Subjects: Biology >> Biochemistry submitted time 2020-02-12
Abstract: A recent outbreak of pneumonia in Wuhan, China was caused by 2019 novel coronavirus (2019-nCoV). Here we reported 12 patients with 2019-nCoV infections in Shenzhen, China; all of them developed pneumonia and half developed acute respiratory distress syndrome (ARDS). We demonstrated the plasma cytokine profiles of these 12 patients. Thirty-eight out of 48 cytokines measured in the plasmas of 2019-nCoV infected patients were significantly elevated compared to healthy individuals. Seventeen cytokines were linked to 2019-nCoV load. Fifteen cytokines, M-CSF, IL-10, IFN-2, IL-17, IL-4, IP-10, IL-7, IL-1ra, G-CSF, IL-12, IFN-γ, IL-1, IL-2, HGF, and PDGF-BB, were strongly associated with lung injury Murray score, and could predict disease severity of 2019-nCoV infections according to area under the curve (AUC) of the receiver-operating characteristics (ROC) calculations. Our results suggest that 2019-nCoV infections trigger extensive changes in a wide array of cytokines, some of these cytokines could be potential biomarkers of disease severity of 2019-nCoV infections. These findings improve our understanding of the immunopathologic mechanisms of this emerging and still evolving disease and suggest that modulators of cytokine responses could play a therapeutic role in combating the disease. " "
Peer Review Status:Awaiting Review
Subjects: Biology >> Biochemistry submitted time 2020-02-08
Abstract: The outbreak of the 2019-nCoV infection began in December 2019 in Wuhan, Hubei province, and rapidly spread to many provinces in China as well as other countries. Here we report the epidemiological, clinical, laboratory, and radiological characteristics, as well as potential biomarkers for predicting disease severity in 2019-nCoV-infected patients in Shenzhen, China. All 12 cases of the 2019-nCoV-infected patients developed pneumonia and half of them developed acute respiratory distress syndrome (ARDS). The most common laboratory abnormalities were hypoalbuminemia (ALB), lymphopenia, decreased percentage of lymphocytes (LYM) and neutrophils (NEU), elevated C-reactive protein (CRP) and lactate dehydrogenase (LDH), and decreased CD8 count. The viral load of 2019-nCoV detected from patient respiratory tracts was positively linked to lung disease severity. ALB, LYM, LYM (%), LDH, NEU (%) and CRP were highly correlated to the acute lung injury. Age, viral load, lung injury score, and blood biochemistry indexes, ALB, CRP, LDH, LYM (%), LYM, and NEU (%), may be predictors of disease severity. Moreover, the Angiotensin II level in the plasma sample from 2019-nCoV infected patients was markedly elevated and linearly associated to viral load and lung injury. Our results suggest a number of potential diagnosis biomarkers and angiotensin receptor blocker (ARB) drugs for potential repurposing treatment of 2019-nCoV infection.
Peer Review Status:Awaiting Review