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新冠病毒病例中病毒载量与血清生物标志物的关系。

Association of viral load with serum biomakers among COVID-19 cases.

机构信息

NHC Key Laboratory of Enteric Pathogenic Microbiology (Jiangsu Provincial Center for Disease Control and Prevention), Nanjing, 210009, China.

Nanjing Municipal Center for Disease Control and Prevention, Nanjing, 210003, China.

出版信息

Virology. 2020 Jul;546:122-126. doi: 10.1016/j.virol.2020.04.011. Epub 2020 Apr 30.

Abstract

Since SARS-CoV-2 spreads rapidly around the world, data have been needed on the natural fluctuation of viral load and clinical indicators associated with it. We measured and compared viral loads of SARS-CoV-2 from pharyngeal swab, IgM anti-SARS-CoV-2, CRP and SAA from serum of 114 COVID-19 patients on admission. Positive rates of IgM anti-SARS-CoV-2, CRP and SAA were 80.7%, 36% and 75.4% respectively. Among IgM-positive patients, viral loads showed different trends among cases with different severity, While viral loads of IgM-negative patients tended to increase along with the time after onset. As the worsening of severity, the positive rates of CRP and SAA also showed trends of increase. Different CRP/SAA type showed associations with viral loads in patients in different severity and different time after onset. Combination of the IgM and CRP/SAA with time after onset and severity may give suggestions on the viral load and condition judgment of COVID-19 patients.

摘要

由于 SARS-CoV-2 在全球范围内迅速传播,因此需要有关与病毒载量相关的临床指标的自然波动的数据。我们测量并比较了 114 例 COVID-19 患者入院时咽拭子中的 SARS-CoV-2 病毒载量、血清中的 IgM 抗 SARS-CoV-2、CRP 和 SAA。IgM 抗 SARS-CoV-2、CRP 和 SAA 的阳性率分别为 80.7%、36%和 75.4%。在 IgM 阳性患者中,病毒载量在不同严重程度的病例中表现出不同的趋势,而 IgM 阴性患者的病毒载量往往随着发病后的时间而增加。随着严重程度的恶化,CRP 和 SAA 的阳性率也呈现出增加的趋势。不同的 CRP/SAA 类型与不同严重程度和不同发病后时间的患者的病毒载量相关。将 IgM 与 CRP/SAA 与发病后时间和严重程度相结合,可能有助于判断 COVID-19 患者的病毒载量和病情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f6d/7192122/5b0e3d2e7dc2/gr1_lrg.jpg

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