Peripheral Blood Mitochondrial DNA Levels Were Modulated by SARS-CoV-2 Infection Severity and Its Lessening Was Associated With Mortality Among Hospitalized Patients With COVID-19

外周血线粒体 DNA 水平受 SARS-CoV-2 感染严重程度调节,其降低与住院 COVID-19 患者死亡率相关

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作者:José J Valdés-Aguayo, Idalia Garza-Veloz, José R Vargas-Rodríguez, María C Martinez-Vazquez, Lorena Avila-Carrasco, Sofia Bernal-Silva, Carolina González-Fuentes, Andreu Comas-García, Diana E Alvarado-Hernández, Alba S H Centeno-Ramirez, Iram P Rodriguez-Sánchez, Ivan Delgado-Enciso, Margarita L Mar

Conclusion

High levels of mt-DNA were associated with COVID-19 and its decrease could be used as a potential biomarker to establish a prognosis of severity and mortality of patients with COVID-19.

Methods

A total 102 patients (51 COVID-19 cases and 51 controls) were included in the study. mt-DNA obtained from peripheral blood was quantified by qRT-PCR using the NADH mitochondrial gene.

Results

There were differences in peripheral blood mt-DNA between patients with COVID-19 (4.25 ng/μl ± 0.30) and controls (3.3 ng/μl ± 0.16) (p = 0.007). Lower mt-DNA concentrations were observed in patients with severe COVID-19 when compared with mild (p= 0.005) and moderate (p= 0.011) cases of COVID-19. In comparison with patients with severe COVID-19 who survived (3.74 ± 0.26 ng/μl) decreased levels of mt-DNA in patients with severe COVID-19 who died (2.4 ± 0.65 ng/μl) were also observed (p = 0.037).

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