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Bu çalışmada akut akciğer hasarı durumlarında bir çok dokuda ve pulmoner dokuda düzeyleri 100 kat artan HIF-1a’nın serum düzeylerinin Covid-19 hastalarında hastalığın şiddeti ve prognozunu takipte etkili bir parametre olarak kullanılıp kullanılamayacağı sorularına yanıt aramak amaçlanmıştır. Çalışmaya Covid-19 klinik şikayetleri ile başvuran 40 hasta ve 20 sağlıklı kontrol bireyi dahil edildi. Hasta grubundan 20 hastanın PCR testi ile Covid-19 tanısı doğrulandı. Diğer 20 hasta ise Covid-19 şüpheli grup olarak kabul edildi. Hasta gruplarının başvuru klinik ve laboratuvar verileri kaydedildi. Covid-19 grubu hastaların başvuru günü ve başvuru sonrası 1. Hafta kan örneklerinden laboratuvar testleri ve serum HIF-1α düzeyleri ölçüldü. Covig-19 grubu hastalık şiddetine göre dört alt gruba ayrılıp her grubun HIF-1α değerleri birbirleri ile karşılaştırıldı. Bu çalışmada covid-19 doğrulanmış hasta grubunda serum HIF-1α değerlerinin sağlıklı kontrol grup serum HIF-1α değerlerinden daha yüksek olduğu bulundu. Bununla birlikte Covid-19 şüpheli grup ile arasında anlamlı farklılık bulunamadı. Covid-19 doğrulanmış hasta grubunda hastane yatış günü serum HIF-1α değerlerinin yatış sonrası HIF-1α değerlerinden yüksek bulunurken, monosit, platelet ve ferritin değerleri ise düşüktü. Covid-19 doğrulanmış hasta grubunun kritik alt grubunun 1. hafta serum HİF-1α değerleri hafif alt grup 0. Gün ve 1. Hafta değerlerinden anlamlı düzeyde düşüktü. Covid-19 grup HIF-1α değerleri hasta yaşı ile güçlü negatif korele bulunurken, platelet sayıları ile zayıf pozitif körele bulundu. COVİD-19 hastalarında alveolar hasarı engellediği düşünülen HIF-1α düzeyleri yükselmektedir. Bununla birlikte HIF-1α düşük seyreden COVİD-19 hastalarında yeterli artış olmaması klinik tablonun ağırlaşmasından sorumlu bir faktör olarak da göz önünde bulundurulabilir.
This study aims to find answers to the questions whether the serum levels of HIF-1a, which increases 100 times levels in many tissues and pulmonary tissues in cases of acute lungs damage, will be used as an effective parameter in the follow-up of the severity and prognosis of the disease in Covid-19 patients. The study included 40 patients and 20 healthy control individuals who applied with Covid-19 clinical complaints. The diagnosis of Covid-19 was confirmed by the PCR test of 20 patients from the patient group. The other 20 patients were identified as a suspicious group of Covid-19. The application of patients groups were recorded clinical and laboratory data. Covid-19 group patients on the day of application and after application 1. From weekly blood samples, laboratory tests and serum HIF-1α levels were measured. The Covig-19 group was divided into four subgroups according to the severity of the disease and the HIF-1α values of each group were compared with each other. This study found that in the covid-19 certified group of patients, serum HIF-1α values were higher than healthy control group serum HIF-1α values. However, there was no significant difference between Covid-19 and the suspicious group. In the Covid-19 certified patient group, the serum HIF-1α values were higher than the HIF-1α values after hospitalization, while the monocytes, platelet and ferritin values were lower. Covid-19 certified serum HIF-1α values of the critical subgroup of the patient group in the 1st week are light subgroup 0. Day and 1. The weekly value was significantly reduced. Covid-19 group HIF-1α values were found strong negative correlations with the patient's age, while weak positive correlations with the platelet numbers were found. In COVID-19 patients, the HIF-1α levels are believed to increase to prevent alveolar damage. However, the lack of sufficient increase in HIV-19 patients with low HIF-1α can also be considered as a factor responsible for the aggravation of the clinical picture.
This study was aimed to answer the questions of whether the serum levels of Hypoxia-Inducible Factor 1α (HIF-1α), which is increased by up to 100 times in many tissues including pulmonary tissue in cases of acute lung injury, could be used as a parameter for monitoring the severity and prognosis in COVID-19 patients. Fourty patients, who were admitted to the hospital with COVID-19 clinical symptoms, and 20 healthy control subjects were included in the study. The diagnosis of 20 patients within the patient group were confirmed by the PCR test. The remaining 20 patients were regarded as COVID-19 suspect group. Clinical and laboratory data of patients on admission were recorded. Clinical laboratory tests and serum HIF-1α levels were measured from the blood samples of COVID-19 group on the day of admission and one week after hospitalization. COVID-19 group was divided into four subgroups according to disease severity and HIF-1α values of each group were compared.In this study, serum HIF-1α values of confirmed COVID-19 patient group were measured higher than healthy control group’s serum HIF-1α values, however no significant difference was found for the COVID-19 suspect group. Within confirmed COVID-19 group, serum HIF-1α values on admission were higher than values after hospitalization, whereas Monocyte count, Platelet count and Ferritin values were lower. Among the confirmed COVID-19 cases, critically ill subgroup’s serum HIF-1α levels of the first week were significantly lower than mild subgroup’s serum HIF-1α levels of both the first week and the day of admission. HIF-1α values of COVID-19 group were strongly negative correlated with age, whereas weakly positive correlated with platelet counts. HIF-1α, which are thought to prevent alveolar damage, increased in COVID-19 patients. Additionally, low levels of HIF-1α in COVID-19 patients might be considered as a factor responsible for the aggravation of the clinical severity.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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