Soluble forms of programmable cell death receptor sPD-L and ligand sPD-L1, as well as some biochemical and hematological indicators in the blood of COVID-19 diseased

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Introduction. The main reason for the severity of COVID-19 and the death of patients is the «cytokine storm» - a strong inflammatory response caused by SARS-CoV-2. Macrophages, immune cells that help eliminate pathogens and repair damaged tissues, play a key role in the expression of inflammatory mediators. In addition to known cytokines, macrophages express the PD-L1 protein, a ligand of the PD1 apoptosis receptor. The aim of the study was to comparatively analyze the levels of soluble forms of the programmed cell death receptor (sPD-1) and its ligand (sPD-L1), as well as biochemical and hematological parameters in the blood of patients who underwent COVID-19. Material and methods. We carried out sPD-1 and sPD-L1 enzyme immunoassay and biochemical studies in 72 employees of the N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation who have undergone COVID-19. The control group consisted of 57 healthy donors. The fact of the disease was confirmed by the presence of antibodies to class G immunoglobulins (SARS-Cov-2 IgG) in the blood serum using the ELISA test system Antigma-G (Generium, Russia). The concentrations of sPD-1 and sPD-L1 in blood serum were studied using the Human sPD-L1 ELISA kit and Human sPD-1 ELISA kit (Affimetrix, eBioscience, USA). The levels of iron, transferrin and ferritin were determined on an automatic analyzer Cobas (Roche). Complete blood count was performed on an automatic Sysmex XE-2100 analyzer (Japan). Results. In the serum of those who underwent COVID-19 (30-50 days after the onset of the first symptoms), there was a significant decrease in sPD-L1 levels and a change in the correlation between the components of the sPD-1 / sPD-L1 system. A statistically significant direct relationship was found between the concentrations of soluble forms of the sPD-1 receptor and its ligand sPD-L1 with the levels of iron, hemoglobin and the number of erythrocytes, as well as between sPD-L1 and ferritin. No relationship was found between sPD-1 and sPD-L1 levels and erythrocyte counts (MCV, MCH, RDW-SD). Conclusion. The results obtained expand the understanding of the role of sPD-1 and sPD-L1 in persons who have undergone COVID-19, demonstrate the relationship between the processes of apoptosis, some biochemical and hematological parameters of blood serum, and are the basis for further research.

全文:

受限制的访问

作者简介

Nikolay Kushlinskii

N.N. Blokhin National Medical Research Center of Oncology

编辑信件的主要联系方式.
Email: kne3108@gmail.com
Academician of RAS, Doctor of Medical Sciences, Professor, head of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Irina Babkina

N.N. Blokhin National Medical Research Center of Oncology

Email: docbabkina@rambler.ru
Doctor of Medical Sciences, doctor of clinical laboratory diagnostics of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Elena Gerstein

N.N. Blokhin National Medical Research Center of Oncology

Email: esgershtein@gmail.com
Doctor of Biological Sciences, Professor, leading researcher of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Nina Lyubimova

N.N. Blokhin National Medical Research Center of Oncology

Email: biochimia@yandex.ru
Doctor of Biological Sciences, chief scientific consultant of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Yuriy Timofeev

N.N. Blokhin National Medical Research Center of Oncology

Email: timofeev_lab@mail.ru
Candidate of Medical Sciences, doctor of clinical laboratory diagnostics of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Ekaterina Korotkova

N.N. Blokhin National Medical Research Center of Oncology

Email: katinka-kor@yandex.ru
Candidate of Biological Sciences, senior researcher of the laboratory of clinical biochemistry Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Galina Zubrikhina

N.N. Blokhin National Medical Research Center of Oncology

Email: zubrlab@list.ru
Doctor of Medical Sciences, scientific consultant of the clinical and diagnostic laboratory Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Tatiana Davydova

N.N. Blokhin National Medical Research Center of Oncology

Email: davydova.tata@mail.ru
Candidate of Biological Sciences, head of the clinical and diagnostic laboratory Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Oksana Somonova

N.N. Blokhin National Medical Research Center of Oncology

Email: somonova@mail.ru
Doctor of Medical Sciences, leading researcher of the clinical and diagnostic laboratory Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

Ivan Stilidi

N.N. Blokhin National Medical Research Center of Oncology

Email: info@ronc.ru
Academician of RAS, Doctor of Medical Sciences, Professor, Director Kashirskoe shosse, 24, Moscow, 115522, Russian Federation

