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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Main Authors: 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
Format: Article
Language:English
Published: Hindawi Limited 2021-01-01
Series:Oxidative Medicine and Cellular Longevity
Online Access:http://dx.doi.org/10.1155/2021/9221693
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spelling 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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