Cuchi-Cabral Alice, Palma André C, Nogueira Guilherme A, Oliveira Henrique Ceretta, Fusco Suzimar F Benato, Moretti Maria L, Velloso Licio A, Araujo Eliana P
School of Nursing, University of Campinas, Campinas 13083-970, SP, Brazil.
Laboratory of Cell Signalling, Obesity and Comorbidities Research Center (OCRC), University of Campinas, Campinas 13083-970, SP, Brazil.
Diseases. 2025 Jul 3;13(7):209. doi: 10.3390/diseases13070209.
The coronavirus disease-19 pandemic affected millions of people and its long-term impact on the health of survivors is under evaluation.
In this study, we hypothesized that severe coronavirus disease-19 could promote long-term changes in the blood levels of hormones and growth factors known to be involved in the regulation of ageing.
We evaluated 49 patients that recovered from severe COVID-19 and compared them with matched controls that were never infected by the virus. The blood levels of growth hormone, insulin-like growth factor-1, insulin, brain-derived neurotrophic factor, nerve growth factor, oxytocin, ghrelin, platelet-derived growth factor, fibroblast growth factor-1, and transforming growth factor-beta were determined using enzyme-linked immunosorbent assays.
After six months of recovery, patients presented reduced blood levels of growth hormone, insulin-like growth factor-1, brain-derived neurotrophic factor, and platelet-derived growth factor. Fifteen months after, the reductions in the blood levels of all four hormones/growth factors persisted.
Our study advances the field by identifying hormones and growth factors involved in ageing that undergo persistent changes in patients that recover from severe COVID-19. Further studies could explore the potential of the identified hormones/growth factors as therapeutic targets for the late complications and accelerated ageing that may affect patients recovering from severe COVID-19.
新型冠状病毒肺炎疫情影响了数百万人,其对幸存者健康的长期影响正在评估中。
在本研究中,我们假设严重的新型冠状病毒肺炎可促使已知参与衰老调节的激素和生长因子的血液水平发生长期变化。
我们评估了49例从严重新型冠状病毒肺炎中康复的患者,并将他们与从未感染过该病毒的匹配对照组进行比较。使用酶联免疫吸附测定法测定生长激素、胰岛素样生长因子-1、胰岛素、脑源性神经营养因子、神经生长因子、催产素、胃饥饿素、血小板衍生生长因子、成纤维细胞生长因子-1和转化生长因子-β的血液水平。
康复六个月后,患者的生长激素、胰岛素样生长因子-1、脑源性神经营养因子和血小板衍生生长因子的血液水平降低。十五个月后,所有四种激素/生长因子的血液水平持续降低。
我们的研究通过识别参与衰老的激素和生长因子取得了该领域的进展,这些激素和生长因子在从严重新型冠状病毒肺炎中康复的患者中发生持续变化。进一步的研究可以探索所识别的激素/生长因子作为治疗可能影响从严重新型冠状病毒肺炎中康复患者的晚期并发症和加速衰老的治疗靶点的潜力。