DETECTION OF CLINICAL BIOMARKERS ASSOCIATED WITH HEPATO AND RENAL MANIFESTATIONS IN COVID-19 PATIENTS
DOI:
https://doi.org/10.54112/bbasr.v2024i1.84Keywords:
Covid-19, hepato and renal, liver markers, CRP, ferritinAbstract
The COVID-19 pandemic has spread in many countries worldwide, surpassing one million confirmed cases and resulting in deaths globally. Developing nations such as Pakistan face heightened vulnerability to such outbreaks due to limited healthcare infrastructure and resources. This study examines clinical biomarkers linked to hepatic and renal manifestations in COVID-19 patients in North Waziristan, recognizing the vulnerability of developing countries like Pakistan to such pandemics due to limited healthcare resources. Nasopharyngeal swabs were collected from 110 suspected COVID-19 patients visiting Dr. Azim Ullah clinic and DHQ Hospital North Waziristan, Miran Shah. Hematological, hepatic, renal, C-reactive protein (CRP), and ferritin markers were assessed. Most patients were male (75%), with varying age distributions. Abnormalities were observed in hematological parameters, liver enzymes, renal function markers, CRP, and ferritin levels. Significant correlations (p<0.001) were found among these markers. The study concludes that inflammatory, hematological, renal, and liver markers are associated with COVID-19 infection, with higher levels indicating severe disease. Continuous monitoring of these biomarkers may enhance patient outcomes and aid in predicting disease progression
Downloads
References
Ayanian, S., Reyes, J., Lynn, L., & Teufel, K. (2020). The association between biomarkers and clinical outcomes in novel coronavirus pneumonia in a US cohort. Biomarkers in Medicine, 14(12), 1091-1097. https://doi.org/10.2217/bmm-2020-0309 DOI: https://doi.org/10.2217/bmm-2020-0309
Bertolini, A., van de Peppel, I. P., Bodewes, F. A., Moshage, H., Fantin, A., Farinati, F., and Peserico, G. (2020). Abnormal liver function tests in patients with COVID‐19: relevance and potential pathogenesis. Hepatology, 72(5), 1864-1872. doi: 10.1002/hep.31480 DOI: https://doi.org/10.1002/hep.31480
Boopathi, S., Poma, A. B., & Kolandaivel, P. (2020). Novel 2019 coronavirus structure, mechanism of action, antiviral drug promises and rule out against its treatment." Journal of Biomolecular Structure and Dynamics, 1-10. doi: 10.1080/07391102.2020.1758788 DOI: https://doi.org/10.1080/07391102.2020.1758788
Chang, Y. C., Tsai, P. H., Chou, Y. C., Lu, K. C., Chang, F. Y., and Wu, C. C. (2021). Biomarkers Linked with Dynamic Changes of Renal Function in Asymptomatic and Mildly Symptomatic COVID-19 Patients. Journal of Personalized Medicine, 11(5), 432. doi: 10.3390/jpm11050432. DOI: https://doi.org/10.3390/jpm11050432
Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., and Zhang, L. (2020).Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395(10223), 507-513. doi: 10.1016/S0140-6736(20)30211-7 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7
Clyne, B., Olshaker, J. S. (1999). The C-reactive protein. Journal of Emergency Medicine, 17(6), 1019-1025. doi: 10.1016/s0736-4679(99)00135-3 DOI: https://doi.org/10.1016/S0736-4679(99)00135-3
Fan, B. E. (2020). Hematologic parameters in patients with COVID-19 infection: a reply. American Journal of Hematology. 95(8):E215. doi: 10.1002/ajh.25847 DOI: https://doi.org/10.1002/ajh.25847
Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., ... & Zhong, N. S. (2020). Clinical characteristics of coronavirus disease 2019 in China. New England Journal of Medicine, 382, 1708-1720. doi: 10.1056/NEJMoa2002032 DOI: https://doi.org/10.1056/NEJMoa2002032
Ho, P. L., Becker, M., and Chan-Yeung, M. M. (2007). Emerging occupational lung infections [State of the Art Series. Occupational lung disease in high-and low-income countries, edited by M. Chan-Yeung. Number 6 in the series]. The International Journal of Tuberculosis and Lung Disease, 11(7), 710-721.
