新冠肺炎患者d -二聚体和白细胞介素-6 (IL-6)检测数据分析

B. Batabyal, P. Roy, A. Das
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引用次数: 0

摘要

各种生物标志物,特别是炎症标志物,如c反应蛋白(CRP)、铁蛋白、纤维蛋白原、d-二聚体和白细胞介素6 (IL-6)与Covid-19的进展有关。使用低分子量肝素预防血栓形成已显示出在预防凝血功能障碍和降低因血栓事件导致的死亡风险方面有益的结果。COVID-19患者强调d -二聚体和白细胞介素-6 (IL-6)的作用。在血浆凝固过程中,溶性纤维蛋白是由凝血酶对纤维蛋白原的影响而产生的。可溶性纤维蛋白通过XIIIa因子与血管壁交联。当分裂这种交联纤维蛋白时,释放出称为d -二聚体的特征产物。在血栓性疾病和微血栓性事件(如弥散性血管内凝血,DIC)中发现d -二聚体浓度升高。d -二聚体测定主要用于排除下肢深静脉血栓和肺栓塞。d -二聚体水平在怀孕期间上升,高水平与并发症有关。d -二聚体是一种纤维蛋白降解产物,常用于测量和评估凝块形成。在2019冠状病毒病大流行期间,d -二聚体水平升高与疾病严重程度和死亡率趋势有关。白细胞介素-6 (IL-6)是一种促炎细胞因子,由T细胞和巨噬细胞分泌,刺激对创伤,特别是烧伤或其他组织损伤导致炎症的免疫反应。IL-6也由巨噬细胞分泌,以响应特定的微生物分子,被称为病原体相关分子模式(Pathogen Associated Molecular Patterns, PAMPs),它触发先天免疫反应并启动炎症细胞因子的产生。IL-6是发烧和急性期反应最重要的介质之一。IL-6也被称为“肌因子”,一种由肌肉产生的细胞因子,在肌肉收缩时增加。此外,成骨细胞分泌IL-6来刺激破骨细胞的形成。检测和控制促炎反应在病毒感染的早期阶段是至关重要的。COVID-19是一种全球关注的新兴病毒性疾病,最佳治疗方案尚未确定。COVID-19治疗的未知反应在患者监测中很重要。IL-6是巨噬细胞活化后的关键细胞因子之一。在这里,我们将展示不同年龄组的COVID-19患者的实验室数据分析,强调d -二聚体和白细胞介素-6 (IL-6)阳性的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Data Analysis of D-Dimer & Interleukin-6 (IL-6) Test for Covid Patient
Various biomarkers, especially inflammatory markers like C-reactive protein (CRP), ferritin, fibrinogen, D-dimer and Interleukin 6 (IL-6) are associated with Covid-19 progression. Thrombosis prophylaxis with low molecular weight heparin has shown beneficial results in preventing coagulopathy a reducing risk of mortality due to thrombotic events. The COVID-19 patients highlighting the role of D-dimer, and Interleukin-6 (IL-6). During plasma coagulation soluble fibrin is generated by the influence of thrombin on fibrinogen. The soluble fibrin is crosslinked to the vessel walls by factor XIIIa. When splitting this cross linked fibrin, characteristic products called D-dimers are released. Increased D-dimer concentrations are found in thrombotic diseases and microthrombotic events (e.g. in case of disseminated intravascular coagulation, DIC). D-dimer determination is mainly used to exclude deep vein thrombosis of the leg and pulmonary embolism. D-Dimer levels rise during pregnancy and high levels are associated with complications. D-dimer is a fibrin degradation product that is often used to measure and assess clot formation. Amid the COVID-19 pandemic, elevated D-dimer levels have been associated with disease severity and mortality trends. Interleukin-6 (IL-6) is a pro-inflammatory cytokine secreted by T cells and macrophages to stimulate immune response to trauma, especially burns or other tissue damage leading to inflammation. IL-6 is also secreted by macrophages in response to specific microbial molecules, referred to as Pathogen Associated Molecular Patterns (PAMPs), which trigger the innate immune response and initiate inflammatory cytokine production. IL-6 is one of the most important mediators of fever and of the acute phase response. IL-6 is also called a “myokine”, a cytokine produced from muscle that increases in response to muscle contraction. Additionally, osteoblasts secrete IL-6 to stimulate osteoclast formation. The detection and control of pro-inflammatory response is crucial in the early stages of viral infection. COVID-19 is an emerging viral disease of global concern and optimal treatment has yet to be determined. Unknown response of treatment of COVID-19 is important during patient monitoring. IL-6 is one of the key cytokines after activated macrophages. Here we will present a laboratory data analysis of COVID-19 patients in different age group highlighting the role of positivity D-dimer and interleukin-6 (IL-6).
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