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10.1111/jth.15671

http://scihub22266oqcxt.onion/10.1111/jth.15671
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35150462!9115133!35150462
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suck abstract from ncbi


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pmid35150462      J+Thromb+Haemost 2022 ; 20 (5): 1206-1212
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  • Thrombosis pathways in COVID-19 vs influenza-associated ARDS: A targeted proteomics approach #MMPMID35150462
  • Rademaker E; Doorduijn DJ; Kusadasi N; Maas C; Drylewicz J; Huisman A; Hoefer IE; Bonten MJM; Derde LPG; Rooijakkers SHM; Cremer OL
  • J Thromb Haemost 2022[May]; 20 (5): 1206-1212 PMID35150462show ga
  • BACKGROUND: Pulmonary embolism (PE) occurs in one-third of critically-ill COVID-19 patients. Although prior studies identified several pathways contributing to thrombogenicity, it is unknown whether this is COVID-19-specific or also occurs in ARDS patients with another infection. OBJECTIVE: To compare pathway activity among patients having COVID-19 with PE (C19PE+), COVID-19 without PE (C19PE-), and influenza-associated ARDS (IAA) using a targeted proteomics approach. METHODS: We exploited an existing biorepository containing daily plasma samples to carefully match C19PE+ cases to C19PE- and IAA controls on mechanical ventilation duration, PEEP, FiO2, and cardiovascular-SOFA (n = 15 per group). Biomarkers representing various thrombosis pathways were measured using proximity extension- and ELISA-assays. Summed z-scores of individual biomarkers were used to represent total pathway activity. RESULTS: We observed no relevant between-group differences among 22 biomarkers associated with activation of endothelium, platelets, complement, coagulation, fibrinolysis or inflammation, except sIL-1RT2 and sST2, which were lower in C19PE- than IAA (log2-Foldchange -0.67, p = .022 and -1.78, p = .022, respectively). However, total pathway analysis indicated increased activation of endothelium (z-score 0.2 [-0.3-1.03] vs. 0.98 [-2.5--0.3], p = .027), platelets (1.0 [-1.3-3.0] vs. -3.3 [-4.1--0.6], p = .023) and coagulation (0.8 [-0.5-2.0] vs. -1.0 [-1.6-1.0], p = .023) in COVID-19 patients (C19PE+/C19PE- groups combined) compared to IAA. CONCLUSION: We observed only minor differences between matched C19PE+, C19PE-, and IAA patients, which suggests individual biomarkers mostly reflect disease severity. However, analysis of total pathway activity suggested upregulation of some distinct processes in COVID-19 could be etiologically related to increased PE-risk.
  • |*COVID-19/complications[MESH]
  • |*Influenza, Human/complications/diagnosis[MESH]
  • |*Pulmonary Embolism/diagnosis[MESH]
  • |*Respiratory Distress Syndrome[MESH]
  • |*Thrombosis[MESH]
  • |Biomarkers[MESH]
  • |Humans[MESH]
  • |Proteomics[MESH]


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