Evidence map›Paper›PMID 40649865›Full record

ArticleInternational journal of molecular sciences2025

The Relationship Between Kidney Biomarkers, Inflammation, Severity, and Mortality Due to COVID-19-A Two-Timepoint Study.

Sara Soares Tozoni, Ana Carolina Gadotti, Erika Sousa Dias, Julia Bacarin Monte Alegre, Beatriz Akemi Von Spitzenbergen, Marina de Castro Deus, Thyago Proença de Moraes, Andrea Novais Moreno-Amaral

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Sara Soares TozoniPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.
Ana Carolina GadottiPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.
Erika Sousa DiasPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.ORCID 0000-0002-5743-5772
Julia Bacarin Monte AlegrePós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.ORCID 0000-0003-2838-3309
Beatriz Akemi Von SpitzenbergenPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.
Marina de Castro DeusPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.ORCID 0000-0003-2930-5441
Thyago Proença de MoraesPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.ORCID 0000-0002-2983-3968
Andrea Novais Moreno-AmaralPós-Graduação em Ciências da Saúde, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba 80215-901, Brazil.ORCID 0000-0002-2730-2952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About a quarter of COVID-19 patients develop acute kidney injury (AKI), worsening prognosis and increasing mortality. Severe COVID-19 often triggers a hyperactive immune response, influencing disease outcomes. This study examined the correlation between kidney injury biomarkers, inflammatory mediators, and mortality in COVID-19 patients. Blood samples from 390 COVID-19 patients were collected at admission and before the outcome. Serum Cystatin C (CysC), albumin, and plasma NGAL were measured via nephelometry, while inflammatory mediators (IL-4, IL-6, IL-10, IL-15, IFN-γ, TNF-α, and IL-1β) were assessed by ELISA. Most patients were male, with hypertension and diabetes as common comorbidities, and a high ICU admission rate. Lower albumin and elevated CysC and NGAL were linked to mortality. Increased inflammatory mediators correlated with lower albumin and higher CysC and NGAL, reinforcing the connection between systemic inflammation and kidney dysfunction. Elevated cytokines and kidney injury biomarkers, including NGAL, CysC, and low albumin, are strongly associated with higher mortality in COVID-19 patients. These findings highlight the role of inflammation and kidney function markers in identifying high-risk individuals, improving patient management, and mitigating complications. Monitoring these biomarkers remains crucial for managing long-term health impacts and future outbreaks.

Indexed as

Acute Kidney InjuryCOVID-19InflammationAdultAgedBiomarkersCystatin CCytokinesFemaleHumansInflammation MediatorsKidneyLipocalin-2MaleMiddle AgedSARS-CoV-2BiomarkersCystatin CCytokinesInflammation MediatorsLipocalin-2COVID-19cytokinesinflammationInterleukin-6kidney diseasemortality

Identifiers

PMID40649865
PMCPMC12249974

What OpenQuestion holds

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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.