Evidence map›Paper›PMID 34608677›Full record

ArticleJournal of clinical laboratory analysis2021

Assessment of antiphospholipid antibodies and calprotectin as biomarkers for discriminating mild from severe COVID-19.

Anna Lee, Chung Hyun Nahm, Jin-Soo Lee, Mi-Kyeong Lee, Kyoung-Ryul Lee

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  6. Review
  7. Article
  8. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  9. Article
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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

5 authors at 2 institutions in 1 country.

Anna LeeDepartment of Laboratory Medicine, Seoul Clinical Laboratories, Yong-In, Korea.ORCID https://orcid.org/0000-0002-2865-3869
Chung Hyun NahmDepartment of Laboratory Medicine, Inha University College of Medicine, Incheon, Korea.
Jin-Soo LeeDivision of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea.
Mi-Kyeong LeeDepartment of Laboratory Medicine, Seoul Clinical Laboratories, Yong-In, Korea.
Kyoung-Ryul LeeDepartment of Laboratory Medicine, Seoul Clinical Laboratories, Yong-In, Korea.
Seoul Medical Center · KRInha University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the association of thrombo-inflammatory biomarkers with severity in coronavirus disease (COVID-19), we measured antiphospholipid antibodies (aPL) and calprotectin in sera of COVID-19 patients.

methodsAnticardiolipin antibodies (aCL) and anti-β2-glycoprotein I antibodies were measured using enzyme-linked immunosorbent assay (ELISA) and multiplex flow immunoassay (MFIA) in hospitalized COVID-19 patients (N = 105) and healthy controls (N = 38). Anti-phosphatidylserine/prothrombin antibodies, calprotectin, and C-reactive protein (CRP) levels were also measured. We assessed the potential correlation between calprotectin levels and various laboratory parameters that were measured during the hospitalization period. After stratifying COVID-19 patients into two groups by their oxygenation status or acute respiratory distress syndrome presentation, the discriminatory performance of each biomarker was evaluated.

resultsA high proportion of COVID-19 patients (29.5%, 31/105) had low aCL IgM titers that were detectable by ELISA but mostly below the detection limit of MFIA. Calprotectin levels in severe groups of COVID-19 were significantly higher than those in non-severe groups, while CRP levels revealed no significant differences. Serum calprotectin levels showed strong to moderate degree of correlation with other routinely used parameters including peak levels of CRP, ferritin, procalcitonin, BUN, and neutrophil-to-lymphocyte ratio, but a negative correlation with minimal lymphocyte count and CD4

conclusionsSerum calprotectin levels were significantly elevated in severe COVID-19 cases. The prevalence of clinically significant aPL did not differ. The link between calprotectin and inflammatory pathway in COVID-19 may help improve the management and outcomes of COVID-19 patients.

Indexed as

SARS-CoV-2AgedAged, 80 and overAntibodies, AntiphospholipidBiomarkersCOVID-19C-Reactive ProteinFemaleHumansLeukocyte L1 Antigen ComplexMaleMiddle AgedSeverity of Illness IndexAntibodies, AntiphospholipidBiomarkersC-Reactive ProteinLeukocyte L1 Antigen Complexanticardiolipin antibodiesantiphospholipid antibodiescalprotectinCOVID-19severity

Identifiers

PMID34608677
PMCPMC8605160
OpenAlexW3202496703

What OpenQuestion holds

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Registered trials

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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.