Correlation between Heart fatty acid binding protein and severe COVID-19: A case-control study.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 26 02 2020
accepted: 26 03 2020
entrez: 30 4 2020
pubmed: 30 4 2020
medline: 6 5 2020
Statut: epublish

Résumé

Heart-fatty acid binding protein (HFABP) has been recognized as a highly heart-specific marker. However, it is currently unknown that its HFABP is also closely related to the severity of COVID-19. We retrospectively screened 46 patients who met our inclusion criteria within 4 weeks. They were tested for HFABP after the diagnosis of COVID-19, and monitored for HFABP during their hospital stay. We tracked the patients during their hospital stay to determine if they had severe COVID-19 or mild-to-severe transition features. We calculated the chi-square test values found for HFABP to predict the correlation between HFABP levels and the severity of the COVID-19. Of these 46 cases, 16 cases with confirmed COVID-19 were tested for HFABP> 7 ng / mL upon admission; among them, 14 cases were diagnosed with severe COVID-19 within the hospitalization. The Odds ratio of the measured HFABP elevation was 6.81(95% confidence interval [CI] 5.23-8.40), and 3 patients with severe COVID-19 progressed in 5 patients with mild HFABP> 7 ng/mL. These data indicate that the elevation of HFABP is closely related to the severity of COVID-19 in the patients, and the elevated HFABP may cause rapid development of patients with mild COVID-19 into severe COVID-19. But serum HFABP negative maybe make patients with mild COVID-19 safer, the current data show no effect on the all-cause mortality. Our study has been registered with the Chinese Clinical Trial Registry, the registration number: ChiCTR2000029829.

Sections du résumé

BACKGROUND
Heart-fatty acid binding protein (HFABP) has been recognized as a highly heart-specific marker. However, it is currently unknown that its HFABP is also closely related to the severity of COVID-19.
METHODS
We retrospectively screened 46 patients who met our inclusion criteria within 4 weeks. They were tested for HFABP after the diagnosis of COVID-19, and monitored for HFABP during their hospital stay. We tracked the patients during their hospital stay to determine if they had severe COVID-19 or mild-to-severe transition features. We calculated the chi-square test values found for HFABP to predict the correlation between HFABP levels and the severity of the COVID-19.
RESULTS
Of these 46 cases, 16 cases with confirmed COVID-19 were tested for HFABP> 7 ng / mL upon admission; among them, 14 cases were diagnosed with severe COVID-19 within the hospitalization. The Odds ratio of the measured HFABP elevation was 6.81(95% confidence interval [CI] 5.23-8.40), and 3 patients with severe COVID-19 progressed in 5 patients with mild HFABP> 7 ng/mL.
CONCLUSION
These data indicate that the elevation of HFABP is closely related to the severity of COVID-19 in the patients, and the elevated HFABP may cause rapid development of patients with mild COVID-19 into severe COVID-19. But serum HFABP negative maybe make patients with mild COVID-19 safer, the current data show no effect on the all-cause mortality.
TRIAL REGISTRATION
Our study has been registered with the Chinese Clinical Trial Registry, the registration number: ChiCTR2000029829.

Identifiants

pubmed: 32348339
doi: 10.1371/journal.pone.0231687
pii: PONE-D-20-05567
pmc: PMC7190125
doi:

Substances chimiques

FABP3 protein, human 0
Fatty Acid Binding Protein 3 0

Banques de données

ChiCTR
['ChiCTR2000029829']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0231687

Déclaration de conflit d'intérêts

No authors have competing interests.

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Auteurs

Li Yin (L)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Huaming Mou (H)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Jiang Shao (J)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Ye Zhu (Y)

Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China.

Xiaohua Pang (X)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Jianjun Yang (J)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Jianming Zhang (J)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Wei Shi (W)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

Shimei Yu (S)

Department of Otorhinolaryngology, Wanzhou First People Hospital, Chongqing, China.

Hailong Wang (H)

Department of Cardiology, Heart Center, Chongqing Three Gorges Central Hospital, Affiliated Three Gorges Hospital of Chongqing University, Chongqing, China.

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Classifications MeSH