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sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity
Uncontrolled inflammatory responses play a critical role in coronavirus disease (COVID-19). In this context, because the triggering-receptor expressed on myeloid cells-1 (TREM-1) is considered an intrinsic amplifier of inflammatory signals, this study investigated the role of soluble TREM-1 (sTREM-1...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8708887/ https://www.ncbi.nlm.nih.gov/pubmed/34960790 http://dx.doi.org/10.3390/v13122521 |
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author | da Silva-Neto, Pedro V. de Carvalho, Jonatan C. S. Pimentel, Vinícius E. Pérez, Malena M. Toro, Diana M. Fraga-Silva, Thais F. C. Fuzo, Carlos A. Oliveira, Camilla N. S. Rodrigues, Lilian C. Argolo, Jamille G. M. Carmona-Garcia, Ingryd Neto, Nicola T. Souza, Camila O. S. Fernandes, Talita M. Bastos, Victor A. F. Degiovani, Augusto M. Constant, Leticia F. Ostini, Fátima M. Feitosa, Marley R. Parra, Rogerio S. Vilar, Fernando C. Gaspar, Gilberto G. da Rocha, José J. R. Feres, Omar Frantz, Fabiani G. Gerlach, Raquel F. Maruyama, Sandra R. Russo, Elisa M. S. Viana, Angelina L. Fernandes, Ana P. M. Santos, Isabel K. F. M. Bonato, Vânia L. D. Boechat, Antonio L. Malheiro, Adriana Sadikot, Ruxana T. Dias-Baruffi, Marcelo Cardoso, Cristina R. B. Faccioli, Lúcia H. Sorgi, Carlos A. |
author_facet | da Silva-Neto, Pedro V. de Carvalho, Jonatan C. S. Pimentel, Vinícius E. Pérez, Malena M. Toro, Diana M. Fraga-Silva, Thais F. C. Fuzo, Carlos A. Oliveira, Camilla N. S. Rodrigues, Lilian C. Argolo, Jamille G. M. Carmona-Garcia, Ingryd Neto, Nicola T. Souza, Camila O. S. Fernandes, Talita M. Bastos, Victor A. F. Degiovani, Augusto M. Constant, Leticia F. Ostini, Fátima M. Feitosa, Marley R. Parra, Rogerio S. Vilar, Fernando C. Gaspar, Gilberto G. da Rocha, José J. R. Feres, Omar Frantz, Fabiani G. Gerlach, Raquel F. Maruyama, Sandra R. Russo, Elisa M. S. Viana, Angelina L. Fernandes, Ana P. M. Santos, Isabel K. F. M. Bonato, Vânia L. D. Boechat, Antonio L. Malheiro, Adriana Sadikot, Ruxana T. Dias-Baruffi, Marcelo Cardoso, Cristina R. B. Faccioli, Lúcia H. Sorgi, Carlos A. |
author_sort | da Silva-Neto, Pedro V. |
collection | PubMed |
description | Uncontrolled inflammatory responses play a critical role in coronavirus disease (COVID-19). In this context, because the triggering-receptor expressed on myeloid cells-1 (TREM-1) is considered an intrinsic amplifier of inflammatory signals, this study investigated the role of soluble TREM-1 (sTREM-1) as a biomarker of the severity and mortality of COVID-19. Based on their clinical scores, we enrolled COVID-19 positive patients (n = 237) classified into mild, moderate, severe, and critical groups. Clinical data and patient characteristics were obtained from medical records, and their plasma inflammatory mediator profiles were evaluated with immunoassays. Plasma levels of sTREM-1 were significantly higher among patients with severe disease compared to all other groups. Additionally, levels of sTREM-1 showed a significant positive correlation with other inflammatory parameters, such as IL-6, IL-10, IL-8, and neutrophil counts, and a significant negative correlation was observed with lymphocyte counts. Most interestingly, sTREM-1 was found to be a strong predictive biomarker of the severity of COVID-19 and was related to the worst outcome and death. Systemic levels of sTREM-1 were significantly correlated with the expression of matrix metalloproteinases (MMP)-8, which can release TREM-1 from the surface of peripheral blood cells. Our findings indicated that quantification of sTREM-1 could be used as a predictive tool for disease outcome, thus improving the timing of clinical and pharmacological interventions in patients with COVID-19. |
format | Online Article Text |
