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10.1002/jmv.27112

http://scihub22266oqcxt.onion/10.1002/jmv.27112
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34061395!8242694!34061395
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suck abstract from ncbi


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pmid34061395      J+Med+Virol 2021 ; 93 (10): 5805-5815
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  • Relative expression of proinflammatory molecules in COVID-19 patients who manifested disease severities #MMPMID34061395
  • Nigar S; Shah ST; Setu MAA; Dip SD; Ibnat H; Islam MT; Akter S; Jahid IK; Hossain MA
  • J Med Virol 2021[Oct]; 93 (10): 5805-5815 PMID34061395show ga
  • Aggressive immune response, due to overexpressed proinflammatory molecules, has been characterized in coronavirus disease 2019 (COVID-19) patients. Some of those mediators have a dual and opposite role on immune systems at play behind differential disease severities. We investigated the expression of some cytokines and chemokines in COVID-19 patients in Bangladesh. We diagnosed the patients by detecting severe acute respiratory syndrome coronavirus 2 RNA in nasal swab samples by the real-time RT-PCR method. Thirty adult patients were preselected based on their disease severities and grouped into mild, moderate, and severe cases. Nine healthy volunteers participated in this study as a control. Relative expression of nine cytokines/chemokine in total leukocytes was semi-quantified in SYBRgreen-based real-time quantitative reverse-transcriptase polymerase chain reaction. We performed statistical tests on transformed log data using SPSS 24.0. At the onset of symptoms (Day 1), angiotensin-converting enzyme 2 (ACE2) (p < 0.05) and interleukin (IL)-6 (p > 0.05) were upregulated in all COVID-19 groups, although the expression levels did not significantly correlate with disease severities. However, expressions of IL-6, monocyte chemotactic protein-1, macrophage inflammatory protein-1alpha, tumor necrosis factor-alpha (TNF-alpha), RANTES (regulated upon activation, normal T cell expressed and secreted), and ACE2, on Day 14, were positively correlated with disease severities. Relative viral load at Day 1 showed no significant correlation with cytokine expression but had a significant positive correlation with RANTES and ACE2 expression on Day 14 (p < 0.05). Male patients had a higher level of IL-6 than female patients on Day 1 (p < 0.05). All COVID-19 patients showed upregulated cytokines and chemokines on Day 14 compared to Day 1 except TNF-alpha. Female patients had a higher expression of ACE2 and IL-12 on Day 14. Upregulated cytokines/chemokines at the convalescent stage, especially IL-6, may help in targeting anticytokine therapy in post-COVID-19 patients' management.
  • |Adult[MESH]
  • |Bangladesh/epidemiology[MESH]
  • |COVID-19/*diagnosis/epidemiology/immunology/virology[MESH]
  • |Chemokines/blood[MESH]
  • |Cytokines/*blood[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]
  • |Severity of Illness Index[MESH]


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