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10.1093/jleuko/qiaf064

http://scihub22266oqcxt.onion/10.1093/jleuko/qiaf064
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40590124!ä!40590124

suck abstract from ncbi


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pmid40590124      J+Leukoc+Biol 2025 ; 117 (6): ä
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  • Early increased monocyte-to-lymphocyte ratio as a potential biomarker of bacterial sepsis in patients with severe COVID-19 #MMPMID40590124
  • Basilio-Galvez E; Madera-Sandoval RL; Cerbulo-Vazquez A; Prieto-Chavez JL; Cabrera-Rivera GL; Garcia-de la Rosa MT; Miranda-Cruz PE; Juarez-Palacios JE; Garcia-Rodriguez J; Vazquez-Estrada J; Lima-Salinas V; Alba-Lugo D; Anda-Garay JC; Macias-Gutierrez AY; Martinez-Ascencio LE; Lopez-Teofilo A; Romero-Gutierrez L; Sanchez-Hurtado LA; Avila-Alberto D; Rivas N; Lopez-Macias C; Ferat-Osorio EA; Arriaga-Pizano LA
  • J Leukoc Biol 2025[Jun]; 117 (6): ä PMID40590124show ga
  • Monocytes are pivotal during inflammation. Sepsis added to COVID-19 increases mortality and inflammation. However, the role of monocytes in this condition is unclear. Our aim was to determine monocyte frequencies and HLA-DR expression related to size distribution in patients with severe COVID-19 with or without sepsis. Twenty-nine patients with COVID-19, 9 patients with COVID-19 + sepsis, and 11 non-COVID nonseptic volunteers were recruited. Patients with COVID-19 + sepsis had increased monocyte count (P = 0.004) and monocyte-to-lymphocyte ratio (MLR, P = 0.01) prior to bacterial sepsis development. The monocyte-to-lymphocyte ratio had an area under the curve of 77.8%, suggesting its potential utility in predicting bacterial sepsis up to 21 d before positive culture. In these patients, smaller intermediate and nonclassical monocytes expressed higher levels of HLA-DR (P < 0.05). Diminished HLA-DR expression in bigger monocytes was associated with an increase in severity and inflammatory markers (r2 values equal to or higher than +/-0.4, P < 0.05). Our results suggest that the monocyte-to-lymphocyte ratio could be a potential early marker for bacterial sepsis development in patients with severe COVID-19.
  • |*COVID-19/complications/blood/immunology[MESH]
  • |*Lymphocytes/pathology/immunology[MESH]
  • |*Monocytes/pathology/immunology[MESH]
  • |*SARS-CoV-2[MESH]
  • |*Sepsis/blood/immunology/diagnosis[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Biomarkers/blood[MESH]
  • |Female[MESH]
  • |HLA-DR Antigens[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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