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COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler

Yıl 2025, Cilt: 15 Sayı: 4, 382 - 387, 15.12.2025
https://doi.org/10.16919/bozoktip.1612733
https://izlik.org/JA82DD43UC

Öz

Amaç: Tüm dünyayı gerek sağlık gerekse ekonomik açıdan hızla olumsuz etkileyen COVID-19 pandemisinin etyolojik ajanı Coronavirüs 2 (SARS-CoV-2), beta koronavirüs ailesindendir. COVID-19 hastalarında oksidatif stres dengesizliği meydana gelmesine rağmen, değişen nitrik oksit (NO) seviyelerinin COVID-19 patogenezini nasıl etkilediği tam olarak anlaşılmamıştır. Bu amaçla COVID-19 hasta serumlarında NO düzeyleri değerlendirildi.
Gereç ve Yöntem: Çalışmaya toplam 50 yetişkin COVID-19 hastası ve 32 sağlıklı kontrol birey dahil edildi. COVID-19 hastaları ulusal kılavuzlara göre Hafif-COVID-19, Orta-COVID-19 ve Yoğun Bakım-COVID-19 olmak üzere sınıflandırıldı. Tüm hastaların serum örneklerinden NO konsantrasyonları spektrofotometrik olarak ölçüldü. Ek olarak biyokimyasal verileri toplandı.
Bulgular: Sonuç olarak NO düzeyleri hasta grupta kontrol grubuna göre düşüktü fakat bu düşüklük istatistiksel olarak anlamlı değildi (p>0.05).
Sonuç: NO düzeylerindeki değişkenlik COVID-19 hastalarında immün inflamasyon ve vasküler disfonksiyonun bir sonucu olarak ortaya çıkabileceğini düşündürtmektedir.

Kaynakça

  • 1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
  • 2. Wang LF, Shi Z, Zhang S, Field H, Daszak P, Eaton BT. Review of bats and SARS. Emerg Infect Dis. 2006;12(12):1834-40.
  • 3. WHO. Coronavirus disease (COVID-19) Pandemic. 2020.https:// www.who.int/emergencies/diseases/novel-coronavirus-2019/ (Access date: 03.04.2023).
  • 4. Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol. 2020;30(8):4381-9.
  • 5. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395(10234):1417-8.
  • 6. Ntyonga-Pono MP. COVID-19 infection and oxidative stress: an under-explored approach for prevention and treatment? Pan Afr Med J. 2020;35(Suppl 2):12.
  • 7. Derouiche S. Oxidative stress associated with SARS-Cov-2 (COVID-19) increases the severity of the lung disease a systematic review. J Infect Dis Epidemiol. 2020;6(3):121.
  • 8. Schönrich G, Raftery MJ, Samstag Y. Devilishly radical NETwork in COVID-19: Oxidative stress, neutrophil extracellular traps (NETs), and T cell suppression. Adv Biol Regul. 2020;77:100741.
  • 9. Delgado-Roche L, Mesta F. Oxidative Stress as Key Player in Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) Infection. Arch Med Res. 2020;51(5):384-7.
  • 10. Furchgott RF, Zawadzki JV. The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Nature. 1980 Nov 27;288(5789):373-6.
  • 11. Lowenstein CJ, Dinerman JL, Snyder SH. Nitric oxide: a physiologic messenger. Ann Intern Med. 1994;120(3):227-37.
  • 12. Marongoz C. Nitrik Oksit ve Deneysel epilepsi. O.M.Ü. Tıp Dergisi. 1996;13(3):165-83.
  • 13. Mandal SM. Nitric oxide mediated hypoxia dynamics in COVID-19. Nitric Oxide. 2023;133:18-21.
  • 14. Yamasaki H. Blood nitrate and nitrite modulating nitric oxide bioavailability: Potential therapeutic functions in COVID-19. Nitric Oxide. 2020;103:29-30.
  • 15. Green SJ. Covid-19 accelerates endothelial dysfunction and nitric oxide deficiency. Microbes Infect. 2020;22(4-5):149-50.
  • 16. Alamdari DH, Moghaddam AB, Amini S, Kerameti MR, Zermehri AM, Alamdari AH et al. Application of methylene blue -vitamin C -N-acetyl cysteine for treatment of critically ill COVID-19 patients, report of a phase-I clinical trial. Eur J Pharmacol. 2020; 885:173494.
  • 17. Kleinbongard P, Dejam A, Lauer T, Rassaf T, Schindler A, Picker O et al. Plasma nitrite reflects constitutive nitric oxide synthase activity in mammals. Free Radic Biol Med. 2003;35:790-6.
  • 18. Mete AÖ, Koçak K, Saracaloglu A, Demiryürek S, Altınbaş Ö, Demiryürek AT. Effects of antiviral drug therapy on dynamic thiol/ disulphide homeostasis and nitric oxide levels in COVID-19 patients. Eur J Pharmacol. 2021;907:174306.
  • 19. Ozdemir B, Yazici A. Could the decrease in the endothelial nitric oxide (NO) production and NO bioavailability be the crucial cause of COVID-19 related deaths? Med Hypotheses. 2020;144:109970.
  • 20. Fang W, Jiang J, Su L, Shu T, Liu H, Lai S et al. The role of NO in COVID-19 and potential therapeutic strategies. Free Radic Biol Med. 2021;163:153-62.

