Suppr超能文献

血清淀粉样蛋白A、铁蛋白和癌胚抗原作为新型冠状病毒肺炎患者病情严重程度的生物标志物。

Serum amyloid A, ferritin and carcinoembryonic antigen as biomarkers of severity in patients with COVID-19.

作者信息

Abdelhakam Dina A, Badr Fatma Mohammed, Abd El Monem Teama Mohammed, Bahig Elmihi Nouran M, El-Mohamdy Marwa Adham

机构信息

Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.

Department of Internal Medicine and Rheumatology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.

出版信息

Biomed Rep. 2022 Feb;16(2):13. doi: 10.3892/br.2021.1496. Epub 2021 Dec 21.

Abstract

In view of the rapid spread of COVID-19 and the high mortality rate of severe cases, reliable risk stratifying indicators of prognosis are necessary to decrease morbidity and mortality. The aim of the present study was to evaluate the value of serum amyloid A (SAA) and carcinoembryonic antigen (CEA) as prognostic biomarkers in comparison to other predictors, including C-reactive protein (CRP) and ferritin levels. This study included 124 patients diagnosed with COVID-19, and they were assigned to one of two groups: Mild and severe, based on the severity of the infection. Radiological and laboratory investigations were performed, including evaluation of CRP, ferritin, D-Dimer, SAA and CEA levels. Significantly higher levels of CRP, ferritin, D-Dimer, SAA and CEA were observed in severe cases. SAA was significantly correlated with CRP (r=0.422, P<0.001), ferritin (r=0.574, P<0.001), CEA (r=0.514, P<0.001) and computed tomography severity score (CT-SS; r=0.691, P<0.001). CEA was correlated with CRP (r=0.441, P<0.001), ferritin (r=0.349, P<0.001) and CT-SS (r=0.374, P<0.001). Receiver operator characteristic (ROC) curves for performance of SAA, CEA, ferritin, CRP and SAA showed the highest AUC value of 0.928, with a specificity of 93.1%, and a sensitivity of 98.5% at a cut-off of 16 mg/l. The multi-ROC curve for SAA and ferritin showed 100% specificity, 100% sensitivity and 100% efficiency, with an AUC of 1.000. Thus, combining SAA and ferritin may have guiding significance for predicting COVID-19 severity. SAA alone showed the highest prognostic significance. Both SAA and CEA were positively correlated with the CT-SS. Early monitoring of these laboratory markers may thus provide significant input for halting disease progression and reducing mortality rates.

摘要

鉴于新型冠状病毒肺炎(COVID-19)的迅速传播以及重症病例的高死亡率,为降低发病率和死亡率,可靠的预后风险分层指标必不可少。本研究的目的是评估血清淀粉样蛋白A(SAA)和癌胚抗原(CEA)作为预后生物标志物的价值,并与其他预测指标进行比较,包括C反应蛋白(CRP)和铁蛋白水平。本研究纳入了124例确诊为COVID-19的患者,根据感染严重程度将他们分为两组:轻症组和重症组。进行了影像学和实验室检查,包括评估CRP、铁蛋白、D-二聚体、SAA和CEA水平。重症病例中CRP、铁蛋白、D-二聚体、SAA和CEA水平显著更高。SAA与CRP(r=0.422,P<0.001)、铁蛋白(r=0.574,P<0.001)、CEA(r=0.514,P<0.001)以及计算机断层扫描严重程度评分(CT-SS;r=0.691,P<0.001)显著相关。CEA与CRP(r=0.441,P<0.001)、铁蛋白(r=0.349,P<0.001)和CT-SS(r=0.374,P<0.001)相关。SAA、CEA、铁蛋白、CRP和SAA的受试者工作特征(ROC)曲线显示,曲线下面积(AUC)最高值为0.928,在截断值为16 mg/l时,特异性为93.1%,敏感性为98.5%。SAA和铁蛋白的多ROC曲线显示特异性为100%、敏感性为100%、效率为100%,AUC为1.000。因此,联合SAA和铁蛋白可能对预测COVID-19严重程度具有指导意义。单独SAA显示出最高的预后意义。SAA和CEA均与CT-SS呈正相关。因此,早期监测这些实验室指标可能为阻止疾病进展和降低死亡率提供重要依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c07/8719318/ae7280653a64/br-16-02-01496-g00.jpg

