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10.1186/s12931-021-01742-8

http://scihub22266oqcxt.onion/10.1186/s12931-021-01742-8
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33985491!8117793!33985491
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suck abstract from ncbi


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pmid33985491      Respir+Res 2021 ; 22 (1): 148
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  • Association of endothelial activation assessed through endothelin-I precursor peptide measurement with mortality in COVID-19 patients: an observational analysis #MMPMID33985491
  • Gregoriano C; Damm D; Kutz A; Koch D; Wolfisberg S; Haubitz S; Conen A; Bernasconi L; Hammerer-Lercher A; Fux CA; Mueller B; Schuetz P
  • Respir Res 2021[May]; 22 (1): 148 PMID33985491show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) has been linked to thrombotic complications and endothelial dysfunction. We assessed the prognostic implications of endothelial activation through measurement of endothelin-I precursor peptide (proET-1), the stable precursor protein of Endothelin-1, in a well-defined cohort of patients hospitalized with COVID-19. METHODS: We measured proET-1 in 74 consecutively admitted adult patients with confirmed COVID-19 and compared its prognostic accuracy to that of patients with community-acquired pneumonia (n = 876) and viral bronchitis (n = 371) from a previous study by means of logistic regression analysis. The primary endpoint was all-cause 30-day mortality. RESULTS: Overall, median admission proET-1 levels were lower in COVID-19 patients compared to those with pneumonia and exacerbated bronchitis, respectively (57.0 pmol/l vs. 113.0 pmol/l vs. 96.0 pmol/l, p < 0.01). Although COVID-19 non-survivors had 1.5-fold higher admission proET-1 levels compared to survivors (81.8 pmol/l [IQR: 76 to 118] vs. 53.6 [IQR: 37 to 69]), no significant association of proET-1 levels and mortality was found in a regression model adjusted for age, gender, creatinine level, diastolic blood pressure as well as cancer and coronary artery disease (adjusted OR 0.1, 95% CI 0.0009 to 14.7). In patients with pneumonia (adjusted OR 25.4, 95% CI 5.1 to 127.4) and exacerbated bronchitis (adjusted OR 120.1, 95% CI 1.9 to 7499) we found significant associations of proET-1 and mortality. CONCLUSIONS: Compared to other types of pulmonary infection, COVID-19 shows only a mild activation of the endothelium as assessed through measurement of proET-1. Therefore, the high mortality associated with COVID-19 may not be attributed to endothelial dysfunction by the surrogate marker proET-1.
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers/analysis[MESH]
  • |Blood Pressure[MESH]
  • |COVID-19/*mortality/*physiopathology[MESH]
  • |Cohort Studies[MESH]
  • |Creatinine/blood[MESH]
  • |Endothelin-1/*analysis[MESH]
  • |Endothelium, Vascular/*physiopathology[MESH]
  • |Endpoint Determination[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prognosis[MESH]
  • |Prospective Studies[MESH]
  • |Protein Precursors/*analysis[MESH]
  • |Reproducibility of Results[MESH]
  • |Risk Factors[MESH]
  • |Sex Factors[MESH]


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