelets removal in HD, in contrast, both ICU and non-ICU COVID-19 patients showed similar high levels of P-selectin with and without platelets. CONCLUSION: Elevation of P-selectin suggests a central role of platelet endothelium interaction as part of the multifaced pathogenic mechanism of COVID-19 leading to the local activation of hemostatic system forming pulmonary thrombi. Further work is necessary to determine the therapeutic role of antiplatelets agents or of the anti P-selectin antibody Crizanlizumab.
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