DHSPB7 ve tetranektin düzeyleri COVID-19’un şiddeti ile ilişkilidir

Öz

Amaç: COVID-19'un kardiyovasküler sistem üzerinde akut ve kronik olumsuz etkileri olabilmektedir. Isı şoku proteini beta-7 (HSPB7), kardiyovasküler bir ısı şoku proteinidir ve tetranektin, tip-C kalsiyum (Ca) bağlayıcı bir lektindir. Bu çalışmanın amacı, COVID-19'da HSPB7, tetranektin, hastalık şiddeti ve miyokardiyal hasar arasındaki ilişkiyi tespit etmektir. Gereç ve yöntem: Bu çalışmaya 26 COVID-19 hastası ve 26 yaşı ile cinsiyeti eşleştirilmiş sağlıklı kontrol dahil edildi. Demografik özellikler, rutin hemogramlar ve biyokimyasal parametreler kaydedildi. COVID-19 hastalarının klinik ve laboratuvar verileri kullanılarak hafif, orta ve şiddetli COVID-19 hastası olarak sınıflandırıldı. HSPB7 ve tetranektin seviyeleri ticari ELISA kitleri kullanılarak ölçüldü. Bulgular: COVID-19 hastalarında C-reaktif protein, açlık glukozu, ferritin, nötrofil-lenfosit, monosit-lenfosit ve trombosit-lenfosit oranları anlamlı olarak artarken, kalsiyum ve albümin ise azaldı (p<0,05). Şiddetli COVID-19 hastalarında solunum sayısı, D-dimer ve ferritin daha yüksekken, SO2 ve lenfosit sayıları daha düşüktü (p<0,05). Serum HSPB7 düzeyleri COVID-19 hastalarında sağlıklı kontrollere göre daha yüksekti (p<0,01), tetranektin düzeyi ise daha düşüktü (p<0,001). Hastalığın şiddetine göre değerlendirildiğinde, HSPB7 düzeyinin şiddetli COVID-19 hastalarında arttığı, tetranektin düzeyinin ise hastalığın şiddetine paralel olarak azaldığı görüldü (sırasıyla p<0,001 ve p<0,001). HSPB7 konsantrasyonunun ferritin ile pozitif korelasyon gösterdiği görüldü (p=0,002). Tetranektin, HSPB7, ferritin ve troponin ile negatif korelasyon gösterdi (sırasıyla p=0,041, p<0,01 ve p=0,005). Sonuç: Mevcut çalışmanın sonuçları, tetranektini COVID-19 hastalarında, kardiyak hasarın ciddiyetinin belirlenmesinde ve daha kapsamlı bir şekilde anlaşılması için potansiyel bir biyobelirteç olabileceğini göstermektedir.

Anahtar Kelimeler

• COVID-19
• HSPB7
• tetranektin
• kardiyak hasar

HSPB7 and tetranectin levels are associated with severity of COVID-19

Öz

Purpose: COVID-19 may have acute and chronic adverse effects on the cardiovascular system. Heat shock protein beta-7 (HSPB7) is a cardiovascular heat-shock protein, and tetranectin is a type-C calcium (Ca)-binding lectin. The present study was conducted to investigate the relationship between HSPB7, tetranectin, disease severity and myocardial injury in COVID-19. Materials and methods: This study included 26 COVID-19 patients and 26 age and sex-matched healthy controls. Demographic characteristics, routine hemograms, and biochemical parameters were recorded. COVID-19 patients were classified as having mild to moderate and severe COVID-19 using clinical and laboratory data. HSPB7 and tetranectin levels were measured using commercial ELISA kits. Results: C-reactive protein, fasting glucose, ferritin, neutrophil-to-lymphocyte, monocyte-to-lymphocyte, and platelet-to-lymphocyte ratios were significantly elevated, whereas calcium, and albumin were decreased in COVID-19 patients (p<0.05). Respiratory rate, D-dimer, and ferritin were higher while SO2 and lymphocyte counts were lower in severe COVID-19 patients (p<0.05). Serum HSPB7 levels were higher in COVID-19 patients vs healthy controls (p<0.01), whereas tetranectin concentration was lower (p<0.001). When the cases were evaluated according to the severity of the disease it was observed that, HSPB7 level was increased in patients with severe COVID-19 and tetranectin was decreased parallel to the severity of the disease (p<0.001 and p<0.001, respectively). HSPB7 concentration was positively correlated with ferritin (p=0.002). Tetranectin was negatively correlated with HSPB7, ferritin and troponin (p=0.041, p<0.01, and p=0.005, respectively). Conclusion: The consequence of the present study indicates tetranectin as a potential biomarker for an accurate and more comprehensive understanding severity of cardiac damage in COVID-19 patients.

Anahtar Kelimeler

• COVID-19
• HSPB7
• tetranectin
• cardiac injury

Kaynakça

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