Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019
Objective. Aminothiols (glutathione (GSH), cysteinylglycine (CG)) may play an important role in the pathogenesis of coronavirus disease 2019 (COVID-19), but the possible association of these indicators with the severity of COVID-19 has not yet been investigated. Methods. The total content (t) and re...
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doaj-3c7764f0d10749a6b72d9fa8386c050f2021-10-04T01:58:50ZengHindawi LimitedOxidative Medicine and Cellular Longevity1942-09942021-01-01202110.1155/2021/9221693Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019Evgeny Vladimirovich Kryukov0Alexander Vladimirovich Ivanov1Vladimir Olegovich Karpov2Valery Vasil’evich Alexandrin3Alexander Mikhaylovich Dygai4Maria Petrovna Kruglova5Gennady Ivanovich Kostiuchenko6Sergei Petrovich Kazakov7Aslan Amirkhanovich Kubatiev8Burdenko Main Military Clinical HospitalInstitute of General Pathology and PathophysiologyBurdenko Main Military Clinical HospitalInstitute of General Pathology and PathophysiologyInstitute of General Pathology and PathophysiologyFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Regional Clinical HospitalBurdenko Main Military Clinical HospitalInstitute of General Pathology and PathophysiologyObjective. Aminothiols (glutathione (GSH), cysteinylglycine (CG)) may play an important role in the pathogenesis of coronavirus disease 2019 (COVID-19), but the possible association of these indicators with the severity of COVID-19 has not yet been investigated. Methods. The total content (t) and reduced forms (r) of aminothiols were determined in patients with COVID-19 (n=59) on admission. Lung injury was characterized by computed tomography (CT) findings in accordance with the CT0-4 classification. Results. Low tGSH level was associated with the risk of severe COVID-19 (tGSH≤1.5 μM, mild vs. moderate/severe: risk ratio RR=3.09, p=0.007) and degree of lung damage (tGSH≤1.8 μM, CT<2 vs. CT≥2: RR=2.14, p=0.0094). The rGSH level showed a negative association with D-dimer levels (ρ=−0.599, p=0.014). Low rCG level was also associated with the risk of lung damage (rCG≤1.3 μM, CT<2 vs. CT≥2: RR=2.28, p=0.001). Levels of rCG (ρ=−0.339, p=0.012) and especially tCG (ρ=−0.551, p=0.004) were negatively associated with platelet count. In addition, a significant relationship was found between the advanced oxidation protein product level and tGSH in patients with moderate or severe but not in patients with mild COVID-19. Conclusion. Thus, tGSH and rCG can be seen as potential markers for the risk of severe COVID-19. GSH appears to be an important factor to oxidative damage prevention as infection progresses. This suggests the potential clinical efficacy of correcting glutathione metabolism as an adjunct therapy for COVID-19.http://dx.doi.org/10.1155/2021/9221693 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Evgeny Vladimirovich Kryukov Alexander Vladimirovich Ivanov Vladimir Olegovich Karpov Valery Vasil’evich Alexandrin Alexander Mikhaylovich Dygai Maria Petrovna Kruglova Gennady Ivanovich Kostiuchenko Sergei Petrovich Kazakov Aslan Amirkhanovich Kubatiev |
spellingShingle |
Evgeny Vladimirovich Kryukov Alexander Vladimirovich Ivanov Vladimir Olegovich Karpov Valery Vasil’evich Alexandrin Alexander Mikhaylovich Dygai Maria Petrovna Kruglova Gennady Ivanovich Kostiuchenko Sergei Petrovich Kazakov Aslan Amirkhanovich Kubatiev Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 Oxidative Medicine and Cellular Longevity |
author_facet |
Evgeny Vladimirovich Kryukov Alexander Vladimirovich Ivanov Vladimir Olegovich Karpov Valery Vasil’evich Alexandrin Alexander Mikhaylovich Dygai Maria Petrovna Kruglova Gennady Ivanovich Kostiuchenko Sergei Petrovich Kazakov Aslan Amirkhanovich Kubatiev |
author_sort |
Evgeny Vladimirovich Kryukov |
title |
Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 |
title_short |
Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 |
title_full |
Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 |
title_fullStr |
Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 |
title_full_unstemmed |
Association of Low Molecular Weight Plasma Aminothiols with the Severity of Coronavirus Disease 2019 |
title_sort |
association of low molecular weight plasma aminothiols with the severity of coronavirus disease 2019 |
publisher |
Hindawi Limited |
series |
Oxidative Medicine and Cellular Longevity |
issn |
1942-0994 |
publishDate |
2021-01-01 |
description |
Objective. Aminothiols (glutathione (GSH), cysteinylglycine (CG)) may play an important role in the pathogenesis of coronavirus disease 2019 (COVID-19), but the possible association of these indicators with the severity of COVID-19 has not yet been investigated. Methods. The total content (t) and reduced forms (r) of aminothiols were determined in patients with COVID-19 (n=59) on admission. Lung injury was characterized by computed tomography (CT) findings in accordance with the CT0-4 classification. Results. Low tGSH level was associated with the risk of severe COVID-19 (tGSH≤1.5 μM, mild vs. moderate/severe: risk ratio RR=3.09, p=0.007) and degree of lung damage (tGSH≤1.8 μM, CT<2 vs. CT≥2: RR=2.14, p=0.0094). The rGSH level showed a negative association with D-dimer levels (ρ=−0.599, p=0.014). Low rCG level was also associated with the risk of lung damage (rCG≤1.3 μM, CT<2 vs. CT≥2: RR=2.28, p=0.001). Levels of rCG (ρ=−0.339, p=0.012) and especially tCG (ρ=−0.551, p=0.004) were negatively associated with platelet count. In addition, a significant relationship was found between the advanced oxidation protein product level and tGSH in patients with moderate or severe but not in patients with mild COVID-19. Conclusion. Thus, tGSH and rCG can be seen as potential markers for the risk of severe COVID-19. GSH appears to be an important factor to oxidative damage prevention as infection progresses. This suggests the potential clinical efficacy of correcting glutathione metabolism as an adjunct therapy for COVID-19. |
url |
http://dx.doi.org/10.1155/2021/9221693 |
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