目标9:COVID-19严重程度评估的潜在改变者

Eduardo Davi Lima da Silva , Heloisa Isabela Leão , Ryan Cordeiro Silva , Nathália Tavares Ferreira , Amanda Pinheiro de Barros Albuquerque , André Machado de Siqueira , Michelly Cristiny Pereira , Michelle Melgarejo da Rosa , Moacyr Jesus Barreto de Melo Rêgo , Maira Galdino da Rocha Pitta
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引用次数: 0

摘要

本研究旨在探讨半乳糖凝集素-9 (Galectin-9, Gal-9)作为COVID-19严重程度的潜在生物标志物,以改善患者分层和指导临床管理。设计与方法采用ELISA和RT-qPCR方法分析112例轻、57例重度COVID-19患者、93例有症状的非COVID-19个体和70例对照组(健康对照组)血液和唾液中Gal-9的水平。结果轻、重度COVID-19患者血清Galectin-9 (Gal-9)水平均升高,重症患者血清Galectin-9 (mRNA和蛋白)水平明显高于轻、重度对照组。这表明半乳糖凝集素-9参与急性期,在诊断后15天内水平下降。发烧和咳嗽与疾病严重程度相关。ROC分析显示患者分层具有较高的准确性。此外,我们在轻度COVID-19患者的唾液中检测到半乳糖凝集素-9蛋白升高,这突出了其作为早期疾病检测的非侵入性生物标志物的潜力。本研究确定Gal-9是一种有前景的COVID-19严重程度生物标志物。升高的Gal-9水平具有改善患者分层和临床管理的潜力,突出了生物标志物研究对了解COVID-19病理生理学的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gal-9: A potential game-changer in COVID-19 severity assessment

Background

This study investigates Galectin-9 (Gal-9) as a potential biomarker for COVID-19 severity, aiming to improve patient stratification and guide clinical management.

Design and methods

We analyzed Gal-9 levels (blood and saliva) in 112 mild, 57 severe COVID-19 patients, 93 symptomatic non-COVID-19 individuals, and 70 controls (healthy controls) using ELISA and RT-qPCR.

Results

Both mild and severe COVID-19 patients exhibited elevated Galectin-9 (Gal-9) levels, with severe cases showing significantly higher serum levels (mRNA and protein) compared to mild or healthy controls. This suggests Galectin-9 involvement in the acute phase, as levels declined within 15 days post-diagnosis. Fever and cough correlated with disease severity. ROC analysis demonstrated high accuracy in patient stratification. Furthermore, we detected elevated Galectin-9 protein in the saliva of individuals with mild COVID-19, highlighting its potential as a non-invasive biomarker for early disease detection.

Conclusion

This study identifies Gal-9 as a promising biomarker for COVID-19 severity. Elevated Gal-9 levels hold potential for improved patient stratification and clinical management, highlighting the importance of biomarker research in understanding COVID-19 pathophysiology.
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