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Peripheral Inflammatory Cytokines and Lymphocyte Subset Features of Deceased COVID-19 Patients

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单位: [1]Jilin Univ, Dept Emergency, China Japan Union Hosp, Changchun 130021, Peoples R China [2]Jilin Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Changchun 130021, Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,Wuhan 430000,Peoples R China [4]Jilin Univ, Dept Cardiol, China Japan Union Hosp, Changchun 130021, Peoples R China [5]Jilin Univ, Dept Crit Care Unit, China Japan Union Hosp, Changchun 130021, Peoples R China [6]Jilin Univ, Dept Neurosurg, China Japan Union Hosp, Changchun 130021, Peoples R China
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Objective. To compare the difference of inflammatory cytokines and lymphocyte subsets between deceased patients and survivors with COVID-19. Methods. This retrospective study included 254 confirmed patients from 10 January to 11 March, 2020, at Tongji Hospital of Wuhan, China. Laboratory and immunologic features were collected and analyzed, and the main outcomes focused on inflammatory cytokines and lymphocyte subsets. Results. A trend of markedly higher levels of inflammatory cytokines as well as lower lymphocyte subset levels in deceased patients was observed compared with survivors. ROC curve analyses indicated that inflammatory cytokines and the decrease levels of T cell, Th (helper T cells) cell, Ts (suppressor T cells) cell, B cell, and NK cell along with Th/Ts ratio increase could be used to predict the death of COVID-19. Multivariate analyses showed that higher levels of IL-6, IL-8, and IL-10 remained significantly correlated with shorter survival time and that the amount of Ts cells was negatively associated with the possibility of death in COVID-19 patients. In conclusion, SARS-CoV-2 would cause lymphopenia and result in decreased lymphocyte subset cells, particularly in Ts cell counts, which further induces hyperinflammatory response and cytokine storm. IL-6, IL-8, IL-10, and Ts cell might be independent predictors for the poor outcome of COVID-19.

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出版当年[2020]版:
大类 | 3 区 生物
小类 | 3 区 生物工程与应用微生物 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 生物工程与应用微生物 4 区 医学:研究与实验
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出版当年[2019]版:
Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q3 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Jilin Univ, Dept Emergency, China Japan Union Hosp, Changchun 130021, Peoples R China
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