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DNA damage and inflammation in COVID-19 cases

Cilt: 47 Sayı: 3 30 Eylül 2022
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DNA damage and inflammation in COVID-19 cases

Abstract

Purpose: The aim of this study is to see oxidative DNA damage (8-OHdG), its relationship with inflammatory mediators (IL6 and TNFA), and its reflections on laboratory findings in patients who had COVID-19 infection at different intensities. Materials and Methods: Serum interleukin-6 (IL6), tumor necrosis factor-alpha (TNFA), and 8-hydroxy-2′-deoxyguanosine (8-OHdG) levels were measured using kits based on the enzyme-linked immunosorbent assay (ELISA) principle. Results: In COVID-19 positive patients treated in intensive care 8-OHdG marker level is at the highest level and statistically significant. In patients receiving inpatient treatment in the hospitalized, the 8-OHdG marker level is higher than the control and outpatient groups. IL6 values were at the highest level in the patient group treated in the intensive care unit and were higher than the outpatient and control groups. There was no statistically significant difference between the control and patient groups in terms of TNFA values. Neutrophil-to-lymphocyte ratio (NLR) was lower in the control group than in all patient groups. C-reactive protein (CRP) is higher in hospitalized patients than in the control group. Lactate dehydrogenase (LDH) was found to be statistically significantly higher in hospitalized patients than outpatients. Conclusion: As the severity of COVID-19 increases, serum 8-OHdG and IL6 levels also increase. These parameters can guide the diagnosis of COVID-19 patients in the early stages of the disease course.

Keywords

COVID-19 , DNA damage , Interleukin-6 , Tumor necrosis factor-alpha , 8-hydroxy-2′-deoxyguanosine

Kaynakça

  1. Reference1 Nishiura H, Jung S, Linton NM, Kinoshita R, Yang Y, Hayashi K, et al. The Extent of Transmission of Novel Coronavirus in Wuhan, China, 2020. J Clin Med 2020; 9 (2): 330 Reference2 Xu Z, Shi L, Wang Y, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome, The Lancet Respiratory Medicine 2020: 8: 420-2
  2. Reference3 Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med 2020; 382: 727-33.
  3. Reference4 Hu B, Huang S, Yin L. The cytokine storm and COVID-19. J Med Virol. 2021; 93: 250-6 Reference5 Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497‐506
  4. Reference6 Mehta P, McAuley DF, Brown M, Sanchez E, Tattersall RS, Manson JJ, on behalf of the HLH Across Speciality Collaboration, UK COVID‐19: consider cytokinestorm syndromes and immunosuppression. Lancet.2020; 395 (10229): 1033‐4
  5. Reference7 Lukan N. “Cytokine storm”, not only in COVID-19 patients. Immunology Letters 228 (2020) 38-44.
  6. Reference8 Aziz M. Elevated interleukin‐6 and severe COVID‐19: A meta‐analysis. J Med Virol. 2020; 1-3.
  7. Reference9 Bromana N, Rantasarkka K, Feuth T, Valtonen M , Waris M, Hohenthal U, et al. IL-6 and other biomarkers as predictors of severity in COVID-19. Annals of Medicine 2021; 53(1): 410-2
  8. Reference10 Karki R, Sharma BR, Tuladhar S, Williams EP, Zalduondo L, Sami Pr, et al. Synergism of TNF-a and IFN-g Triggers Inflammatory Cell Death, Tissue Damage, and Mortality in SARS-CoV-2 Infection and Cytokine Shock Syndromes. Cell 2021; 184: 1: 149-68
  9. Reference11 Freeman BD, Machado SF, Herbert B. Tanowitz HB, Desruisseaux MS. Endothelin-1 and its role in the pathogenesis of infectious diseases. Life Sci. 2014; 24: 118(2): 110-9.
  10. Reference12 Kosanovic T, Sagic D, Djukic V, Ercegovac MP, Radojevic AS, Bukumiric Z, et al. Time Course of Redox Biomarkers in COVID-19 Pneumonia: Relation with Inflammatory, Multiorgan Impairment Biomarkers and CT Findings. Antioxidants 2021; 10: 1126.

Kaynak Göster

MLA
Gülbay, Gonca, ve Atakan Savrun. “DNA damage and inflammation in COVID-19 cases”. Cukurova Medical Journal, c. 47, sy 3, Eylül 2022, ss. 1073-9, doi:10.17826/cumj.1102599.