参考

  1. Gong J., Dong H., Xia S.Q., Huang Y., Wang D., Zhao Y., Liu W.H., Tu S.H., Zhang M.M., Wang Q., Lu F.E. Correlation analysis between disease severity and inflammation-related parameters in patients with COVID-19: a retrospective study. BMC Infect. Dis. 2020; 20 (1): 963. https://doi.org/10.1186/s12879-020-05681-5.
  2. Mehta P., McAuley D.F., Brown M., Sanche E., Tattersall R.S., Manson J. COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet. 2020; 395 (10229): 1033-4. https://doi.org/10.1016/S0140-6736(20)30628-0.
  3. Merad M., Martin J.C. Pathological inflammation in patients with COVID-19: a key role for monocytes and macrophages. Nat. Rev. Immunol. 2020; 20 (7): 448. https://doi.org/10.1038/s41577-020-0353-y
  4. Recalcati S., Locati M., Marini A., Santambrogio P., Zaninotto F.Differential regulation of iron homeostasis during human macrophage polarized activation. Eur. J. Immunol. 2010; 40 (3): 824-35. https://doi.org/0.1002/eji.200939889.
  5. Wei S.C., Levine J.H., Cogdill A.P., Zhao Y., Anang N.A.S., Andrews M.C. Sharma P., Wang J., Wargo J.A., Pe'er D., Allison J.P. Distinct Cellular Mechanisms Underlie Anti-CTLA-4 and Anti-PD-1 Checkpoint Blockade. Cell. 2017; 170 (6): 1120-33. e17. https://doi.org/10.10Wj.cell.2017.07.024.
  6. Rowe J.H., Johanns T.M., Ertelt J.M., Way S.S. PDL-1 blockade impedes T cell expansion and protective immunity primed by attenuated Listeria monocytogenes. J. Immunol. 2008; 180 (11): 7553-7. https://doi.org/10.4049/jimmunol.180.11.7553.
  7. Кушлинский Н.Е., Фридман М.В., Морозов А.А., Герштейн Е.С., Кадагидзе З.Г., Матвеев В.Б. Современные подходы к иммунотерапии рака почки. Онкоурология. 2018; 14 (2): 54-7. https://doi.org/10.17650/1726-9776-2018-14-2-54-67.
  8. Kyriazopoulou E., Giamarellos-Bourboulis E.J. Monitoring immunomodulation in patients with sepsis. Expert Rev. Mol. Diagn. 2021; 21 (1): 17-29. https://doi.org/10.1080/14737159.2020.1851199.
  9. Bryant-Hudson K.M., Carr D.J. PD-L1-expressing dendritic cells contribute to viral resistance during acute HSV-1 infection. Clin. Dev. Immunol. 2012; 2012: 924619. https://doi.org/10.1155/2012/924619.
  10. Jubel J.M., Barbati Z.R., Burger C., Wirtz D.C., Schildberg F.A. The Role of PD-1 in Acute and Chronic Infection. Front Immunol. 2020; 11: 487. https://doi.org/10.3389/fimmu.2020.00487.
  11. Schönrich G., Martin J., Raftery M.J. The PD-1/PD-L1 Axis and Virus Infections: A Delicate Balance. Front Cell Infect. Microbiol. 2019; 9: 207. https://doi.org/10.3389/fcimb.2019.00207.
  12. Yekedüz E., Dursun B., Aydin G.Q., Yazgan S.C., Öztürk H.H., Azap A., Utkan G., Ürün Y. Clinical course of COVID-19 infection in elderly patient with melanoma on nivolumab. J. Oncol. Pharm. Pract. 2020; 26 (5): 1289-94. https://doi.org/10.1177/1078155220924084.
  13. Ahmed H., Patel K., Greenwood D.C., Halpin S., Lewthwaite P., Salawu A., Eyre L., Breen A., O'Connor R., Jones A., Sivan M. Long-term clinical outcomes in survivors of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome coronavirus (MERS) outbreaks after hospitalisation or ICU admission: a systematic review and meta-analysis. J. Rehabil. Med. 2020; 52 (5): jrm00063. https://doi.org/10.2340/16501977-2694.
  14. Garg P., Arora U., Kumar A., Wig N. The "Post-COVID" syndrome: how deep is the damage? J. Med. Virol. 2021; 93 (2): 673-4. https://doi.org/10.1002/jmv.26465.
  15. Halpin S., O'Connor R., Sivan M. Long COVID and chronic COVID syndromes. J. Med. Virol. 2021; 93 (1): 1242-3. https://doi.org/10.1002/jmv.26587.
  16. Мещерякова Л.М., Левина А.А., Цыбульская М.М., Соколова Т.В. Основные механизмы регуляции обмена железа и их клиническое значение. Онкогематология. 2014; 3: 67-71. https://doi.org/10.17650/1818-8346-2014-9-3-67-71.
  17. Wang C., Deng R., Gou L., Fu Z., Zhang X., Shao F., Wang G., Fu W., Xiao J., Ding X., Li T., Xiao X., Chengbin Li C. Preliminary study to identify severe from moderate cases of COVID-19 using combined hematology parameters. Ann. Transl. Med. 2020; 8 (9): 593. https://doi.org/10.21037/atm-20-3391.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Russkiy Vrach Publishing House, 2022
##common.cookie##