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10.3390/nu13072173

http://scihub22266oqcxt.onion/10.3390/nu13072173
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34202697!8308355!34202697
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suck abstract from ncbi


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pmid34202697      Nutrients 2021 ; 13 (7): ä
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  • Vitamin A Plasma Levels in COVID-19 Patients: A Prospective Multicenter Study and Hypothesis #MMPMID34202697
  • Tepasse PR; Vollenberg R; Fobker M; Kabar I; Schmidt H; Meier JA; Nowacki T; Husing-Kabar A
  • Nutrients 2021[Jun]; 13 (7): ä PMID34202697show ga
  • COVID-19 is a pandemic disease that causes severe pulmonary damage and hyperinflammation. Vitamin A is a crucial factor in the development of immune functions and is known to be reduced in cases of acute inflammation. This prospective, multicenter observational cross-sectional study analyzed vitamin A plasma levels in SARS-CoV-2 infected individuals, and 40 hospitalized patients were included. Of these, 22 developed critical disease (Acute Respiratory Distress Syndrome [ARDS]/Extracorporeal membrane oxygenation [ECMO]), 9 developed severe disease (oxygen supplementation), and 9 developed moderate disease (no oxygen supplementation). A total of 47 age-matched convalescent persons that had been earlier infected with SARS-CoV-2 were included as the control group. Vitamin A plasma levels were determined by high-performance liquid chromatography. Reduced vitamin A plasma levels correlated significantly with increased levels of inflammatory markers (CRP, ferritin) and with markers of acute SARS-CoV-2 infection (reduced lymphocyte count, LDH). Vitamin A levels were significantly lower in hospitalized patients than in convalescent persons (p < 0.01). Of the hospitalized patients, those who were critically ill showed significantly lower vitamin A levels than those who were moderately ill (p < 0.05). Vitamin A plasma levels below 0.2 mg/L were significantly associated with the development of ARDS (OR = 5.54 [1.01-30.26]; p = 0.048) and mortality (OR 5.21 [1.06-25.5], p = 0.042). Taken together, we conclude that vitamin A plasma levels in COVID-19 patients are reduced during acute inflammation and that severely reduced plasma levels of vitamin A are significantly associated with ARDS and mortality.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Biomarkers/blood[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19/*blood/mortality[MESH]
  • |Chromatography, Liquid/methods[MESH]
  • |Critical Illness[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Extracorporeal Membrane Oxygenation/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Ferritins/blood[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Inflammation/epidemiology[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |Respiratory Distress Syndrome/epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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