Coagulopathy and the humoral response against viral proteins in patients at different stages of COVID-19



Título del documento: Coagulopathy and the humoral response against viral proteins in patients at different stages of COVID-19
Revue: Memorias do Instituto Oswaldo Cruz
Base de datos: PERIÓDICA
Número de sistema: 000452371
ISSN: 0074-0276
Autores: 1
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Instituciones: 1Universidade Federal da Bahia, Centro das Ciencias Biologicas e da Saude, Barreiras, Bahia. Brasil
2Universidade Federal do Vale do Sao Francisco, Colegiado de Ciencias Farmaceuticas, Petrolina, Pernambuco. Brasil
Año:
Volumen: 117
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés Patients with severe coronavirus disease 2019 (COVID-19) often present with coagulopathies and have high titres of circulating antibodies against viral proteins. OBJECTIVES Herein, we evaluated the association between D-dimer and circulating immunoglobulin levels against viral proteins in patients at different clinical stages of COVID-19. METHODS For this, we performed a cross-sectional study involving patients of the first wave of COVID-19 clinically classified as oligosymptomatic (n = 22), severe (n = 30), cured (n = 27) and non-infected (n = 9). Next, we measured in the plasma samples the total and fraction of immunoglobulins against the nucleoprotein (NP) and the receptor-binding domain (RBD) of the spike proteins by enzyme-linked immunosorbent assay (ELISA) assays. FINDINGS Patients with severe disease had a coagulation disorder with high levels of D-dimer as well as circulating IgG against the NP but not the RBD compared to other groups of patients. In addition, high levels of D-dimer and IgG against the NP and RBD were associated with disease severity among the patients in this study. MAIN CONCLUSIONS Our data suggest that IgG against NP and RBD participates in the worsening of COVID-19. Although the humoral response against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is partially understood, and more efforts are needed to clarify gaps in the knowledge of this process
Disciplinas: Medicina
Palabras clave: Hematología,
Inmunología,
COVID-19,
SARS-CoV-2,
Coagulopatía,
Respuesta humoral,
Proteínas virales
Keyword: Hematology,
Immunology,
COVID-19,
SARS-CoV-2,
Coagulopathy,
Humoral response,
Viral proteins
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