Evidence map›Paper›PMID 40508859›Full record

ArticleHealthcare (Basel, Switzerland)2025

Elevated IL-6 and IL-10 Levels as Prognostic Biomarkers in COVID-19 Pneumonia: A Comparative Study in Mexican Patients.

Charmina Aguirre-Alvarado, Miguel Ángel Cortes-Vázquez, Yessica Sara Pérez-González, David Eduardo Meza-Sánchez, Juan Carlos Nuñez-Enriquez, Sandra María Pinto-Cardoso, Vilma Carolina Bekker-Méndez

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Charmina Aguirre-AlvaradoLaboratorio de Bioquímica Farmacológica, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Mexico City 11300, Mexico.
Miguel Ángel Cortes-VázquezHospital de Infectología "Dr Daniel Méndez Hernández", CMN "La Raza", IMSS, Mexico City 02990, Mexico.
Yessica Sara Pérez-GonzálezHospital de Infectología "Dr Daniel Méndez Hernández", CMN "La Raza", IMSS, Mexico City 02990, Mexico.
David Eduardo Meza-SánchezRed de Apoyo a la Investigación, Coordinación de la Investigación Científica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Universidad Nacional Autónoma de México, Mexico City 14080, Mexico.ORCID 0000-0003-0392-296X
Juan Carlos Nuñez-EnriquezUnidad de Investigación Médica en Epidemiología Clínica, UMAE Hospital de Pediatría, Centro Médico Nacional "Siglo XXI", IMSS, Mexico City 06729, Mexico.ORCID 0000-0002-8070-9727
Sandra María Pinto-CardosoCentro de Investigación en Enfermedades Infecciosas, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico.
Vilma Carolina Bekker-MéndezUnidad de Investigación Biomédica en Inmunología e Infectología, Hospital de Infectología "Dr Daniel Méndez Hernández", Centro Médico Nacional (CMN) "La Raza", Instituto Mexicano del Seguro Social (IMSS), Mexico City 02990, Mexico.ORCID 0000-0002-6161-1425

Funding

Health Research Fund (FIS) Mexican Social Security Institute FIS/IMSS/PROT/PRIO/18/066
6 · The paper itself

Abstract

BACKGROUND/

objectivesProinflammatory cytokines have been associated with poor prognosis in community-acquired and COVID-19 pneumonia. There is a paucity of reports on the cytokine release syndrome, also called cytokine storm in the Mexican population with pneumonia and COVID-19; therefore, our objective was to compare proinflammatory cytokine levels in Mexican patients without COVID-19 (non-COVID-19) and those with moderate, severe, and critical COVID-19 pneumonia.

methodsThis study included 30 patients with non-COVID-19 pneumonia and 57 with COVID-19 pneumonia. Disease diagnosis and severity were determined using the radiographic pulmonary edema assessment (RALE) score. Quantification of IL-6, IL-10, and TNF-α was performed using multiplex immunoassays. A receiver operating characteristic curve was constructed to classify subjects with elevated cytokine levels. Logistic regression was used to find associations between elevated cytokine levels and the presence of COVID-19 pneumonia.

resultsThe severity classification of patients with COVID-19 pneumonia was as follows: moderate (n = 20), severe (n = 19), and critical (n = 18). The proinflammatory cytokines IL-6 and IL-10 were significantly increased in COVID-19 patients compared to non-COVID-19 patients (

conclusionsElevated levels of both IL-6 and IL-10 are a differential risk factor for developing COVID-19 pneumonia. These elevated levels were more frequently observed in Mexican COVID-19 pneumonia patients who died at the onset of the COVID-19 pandemic. It is important that they are monitored from initial diagnosis as they may be markers of a fatal outcome in severe and critical COVID-19 patients.

Indexed as

COVID-19pneumoniaproinflammatory cytokines

Identifiers

PMID40508859
PMCPMC12155521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.