Changes in Serum Nitric Oxide Levels in COVID-19 Patients

Yıl 2025, Cilt: 15 Sayı: 4, 382 - 387, 15.12.2025
https://doi.org/10.16919/bozoktip.1612733
https://izlik.org/JA82DD43UC

Öz

Aim: The etiological agent of the COVID-19 pandemic, which has rapidly negatively affected the whole world in terms of both health and economy, is Coronavirus 2 (SARS-CoV-2), a member of the beta coronavirus family. Although oxidative stress imbalance occurs in COVID-19 patients, how altered nitric oxide (NO) levels affect COVID-19 pathogenesis is not fully understood. For this purpose, NO levels were evaluated in COVID-19 patient serum sampels.
Materials and Methods: A total of 50 adult COVID-19 patients and 32 healthy control individuals were included in the study. COVID-19 patients were classified as Mild-COVID-19, Modarete-COVID-19 and ICU-COVID-19 according to national guidelines. NO concentrations were measured spectrophotometrically from the serum samples of all patients. Additionally, biochemical data were collected.
Results: As a result, NO levels were lower in the patient group compared to the control group, but this decrease was not statistically significant (p>0.05).
Conclusion: Variability in NO levels suggests that it may occur as a result of immune-inflammation and vascular dysfunction in COVID-19 patients.

Etik Beyan

Ethical approval was obtained from Clinical Research Ethics Committee of Atatürk University School of Medicine (Approval number: 24.06.2021). This study was accepted with the number B.30.2.ATA.0.01.00/369

Kaynakça

  • 1. Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
  • 2. Wang LF, Shi Z, Zhang S, Field H, Daszak P, Eaton BT. Review of bats and SARS. Emerg Infect Dis. 2006;12(12):1834-40.
  • 3. WHO. Coronavirus disease (COVID-19) Pandemic. 2020.https:// www.who.int/emergencies/diseases/novel-coronavirus-2019/ (Access date: 03.04.2023).
  • 4. Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol. 2020;30(8):4381-9.
  • 5. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395(10234):1417-8.
  • 6. Ntyonga-Pono MP. COVID-19 infection and oxidative stress: an under-explored approach for prevention and treatment? Pan Afr Med J. 2020;35(Suppl 2):12.
  • 7. Derouiche S. Oxidative stress associated with SARS-Cov-2 (COVID-19) increases the severity of the lung disease a systematic review. J Infect Dis Epidemiol. 2020;6(3):121.
  • 8. Schönrich G, Raftery MJ, Samstag Y. Devilishly radical NETwork in COVID-19: Oxidative stress, neutrophil extracellular traps (NETs), and T cell suppression. Adv Biol Regul. 2020;77:100741.
  • 9. Delgado-Roche L, Mesta F. Oxidative Stress as Key Player in Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) Infection. Arch Med Res. 2020;51(5):384-7.
  • 10. Furchgott RF, Zawadzki JV. The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Nature. 1980 Nov 27;288(5789):373-6.
  • 11. Lowenstein CJ, Dinerman JL, Snyder SH. Nitric oxide: a physiologic messenger. Ann Intern Med. 1994;120(3):227-37.
  • 12. Marongoz C. Nitrik Oksit ve Deneysel epilepsi. O.M.Ü. Tıp Dergisi. 1996;13(3):165-83.
  • 13. Mandal SM. Nitric oxide mediated hypoxia dynamics in COVID-19. Nitric Oxide. 2023;133:18-21.
  • 14. Yamasaki H. Blood nitrate and nitrite modulating nitric oxide bioavailability: Potential therapeutic functions in COVID-19. Nitric Oxide. 2020;103:29-30.
  • 15. Green SJ. Covid-19 accelerates endothelial dysfunction and nitric oxide deficiency. Microbes Infect. 2020;22(4-5):149-50.
  • 16. Alamdari DH, Moghaddam AB, Amini S, Kerameti MR, Zermehri AM, Alamdari AH et al. Application of methylene blue -vitamin C -N-acetyl cysteine for treatment of critically ill COVID-19 patients, report of a phase-I clinical trial. Eur J Pharmacol. 2020; 885:173494.
  • 17. Kleinbongard P, Dejam A, Lauer T, Rassaf T, Schindler A, Picker O et al. Plasma nitrite reflects constitutive nitric oxide synthase activity in mammals. Free Radic Biol Med. 2003;35:790-6.
  • 18. Mete AÖ, Koçak K, Saracaloglu A, Demiryürek S, Altınbaş Ö, Demiryürek AT. Effects of antiviral drug therapy on dynamic thiol/ disulphide homeostasis and nitric oxide levels in COVID-19 patients. Eur J Pharmacol. 2021;907:174306.
  • 19. Ozdemir B, Yazici A. Could the decrease in the endothelial nitric oxide (NO) production and NO bioavailability be the crucial cause of COVID-19 related deaths? Med Hypotheses. 2020;144:109970.
  • 20. Fang W, Jiang J, Su L, Shu T, Liu H, Lai S et al. The role of NO in COVID-19 and potential therapeutic strategies. Free Radic Biol Med. 2021;163:153-62.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Tıbbi biyokimya - İnorganik Elementler ve Bileşikler
Bölüm Araştırma Makalesi
Yazarlar

