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10.1101/2021.07.27.453843

http://scihub22266oqcxt.onion/10.1101/2021.07.27.453843
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suck abstract from ncbi


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pmid34341789      bioRxiv 2021 ; ä (ä): ä
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  • Molecular Pathophysiology of Cardiac Injury and Cardiac Microthrombi in Fatal COVID-19: Insights from Clinico-histopathologic and Single Nuclei RNA Sequencing Analyses #MMPMID34341789
  • Fukuma N; Hulke ML; Brener MI; Golob S; Zilinyi R; Zhou Z; Tzimas C; Russo I; McGroder C; Pfeiffer R; Chong A; Zhang G; Burkhoff D; Leon MB; Maurer M; Moses JW; Uhlemann AC; Hibshoosh H; Uriel N; Szabolcs MJ; Redfors B; Marboe CC; Baldwin MR; Tucker NR; Tsai EJ
  • bioRxiv 2021[Jul]; ä (ä): ä PMID34341789show ga
  • Cardiac injury is associated with critical COVID-19, yet its etiology remains debated. To elucidate the pathogenic mechanisms of COVID-19-associated cardiac injury, we conducted a single-center prospective cohort study of 69 COVID-19 decedents. Of six cardiac histopathologic features, microthrombi was the most commonly detected (n=48, 70%). We tested associations of cardiac microthrombi with biomarkers of inflammation, cardiac injury, and fibrinolysis and with in-hospital antiplatelet therapy, therapeutic anticoagulation, and corticosteroid treatment, while adjusting for multiple clinical factors, including COVID-19 therapies. Higher peak ESR and CRP during hospitalization were independently associated with higher odds of microthrombi. Using single nuclei RNA-sequence analysis, we discovered an enrichment of pro-thrombotic/anti-fibrinolytic, extracellular matrix remodeling, and immune-potentiating signaling amongst cardiac fibroblasts in microthrombi-positive COVID-19 hearts relative to microthrombi-negative COVID-19. Non-COVID-19 non-failing hearts were used as reference controls. Our cumulative findings identify the specific transcriptomic changes in cardiac fibroblasts as salient features of COVID-19-associated cardiac microthrombi.
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