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., and Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497-506. doi: 10.1016/S0140-6736(20)30183-5 DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
Liu, W., Zhang, Q. I., Chen, J., Xiang, R., Song, H., Shu, S., and Liu, Y. (2020). Detection of COVID-19 in children in early January 2020 in Wuhan, China. New England Journal of Medicine, 382(14), 1370-1371. doi: 10.1056/NEJMc2003717 DOI: https://doi.org/10.1056/NEJMc2003717
Lukman, A. F., Rauf, R. I., Abiodun, O., Oludoun, O., Ayinde, K., and Ogundokun, R. O. (2020). COVID-19 prevalence estimation: Four most affected African countries. Infectious Disease Modelling, 5, 827-838. doi: 10.1016/j.idm.2020.10.002 DOI: https://doi.org/10.1016/j.idm.2020.10.002
Naji, H. (2020). The emerging of the 2019 novel Coronavirus (2019-nCov). European Journal of Medical and Health Sciences, 2(1), 1-5. DOI: https://doi.org/10.24018/ejmed.2020.2.1.169
Njoga, E. O., Zakariya, Y. F., Jaja, I. F., Okoli, C. E., & Mshelbwala, P.P. (2021). Global epidemiology of coronavirus disease 2019 and lessons for effective control of this and future pandemics. January-July, 7(1), 78-87. doi.org/10.14202/IJOH.2021.78-87. DOI: https://doi.org/10.14202/IJOH.2021.78-87
Wong, L. S. Y., Loo, E. X. L., Kang, A. Y. H., Lau, H. X., Tambyah, P. A., & Tham, E. H. . (2021). "Age-related differences in COVID-19 infection rates." Journal of Medical Virology, 93(6), 3982-3986. doi: 10.1016/j.jaip.2020.08.026 DOI: https://doi.org/10.1016/j.jaip.2020.08.026
Mouliou, D. S. (2023). C-reactive protein: pathophysiology, diagnosis, false test results and a novel diagnostic algorithm for clinicians. Diseases, 11(4), 132. doi: 10.3390/diseases11040132 DOI: https://doi.org/10.3390/diseases11040132
Qasim, M., Ahmad, W., Zhang, S., Yasir, M., and Azhar, M. (2020). Data model to predict prevalence of COVID-19 in Pakistan. MedRxiv. doi: https://doi.org/10.1101/2020.04.06.20055244 DOI: https://doi.org/10.1101/2020.04.06.20055244
Singh, T. U., Parida, S., Lingaraju, M. C., Kesavan, M., Kumar, D., & Singh, R. K. (2020). Drug repurposing approach to fight COVID-19. Pharmacological Reports, 72, 1479-1508. doi: 10.1007/s43440-020-00155-6 DOI: https://doi.org/10.1007/s43440-020-00155-6
Su, S., Wong, G., Shi, W., Liu, J., Lai, A. C., Zhou, J., Liu, W., Bi, Y., and Gao, G. F. (2016). Epidemiology, genetic recombination, and pathogenesis of coronaviruses. Trends in Microbiology, 24(6), 490-502. doi: 10.1016/j.tim.2016.03.003 DOI: https://doi.org/10.1016/j.tim.2016.03.003
Wu, A., Peng, Y., Huang, B., Ding, X., Wang, X., Niu, P., and Jiang, T. (2020). Genome composition and divergence of the novel coronavirus (2019-nCoV) originating in China. Cell Host & Microbe, 27(3), 325-328. doi: 10.1016/j.chom.2020.02.001 DOI: https://doi.org/10.1016/j.chom.2020.02.001
Para, O., Caruso, L., Pestelli, G., Tangianu, F., Carrara, D., Maddaluni, L., ... & Dentali, F. (2022). Ferritin as prognostic marker in COVID-19: the FerVid study. Postgraduate medicine, 134(1), 58-63. doi: 10.1080/00325481.2021.1990091 DOI: https://doi.org/10.1080/00325481.2021.1990091
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., and Xiang, J. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, 395(10229), 1054-1062. doi: 10.1016/S0140-6736(20)30566-3 DOI: https://doi.org/10.1016/S0140-6736(20)30566-3
Zaki, A. M., Van Boheemen, S., Bestebroer, T. M., Osterhaus, A. D., & Fouchier, R. A. (2012). Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia. New England Journal of Medicine, 367(19), 1814-1820. doi: 10.1056/NEJMoa1211721. DOI: https://doi.org/10.1056/NEJMoa1211721
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 A SAMAD, A WAHEED, A SHOUKAT, R AFRIDI, A BIBI, MI KHAN, M RABNAWAZ, T RIDA, A SHAH, T ZIA, J ULLAH
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.