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10.1002/jmv.27300

http://scihub22266oqcxt.onion/10.1002/jmv.27300
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34449894!8662104!34449894
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suck abstract from ncbi


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pmid34449894      J+Med+Virol 2022 ; 94 (1): 222-228
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  • SARS-CoV-2 N-antigenemia in critically ill adult COVID-19 patients: Frequency and association with inflammatory and tissue-damage biomarkers #MMPMID34449894
  • Olea B; Albert E; Torres I; Gozalbo-Rovira R; Carbonell N; Ferreres J; Poujois S; Costa R; Colomina J; Rodriguez-Diaz J; Blasco ML; Navarro D
  • J Med Virol 2022[Jan]; 94 (1): 222-228 PMID34449894show ga
  • The current study aimed at characterizing the dynamics of SARS-CoV-2 nucleocapsid (N) antigenemia in a cohort of critically ill adult COVID-19 patients and assessing its potential association with plasma levels of biomarkers of clinical severity and mortality. Seventy-three consecutive critically ill COVID-19 patients (median age, 65 years) were recruited. Serial plasma (n = 340) specimens were collected. A lateral flow immunochromatography assay and reverse-transcription polymerase chain reaction (RT-PCR) were used for SARS-CoV-2 N protein detection and RNA quantitation and in plasma, respectively. Serum levels of inflammatory and tissue-damage biomarkers in paired specimens were measured. SARS-CoV-RNA N-antigenemia and viral RNAemia were documented in 40.1% and 35.6% of patients, respectively at a median of 9 days since symptoms onset. The level of agreement between the qualitative results returned by the N-antigenemia assay and plasma RT-PCR was moderate (k = 0.57; p < 0.0001). A trend towards higher SARS-CoV-2 RNA loads was seen in plasma specimens testing positive for N-antigenemia assay than in those yielding negative results (p = 0.083). SARS-CoV-2 RNA load in tracheal aspirates was significantly higher (p < 0.001) in the presence of concomitant N-antigenemia than in its absence. Significantly higher serum levels of ferritin, lactose dehydrogenase, C-reactive protein, and D-dimer were quantified in paired plasma SARS-CoV-2 N-positive specimens than in those testing negative. Occurrence of SARS-CoV-2 N-antigenemia was not associated with increased mortality in univariate logistic regression analysis (odds ratio, 1.29; 95% confidence interval, 0.49-3.34; p = 0.59). In conclusion, SARS-CoV-2 N-antigenemia detection is relatively common in ICU patients and appears to associate with increased serum levels of inflammation and tissue-damage markers. Whether this virological parameter may behave as a biomarker of poor clinical outcome awaits further investigations.
  • |*Critical Illness[MESH]
  • |*SARS-CoV-2/genetics/immunology/isolation & purification[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antigens, Viral/blood[MESH]
  • |Biomarkers/analysis/blood[MESH]
  • |COVID-19/mortality/*virology[MESH]
  • |Coronavirus Nucleocapsid Proteins/*blood/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Phosphoproteins/blood/immunology[MESH]
  • |Prospective Studies[MESH]
  • |RNA, Viral/analysis/blood[MESH]
  • |Trachea/virology[MESH]


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