相似文献

1
Serum amyloid A, ferritin and carcinoembryonic antigen as biomarkers of severity in patients with COVID-19.
Biomed Rep. 2022 Feb;16(2):13. doi: 10.3892/br.2021.1496. Epub 2021 Dec 21.
2
Expressions of SAA, CRP, and FERR in different severities of COVID-19.
Eur Rev Med Pharmacol Sci. 2020 Nov;24(21):11386-11394. doi: 10.26355/eurrev_202011_23631.
4
The value of serum amyloid A for predicting the severity and recovery of COVID-19.
Exp Ther Med. 2020 Oct;20(4):3571-3577. doi: 10.3892/etm.2020.9114. Epub 2020 Aug 7.
6
Evaluation of preoperative serum markers for individual patient prognosis in stage I-III rectal cancer.
Tumour Biol. 2014 Oct;35(10):10237-48. doi: 10.1007/s13277-014-2338-6. Epub 2014 Jul 17.
8
[Diagnostic value of serum amyloid A and C-reactive protein for predicting acute aortic dissection].
Zhonghua Yi Xue Za Zhi. 2021 May 11;101(17):1275-1281. doi: 10.3760/cma.j.cn112137-20200805-02289.
10
The role of laboratory parameters in predicting severity of COVID-19 disease in pregnant patients.
J Obstet Gynaecol. 2022 Aug;42(6):1917-1921. doi: 10.1080/01443615.2022.2054681. Epub 2022 May 23.

引用本文的文献

1
Diagnostic Value of SAA Levels and Perianal Symptoms in the Complicated Perianal Abscesses Among Mpox-Infected Patients.
J Inflamm Res. 2024 Sep 9;17:6239-6250. doi: 10.2147/JIR.S472800. eCollection 2024.
2
The Diagnostic and Predictive Value of Biomarkers for Pulmonary Fibrosis in Patients with Coronavirus Disease 2019.
J Glob Infect Dis. 2024 May 24;16(2):45-53. doi: 10.4103/jgid.jgid_150_23. eCollection 2024 Apr-Jun.
3
Serum amyloid A as a biomarker for immunoglobulin resistance in Kawasaki disease.
Ann Med. 2023;55(2):2264315. doi: 10.1080/07853890.2023.2264315. Epub 2023 Oct 23.

本文引用的文献

1
Vitamin D deficiency as a predictor of severity in patients with COVID-19 infection.
Sci Prog. 2021 Jul-Sep;104(3):368504211036854. doi: 10.1177/00368504211036854.
2
Serum amyloid A concentrations, COVID-19 severity and mortality: An updated systematic review and meta-analysis.
Int J Infect Dis. 2021 Apr;105:668-674. doi: 10.1016/j.ijid.2021.03.025. Epub 2021 Mar 15.
3
Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission.
Nat Commun. 2020 Dec 9;11(1):6317. doi: 10.1038/s41467-020-19741-6.
4
Expressions of SAA, CRP, and FERR in different severities of COVID-19.
Eur Rev Med Pharmacol Sci. 2020 Nov;24(21):11386-11394. doi: 10.26355/eurrev_202011_23631.
6
Carcinoembryonic Antigen: A Potential Biomarker to Evaluate the Severity and Prognosis of COVID-19.
Front Med (Lausanne). 2020 Oct 6;7:579543. doi: 10.3389/fmed.2020.579543. eCollection 2020.
7
Elevated carcinoembryonic antigen in patients with COVID-19 pneumonia.
J Cancer Res Clin Oncol. 2020 Dec;146(12):3385-3388. doi: 10.1007/s00432-020-03350-3. Epub 2020 Aug 28.
9
Prognostic value of serum amyloid A in patients with COVID-19.
Infection. 2020 Oct;48(5):715-722. doi: 10.1007/s15010-020-01468-7. Epub 2020 Jul 30.
10
Chest CT score in COVID-19 patients: correlation with disease severity and short-term prognosis.
Eur Radiol. 2020 Dec;30(12):6808-6817. doi: 10.1007/s00330-020-07033-y. Epub 2020 Jul 4.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验