Determination of Oxidative Stress and Copeptin Levels of COVID-19 According to the Clinical Course.        
Yazarlar (4)
Marwa Abdelmageed
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Figen GÜZELGÜL Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Serap Yalin
Mersin Üniversitesi, Türkiye
Merih Akkapulu
Mersin Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Microbial Pathogenesis
Dergi ISSN 0882-4010 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 02-2025
Cilt No 199
Sayı 1
DOI Numarası 10.1016/j.micpath.2024.107263
Makale Linki https://doi.org/10.1016/j.micpath.2024.107263
Özet
COVID-19, caused by the novel coronavirus SARS-CoV-2, is characterized by hyperinflammation, which can trigger oxidative stress. At the same time, COVID-19 is accompanied by both psychological and physical stress. Copeptin, a novel stress marker, has been shown to predict disease outcomes in stress-induced diseases. In this study, we aimed to explore the potential of copeptin, with inflammatory and oxidative stress markers, in distinguishing between different clinical courses of COVID-19. This case-control study included 75 participants: 25 COVID-19 patients hospitalized in the intensive care unit (ICU), 25 non-ICU COVID-19 patients, and 25 healthy individuals. 64 % of the ICU patients received corticosteroid treatment for 4-10 days before sampling. Serum concentrations of the study parameters were assessed by enzyme-linked immunosorbent assay (ELISA) and compared between the study groups. Serum IL-6 levels (p < 0.001) were significantly higher in ICU patients compared to non-ICU patients and the control group. Serum MDA (p < 0.001) and 4-HNE (p = 0.027) concentrations were significantly lower in the ICU group in comparison with the other groups. Copeptin was not statistically significant. MDA (p = 0.040) and 4-HNE (p = 0.017) levels were significantly lower in the treated ICU group than the untreated one. Serum IL-6 levels were noticeably associated with COVID-19 severity. Corticosteroid therapy administration seemed to influence MDA and 4-HNE levels in the treated group, with no obvious influence on IL-6 and copeptin in the same cohort. This data suggests that in SARS-CoV-2 infection, corticosteroids may act through a rapid non-genomic mechanism.
Anahtar Kelimeler
Oxidative stress | Inflammation | Copeptin | COVID-19 | Corticosteroids