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血清可溶性 ST2 作为一种新型生物标志物,反映 COVID-19 患者的炎症状态和疾病严重程度。

Serum-soluble ST2 as a novel biomarker reflecting inflammatory status and illness severity in patients with COVID-19.

机构信息

Department of Laboratory Medicine, Zhongnan Hospital of Wuhan University, Hubei, Wuhan, 430071, China.

National Key Laboratory of Medical Immunology & Institute of Immunology, Second Military Medical University, Shanghai, 200433, China.

出版信息

Biomark Med. 2020 Dec;14(17):1619-1629. doi: 10.2217/bmm-2020-0410.

DOI:10.2217/bmm-2020-0410
PMID:33336592
Abstract

The authors studied the role of soluble ST2 (sST2) in COVID-19 and its relationship with inflammatory status and disease severity. Serum levels of sST2 and interleukin (IL)-33, C-reactive protein (CRP), serum amyloid protein (SAA), IL-6 and procalcitonin (PCT), and T lymphocyte subsets from 80 subjects diagnosed with COVID-19 including 36 mild, 41 severe and three asymptomatic cases were tested. Serum sST2 levels were significantly increased in COVID-19 patients, which were positively correlated with CRP, but negatively correlated with CD4 and CD8 T lymphocyte counts. Serum sST2 levels in nonsurviving severe cases were persistently high during disease progression. Serum sST2 level test is helpful for reflecting inflammatory status and illness severity of COVID-19.

摘要

研究人员研究了可溶性 ST2(sST2)在 COVID-19 中的作用及其与炎症状态和疾病严重程度的关系。检测了 80 例 COVID-19 患者(包括 36 例轻症、41 例重症和 3 例无症状)的血清 sST2 和白细胞介素(IL)-33、C 反应蛋白(CRP)、血清淀粉样蛋白(SAA)、IL-6 和降钙素原(PCT)水平,以及 T 淋巴细胞亚群。COVID-19 患者血清 sST2 水平显著升高,与 CRP 呈正相关,与 CD4 和 CD8 T 淋巴细胞计数呈负相关。在疾病进展过程中,重症非存活病例的血清 sST2 水平持续升高。血清 sST2 水平检测有助于反映 COVID-19 的炎症状态和疾病严重程度。

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