id | pubmed-8708887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87088872021-12-25 sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity da Silva-Neto, Pedro V. de Carvalho, Jonatan C. S. Pimentel, Vinícius E. Pérez, Malena M. Toro, Diana M. Fraga-Silva, Thais F. C. Fuzo, Carlos A. Oliveira, Camilla N. S. Rodrigues, Lilian C. Argolo, Jamille G. M. Carmona-Garcia, Ingryd Neto, Nicola T. Souza, Camila O. S. Fernandes, Talita M. Bastos, Victor A. F. Degiovani, Augusto M. Constant, Leticia F. Ostini, Fátima M. Feitosa, Marley R. Parra, Rogerio S. Vilar, Fernando C. Gaspar, Gilberto G. da Rocha, José J. R. Feres, Omar Frantz, Fabiani G. Gerlach, Raquel F. Maruyama, Sandra R. Russo, Elisa M. S. Viana, Angelina L. Fernandes, Ana P. M. Santos, Isabel K. F. M. Bonato, Vânia L. D. Boechat, Antonio L. Malheiro, Adriana Sadikot, Ruxana T. Dias-Baruffi, Marcelo Cardoso, Cristina R. B. Faccioli, Lúcia H. Sorgi, Carlos A. Viruses Article Uncontrolled inflammatory responses play a critical role in coronavirus disease (COVID-19). In this context, because the triggering-receptor expressed on myeloid cells-1 (TREM-1) is considered an intrinsic amplifier of inflammatory signals, this study investigated the role of soluble TREM-1 (sTREM-1) as a biomarker of the severity and mortality of COVID-19. Based on their clinical scores, we enrolled COVID-19 positive patients (n = 237) classified into mild, moderate, severe, and critical groups. Clinical data and patient characteristics were obtained from medical records, and their plasma inflammatory mediator profiles were evaluated with immunoassays. Plasma levels of sTREM-1 were significantly higher among patients with severe disease compared to all other groups. Additionally, levels of sTREM-1 showed a significant positive correlation with other inflammatory parameters, such as IL-6, IL-10, IL-8, and neutrophil counts, and a significant negative correlation was observed with lymphocyte counts. Most interestingly, sTREM-1 was found to be a strong predictive biomarker of the severity of COVID-19 and was related to the worst outcome and death. Systemic levels of sTREM-1 were significantly correlated with the expression of matrix metalloproteinases (MMP)-8, which can release TREM-1 from the surface of peripheral blood cells. Our findings indicated that quantification of sTREM-1 could be used as a predictive tool for disease outcome, thus improving the timing of clinical and pharmacological interventions in patients with COVID-19. MDPI 2021-12-15 /pmc/articles/PMC8708887/ /pubmed/34960790 http://dx.doi.org/10.3390/v13122521 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article da Silva-Neto, Pedro V. de Carvalho, Jonatan C. S. Pimentel, Vinícius E. Pérez, Malena M. Toro, Diana M. Fraga-Silva, Thais F. C. Fuzo, Carlos A. Oliveira, Camilla N. S. Rodrigues, Lilian C. Argolo, Jamille G. M. Carmona-Garcia, Ingryd Neto, Nicola T. Souza, Camila O. S. Fernandes, Talita M. Bastos, Victor A. F. Degiovani, Augusto M. Constant, Leticia F. Ostini, Fátima M. Feitosa, Marley R. Parra, Rogerio S. Vilar, Fernando C. Gaspar, Gilberto G. da Rocha, José J. R. Feres, Omar Frantz, Fabiani G. Gerlach, Raquel F. Maruyama, Sandra R. Russo, Elisa M. S. Viana, Angelina L. Fernandes, Ana P. M. Santos, Isabel K. F. M. Bonato, Vânia L. D. Boechat, Antonio L. Malheiro, Adriana Sadikot, Ruxana T. Dias-Baruffi, Marcelo Cardoso, Cristina R. B. Faccioli, Lúcia H. Sorgi, Carlos A. sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title | sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title_full | sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title_fullStr | sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title_full_unstemmed | sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title_short | sTREM-1 Predicts Disease Severity and Mortality in COVID-19 Patients: Involvement of Peripheral Blood Leukocytes and MMP-8 Activity |
title_sort | strem-1 predicts disease severity and mortality in covid-19 patients: involvement of peripheral blood leukocytes and mmp-8 activity |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8708887/ https://www.ncbi.nlm.nih.gov/pubmed/34960790 http://dx.doi.org/10.3390/v13122521 |
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