Akin E, Karabay O, Tocoglu A, Pinar M, Toptan H, Kose E, Firat N, Islam M, Altintoprak F, Dheir H. Does Monocyte Chemoattractant Protein-1 Levels determine the prognosis of COVID-19 disease in kidney transplant recipients?
Transplant Proc 2023:S0041-1345(23)00157-4. [PMID:
37076418 PMCID:
PMC10030327 DOI:
10.1016/j.transproceed.2023.03.033]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/16/2023] [Accepted: 03/14/2023] [Indexed: 03/24/2023]
Abstract
Background
In the normal population, a high MCP-1 level is an important biomarker for the progression of COVID-19 disease. This study aimed to investigate whether MCP-1 level can determine the disease prognosis in kidney transplant (KT) patients with COVID-19.
Methods
A total of 89 patients, including 49 KT patients (Group 1) diagnosed with COVID-19 who required hospitalization, and 40 KT patients who did not have COVID-19 disease (Group 2), were included. Demographic characteristics and laboratory results of the patients were recorded. The serum reserved for MCP-1 was stored at -80 degrees and studied blindly by a single microbiologist at the end of the study.
Results
While the mean age of the patients was 51.0 (40.0-59.50) years in Group 1, it was 48.0 (40.75-54.75) years in Group 2(P>0.05). In terms of the female gender, it was 36 (73.5%) and 27 (67.5%) in Group 1 and Group 2, respectively (P>0.05). Similarly, there was no significant difference between the two groups regarding primary disease and basal graft function (p>0.05). There was a statistically significant difference in inflammation indicators in Group 1 compared to Group 2(P<0.05). A correlation was found between inflammation indicators and COVID-19(P<0.05). However, no significant correlation was detected between COVID-19 disease and MCP-1 levels in both groups (P>0.05). Also, according to basal MCP-1 levels, we did not find a significant difference between survival and non-survival patients (164,0pg/mL (146,0-202,0) vs 156,0 pg/mL (143,0-173,0), respectively (p>0.05).
Conclusion
MCP-1, an indicator of inflammation, was not found to be a predictor of prognosis of COVID-19 disease in kidney recipients.
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