Evidence map›Paper›PMID 33038012›Full record

ArticleJournal of medical virology2021

Evaluation of alpha defensin, IL-1 receptor antagonist, and IL-18 levels in COVID-19 patients with macrophage activation syndrome and acute respiratory distress syndrome.

Buğra Kerget, Ferhan Kerget, Alperen Aksakal, Seda Aşkın, Leyla Sağlam, Metin Akgün

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
1.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Is Extracorporeal Membrane Oxygenation a Panacea?The Eurasian journal of medicine · 2023
    Article
  9. Article
  10. Article
  11. SARS-CoV-2 Spike Protein Activates Human Lung Macrophages.International journal of molecular sciences · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. All Microbiological Aspects of SARS-CoV-2 Virus.The Eurasian journal of medicine · 2022
    Article
  18. SARS-CoV-2 Infection and Candidate Biomarkers.The Eurasian journal of medicine · 2022
    Article
  19. Nitazoxanide and COVID-19: A review.Molecular biology reports · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Buğra KergetDepartment of Pulmonary Diseases, Ataturk University School of Medicine, Yakutiye, Erzurum, Turkey.ORCID 0000-0002-6048-1462
Ferhan KergetDepertmant of Infection Diseases and Clinical Microbiology, Health Sciences University, Erzurum Regional Education and Research Hospital, Erzurum, Turkey.ORCID 0000-0002-5160-4854
Alperen AksakalDepartment of Pulmonary Diseases, Ataturk University School of Medicine, Yakutiye, Erzurum, Turkey.ORCID 0000-0001-6883-3314
Seda AşkınDepartment of Biochemistry, Ataturk University School of Medicine, Erzurum, Turkey.ORCID 0000-0001-6133-9065
Leyla SağlamDepartment of Pulmonary Diseases, Ataturk University School of Medicine, Yakutiye, Erzurum, Turkey.ORCID 0000-0002-7040-3433
Metin AkgünDepartment of Pulmonary Diseases, Ataturk University School of Medicine, Yakutiye, Erzurum, Turkey.ORCID 0000-0003-3404-4274
Atatürk University · TRErzurum Regional Training and Research Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany laboratory parameters have been associated with morbidity and mortality in SARS-CoV-2 (COVID-19), which emerged in an animal market in Wuhan, China in December 2019 and has infected over 20 million people. This study investigated the relationship between serum interleukin (IL)-18, IL-1 receptor antagonist (IL-1Ra), and alpha defensin levels and the clinical course and prognosis of COVID-19. MATERIALS AND

methodsThis study included 100 patients who were admitted to the chest diseases department and intensive care unit of our hospital and diagnosed with COVID-19 by real-time polymerase chain reaction (PCR) of nasopharyngeal swab samples between March 24 and May 31, 2020. The control group consisted of 50 nonsymptomatic health workers with negative real-time PCR results in routine COVID-19 screening in our hospital.

resultsSerum alpha defensin, IL-1Ra, and IL-18 levels were significantly higher in patients who developed macrophage activation syndrome (MAS) and acute respiratory distress syndrome (ARDS) compared to patients who did not (p < .001 for all). Alpha defensin, IL-1Ra, and IL-18 levels were significantly higher in COVID-19 patients with and without MAS or ARDS when compared to the control group (p < .001 for all). When the 9 patients who died were compared with the 91 surviving patients, IL-1Ra and IL-18 levels were found to be significantly higher in the nonsurvivors (p < .001).

conclusionOur findings of correlations between alpha defensin and levels of IL-1Ra and IL-18, which were previously shown to be useful in COVID-19 treatment and follow-up, indicates that it may also be promising in treatment.

Indexed as

AdultAgedAged, 80 and overalpha-DefensinsCOVID-19FemaleHumansInterleukin-18Interleukin 1 Receptor Antagonist ProteinMacrophage Activation SyndromeMaleMiddle AgedPrognosisRespiratory Distress SyndromeTurkeyalpha-DefensinsIL18 protein, humanInterleukin-18Interleukin 1 Receptor Antagonist Proteinalpha defensinCOVID-19IL-18IL-1Ra

Identifiers

PMID33038012
PMCPMC7675303
OpenAlexW3091980700

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.