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10.1155/2021/9427978

http://scihub22266oqcxt.onion/10.1155/2021/9427978
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suck abstract from ncbi


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pmid34306796      Scientifica+(Cairo) 2021 ; 2021 (ä): 9427978
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  • The Effect of Intravenous Autologous Activated Platelet-Rich Plasma Therapy on "Profibrotic Cytokine" IL-1beta Levels in Severe and Critical COVID-19 Patients: A Preliminary Study #MMPMID34306796
  • Karina K; Christoffel LM; Novariani R; Rosadi I; Rosliana I; Rosidah S; Sobariah S; Fatkhurohman N; Puspitaningrum N; Hertati Y; Afini I; Ernanda D; Widyastuti T; Sulaeha AD; Zakiyah A; Aini N; Krisandi G; Andrew H
  • Scientifica (Cairo) 2021[]; 2021 (ä): 9427978 PMID34306796show ga
  • INTRODUCTION: Elevated concentration of proinflammatory cytokines followed by hyperinflammation is one of the hallmarks of severe and critical COVID-19. In the short term, this may result in ARDS and lung injury; subsequently, this may cause pulmonary fibrosis-a disease with poor prognosis-in the long run. Among the cytokines, interleukin-1beta (IL-1beta) is one of the most overexpressed in COVID-19. We speculate that administration of intravenous activated autologous platelet-rich plasma (aaPRP), which contains interleukin-1 receptor antagonist (IL-1RA), would lower IL-1beta levels and benefit the severe and critical COVID-19 patients. METHODS: After acquiring ethical clearance, we recruited 12 adult COVID-19 patients of both sexes from the Koja Regional Hospital (Jakarta, Indonesia) ICU. After selection, seven patients were included and divided into two groups, severe and critical. In addition to three doses of aaPRP, both groups received the same treatment of antiviral, steroid, and antibiotics. Quantification of plasma IL-1beta levels was performed by beads multiplex assay a day before the first aaPRP administration and a day after the second and third aaPRP administration. PaO(2)/FiO(2) ratio and lung injury scores were evaluated a day before and a day after each aaPRP administration. RESULTS: Severe and critical patients' initial plasma IL-1beta concentration was 4.71 pg/mL and 3.095 pg/mL, respectively. After 2 treatments with aaPRP, severe patients' plasma IL-1beta concentration decreased 12.48 pg/mL, while critical patients' plasma IL-1beta concentration increased to 18.77 pg/mL. Furthermore, after 3 aaPRP treatments, significant amelioration of patients' PaO(2)/FiO(2) ratio from 71.33 mmHg at baseline to 144.97 mmHg was observed (p < 0.05). However, no significant improvement in lung injury score was observed in severe and critical groups. All severe patients and one critical patient recovered. CONCLUSION: The use of aaPRP may prevent pulmonary fibrosis in severe COVID-19 patients through the reduction of patients' plasma IL-1beta concentration and the amelioration of PaO(2)/FiO(2) ratio.
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