CYTOKINES AS POTENTIAL MARKERS OF COVID-19 SEVERITY AND OUTCOMES

Y. Fedorchenko, O. Zimba
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Abstract

The continual propagation of SARS-CoV-2 has changed health care systems globally. Ranging degrees of clinical severity in COVID-19 patients have been noted in numerous literature sources. Cytokines play a crucial role in the development of key immunological processes in COVID-19. SARS-CoV-2 causes imbalance of the immune system and might culminate in cytokine storm and multiple organ involvement. The prevailing role of some special cytokines might serve as indicators of disease severity. Further stratification of patients in the context of specific cytokines can be beneficial for diagnosing disease stages. It can prevent critical states owing to timely diagnosis and targeted therapy. Targeting peculiar cytokines can markedly reduce complications. The aim of this article is to comprehensively overview the role of the main cytokines in COVID-19 pathogenesis and distinguish prognostic factors. Insights into specific cytokine involvement in COVID-19 pathogenesis may open new avenues for diagnosing hyperinflammatory COVID-19, predicting its outcomes and providing individualized cytokine-targeted therapeutic approaches.
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细胞因子作为COVID-19严重程度和结果的潜在标志物
SARS-CoV-2的持续传播改变了全球的卫生保健系统。许多文献资料都指出了COVID-19患者的临床严重程度。细胞因子在COVID-19关键免疫过程的发展中发挥关键作用。SARS-CoV-2导致免疫系统失衡,并可能最终导致细胞因子风暴和多器官受累。一些特殊细胞因子的主导作用可能作为疾病严重程度的指标。在特定细胞因子的背景下进一步分层患者可能有利于诊断疾病分期。及时诊断和靶向治疗可预防危重状态。靶向特殊细胞因子可显著减少并发症。本文旨在全面综述主要细胞因子在COVID-19发病机制中的作用,并区分预后因素。对COVID-19发病机制中特定细胞因子参与的深入了解可能为诊断高炎症性COVID-19、预测其预后以及提供个性化的细胞因子靶向治疗方法开辟新的途径。
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