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10.1038/s41419-021-04070-3

http://scihub22266oqcxt.onion/10.1038/s41419-021-04070-3
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34354045!8340078!34354045
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suck abstract from ncbi


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pmid34354045      Cell+Death+Dis 2021 ; 12 (8): 773
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  • Low level of plasminogen increases risk for mortality in COVID-19 patients #MMPMID34354045
  • Della-Morte D; Pacifici F; Ricordi C; Massoud R; Rovella V; Proietti S; Iozzo M; Lauro D; Bernardini S; Bonassi S; Di Daniele N
  • Cell Death Dis 2021[Aug]; 12 (8): 773 PMID34354045show ga
  • The pathophysiology of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and especially of its complications is still not fully understood. In fact, a very high number of patients with COVID-19 die because of thromboembolic causes. A role of plasminogen, as precursor of fibrinolysis, has been hypothesized. In this study, we aimed to investigate the association between plasminogen levels and COVID-19-related outcomes in a population of 55 infected Caucasian patients (mean age: 69.8 +/- 14.3, 41.8% female). Low levels of plasminogen were significantly associated with inflammatory markers (CRP, PCT, and IL-6), markers of coagulation (D-dimer, INR, and APTT), and markers of organ dysfunctions (high fasting blood glucose and decrease in the glomerular filtration rate). A multidimensional analysis model, including the correlation of the expression of coagulation with inflammatory parameters, indicated that plasminogen tended to cluster together with IL-6, hence suggesting a common pathway of activation during disease's complication. Moreover, low levels of plasminogen strongly correlated with mortality in COVID-19 patients even after multiple adjustments for presence of confounding. These data suggest that plasminogen may play a pivotal role in controlling the complex mechanisms beyond the COVID-19 complications, and may be useful both as biomarker for prognosis and for therapeutic target against this extremely aggressive infection.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Biomarkers/blood[MESH]
  • |Blood Coagulation[MESH]
  • |COVID-19/*blood/diagnosis/*mortality[MESH]
  • |Down-Regulation[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation Mediators/blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Plasminogen/*analysis[MESH]
  • |Prognosis[MESH]
  • |Risk Assessment[MESH]
  • |Risk Factors[MESH]


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