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10.1016/j.cyto.2021.155523

http://scihub22266oqcxt.onion/10.1016/j.cyto.2021.155523
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33840589!8011640!33840589
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suck abstract from ncbi


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pmid33840589      Cytokine 2021 ; 143 (ä): 155523
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  • Aberrant cytokine expression in COVID-19 patients: Associations between cytokines and disease severity #MMPMID33840589
  • Tang Y; Sun J; Pan H; Yao F; Yuan Y; Zeng M; Ye G; Yang G; Zheng B; Fan J; Pan Y; Zhao Z; Guo S; Liu Y; Liao F; Duan Y; Jiao X; Li Y
  • Cytokine 2021[Jul]; 143 (ä): 155523 PMID33840589show ga
  • Cytokines play pleiotropic, antagonistic, and collaborative in viral disease. The high morbidity and mortality of coronavirus disease 2019 (COVID-19) make it a significant threat to global public health. Elucidating its pathogenesis is essential to finding effective therapy. A retrospective study was conducted on 71 patients hospitalized with COVID-19. Data on cytokines, T lymphocytes, and other clinical and laboratory characteristics were collected from patients with variable disease severity. The effects of cytokines on the overall survival (OS) and event-free survival (EFS) of patients were analyzed. The critically severe and severe patients had higher infection indexes and significant multiple organ function abnormalities than the mild patients (P < 0.05). IL-6 and IL-10 were significantly higher in the critically severe patients than in the severe and mild patients (P < 0.05). IL-6 and IL-10 were closely associated with white blood cells, neutrophils, T lymphocyte subsets, D-D dimer, blood urea nitrogen, complement C1q, procalcitonin C-reactive protein. Moreover, the IL-6 and IL-10 levels were closely correlated to dyspnea and dizziness (P < 0.05). The patients with higher IL-10 levels had shorter OS than the group with lower levels (P < 0.05). The older patients with higher levels of single IL-6 or IL-10 tended to have shorter EFS (P < 0.05), while the patients who had more elevated IL-6 and IL-10 had shorter OS (P < 0.05). The Cox proportional hazard model revealed that IL-6 was the independent factor affecting EFS. IL-6 and IL-10 play crucial roles in COVID-19 prognosis.
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aging[MESH]
  • |Blood Coagulation Factors/analysis[MESH]
  • |COVID-19/*blood/mortality/*pathology/therapy[MESH]
  • |Cytokine Release Syndrome/pathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Interleukin-10/*blood[MESH]
  • |Interleukin-6/*blood[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/immunology[MESH]
  • |Severity of Illness Index[MESH]
  • |Survival Analysis[MESH]
  • |T-Lymphocyte Subsets/cytology/*immunology[MESH]
  • |Thromboembolism/pathology[MESH]


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