Özge Nur Türkeri 0000-0001-8791-5331

Nezahat Kurt 0000-0002-1685-5332

Fatma Betül Özgeriş 0000-0002-4568-5782

Ömer Faruk Koçak 0000-0001-5873-0944

Ebubekir Bakan 0000-0002-6390-9954

Emine Parlak 0000-0001-8912-6360

Gönderilme Tarihi 3 Ocak 2025
Kabul Tarihi 18 Ağustos 2025
Yayımlanma Tarihi 15 Aralık 2025
DOI https://doi.org/10.16919/bozoktip.1612733
IZ https://izlik.org/JA82DD43UC
Yayımlandığı Sayı Yıl 2025 Cilt: 15 Sayı: 4

Kaynak Göster

APA Türkeri, Ö. N., Kurt, N., Özgeriş, F. B., Koçak, Ö. F., Bakan, E., & Parlak, E. (2025). COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler. Bozok Tıp Dergisi, 15(4), 382-387. https://doi.org/10.16919/bozoktip.1612733
AMA 1.Türkeri ÖN, Kurt N, Özgeriş FB, Koçak ÖF, Bakan E, Parlak E. COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler. Bozok Tıp Dergisi. 2025;15(4):382-387. doi:10.16919/bozoktip.1612733
Chicago Türkeri, Özge Nur, Nezahat Kurt, Fatma Betül Özgeriş, Ömer Faruk Koçak, Ebubekir Bakan, ve Emine Parlak. 2025. “COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler”. Bozok Tıp Dergisi 15 (4): 382-87. https://doi.org/10.16919/bozoktip.1612733.
EndNote Türkeri ÖN, Kurt N, Özgeriş FB, Koçak ÖF, Bakan E, Parlak E (01 Aralık 2025) COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler. Bozok Tıp Dergisi 15 4 382–387.
IEEE [1]Ö. N. Türkeri, N. Kurt, F. B. Özgeriş, Ö. F. Koçak, E. Bakan, ve E. Parlak, “COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler”, Bozok Tıp Dergisi, c. 15, sy 4, ss. 382–387, Ara. 2025, doi: 10.16919/bozoktip.1612733.
ISNAD Türkeri, Özge Nur - Kurt, Nezahat - Özgeriş, Fatma Betül - Koçak, Ömer Faruk - Bakan, Ebubekir - Parlak, Emine. “COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler”. Bozok Tıp Dergisi 15/4 (01 Aralık 2025): 382-387. https://doi.org/10.16919/bozoktip.1612733.
JAMA 1.Türkeri ÖN, Kurt N, Özgeriş FB, Koçak ÖF, Bakan E, Parlak E. COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler. Bozok Tıp Dergisi. 2025;15:382–387.
MLA Türkeri, Özge Nur, vd. “COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler”. Bozok Tıp Dergisi, c. 15, sy 4, Aralık 2025, ss. 382-7, doi:10.16919/bozoktip.1612733.
Vancouver 1.Türkeri ÖN, Kurt N, Özgeriş FB, Koçak ÖF, Bakan E, Parlak E. COVID-19 Hastalarında Serum Nitrik Oksit Düzeylerindeki Değişiklikler. Bozok Tıp Dergisi [Internet]. 01 Aralık 2025;15(4):382-7. Erişim adresi: https://izlik.org/JA82DD43UC
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