Laboratory and genetic predictors for severe COVID-19 infection

This study aims to identify laboratory and genetic markers important for COVID-19 severity to improve patient assessment and treatment. COVID-19 patients were divided into two groups based on disease severity. Clinical, laboratory (complete blood count, complete biochemical parameters - lactate dehy...

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Main Authors: Tanya Kadiyska (Author), Radostina Cherneva (Author), Zheina Cherneva (Author), Sotir Marchev (Author), Dilyana Madzharova (Author), Ivan Tourtourikov (Author), Vanyo Mitev (Author)
Format: Book
Published: Pensoft Publishers, 2024-04-01T00:00:00Z.
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Summary:This study aims to identify laboratory and genetic markers important for COVID-19 severity to improve patient assessment and treatment. COVID-19 patients were divided into two groups based on disease severity. Clinical, laboratory (complete blood count, complete biochemical parameters - lactate dehydrogenase (LDH), serum ferritin), and genetic markers (OAS1 rs4767027) were analyzed. A total of 61 COVID-19 patients and 48 negative controls were investigated. Group I showed more often lymphopenia - 3.16 (1.39-3.89) vs 5.61(4.21-7.98), p-0.027 and thrombocytopenia - 165 (75-256) vs 212 (198-349), p-0.031, higher LDH (621 ± 218 U/L vs 312 ± 110 U/L), p-0.014. OAS1 rs4767027 genotype and allele frequencies did not differ significantly from worldwide population frequencies. Lymphopenia and thrombocytopenia are likely associated with immune inflammation and COVID-19 severity. While increased OAS1 transcript levels are correlated with reduced risk of infection, they can contribute to NLRP3 inflammasome activation once the infection has been established.
Item Description:10.3897/pharmacia.71.e120638
2603-557X