Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients

Background: Saliva is a specimen that is easily collected by non-invasive means and does not require well-trained staff; it could be helpful in measuring inflammatory markers to determine COVID-19 severity. The aim of this study was to investigate saliva as an alternative specimen for measuring infl...

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Main Authors: Samia M. Ahmed, Tariq E. Elmissbah, Ammar A. Bayoumi, Maha Ibrahim, Elshibli M. Elshibli, Amin O. Abbas, Sannaa M. A Osman
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2023-06-01
Series:International Journal of Biomedicine
Subjects:
Online Access:http://www.ijbm.org/articles/i50/ijbm_13(2)_oa6.pdf
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author Samia M. Ahmed
Tariq E. Elmissbah
Ammar A. Bayoumi
Maha Ibrahim
Elshibli M. Elshibli
Amin O. Abbas
Sannaa M. A Osman
author_facet Samia M. Ahmed
Tariq E. Elmissbah
Ammar A. Bayoumi
Maha Ibrahim
Elshibli M. Elshibli
Amin O. Abbas
Sannaa M. A Osman
author_sort Samia M. Ahmed
collection DOAJ
description Background: Saliva is a specimen that is easily collected by non-invasive means and does not require well-trained staff; it could be helpful in measuring inflammatory markers to determine COVID-19 severity. The aim of this study was to investigate saliva as an alternative specimen for measuring inflammatory markers IL-10, IL-4, and IL-1β among COVID-19 patients in relation to disease severity. Methods and Results: This cross-sectional study was conducted among COVID-19 patients in a fever clinic, isolated hotels, and hospitals providing care for positive COVID-19 patients and in public health centers for negative control patients in Jeddah, Saudi Arabia. A total of 151 subjects participated in this study, including 101 patients with COVID-19 and 50 healthy controls. Patients with COVID-19 were categorized according to the severity of their symptoms into mild (n=50) and severe cases (n=51). The salivary concentrations of IL-4, IL-10, and IL-1β were measured using sandwich MyBioSource ELISA Test Kits. The age of the study population ranged from 19 to 70 years old, with a mean age of 43.3±13.0 years. The distribution of the study population showed that more of the patients were men (65[64.4%]) than women (36[35.6%]) (P=0.004). The frequency of severe infection in men was higher than in women (35[68.6%] and 16[31.4%], respectively, P=0.008). The group of severe cases was significantly older than the group of mild cases (47.9±11.03 years and 38.64±13.82 years, respectively, P=0.0007). The volume of saliva was the smallest in severe COVID-19, compared to mild cases and controls (P=0.0000 in all cases). The salivary levels of IL-4, IL-10, and IL-1β were greater in the severe cases than in mild cases and controls (46.14±11.61 pg/mL, 12.86±1.99 pg/mL, and 27.45±11.47 pg/mL versus 19.31±5.72 pg/mL, 7.96±2.12 pg/mL, and 6.59±1.90 pg/mL, respectively; P=0.0000 in all cases). The salivary levels of IL-4 and IL-10 in mild cases were greater than in controls (19.31±5.72 pg/mL and 7.96±2.12 pg/mL versus 15.30±4.36 pg/mL and 6.02±0.89 pg/mL, respectively; P=0.0329 and P=0.000, respectively), but salivary IL-1β levels in mild cases did not differ from controls (6.59±1.90 pg/mL vs. 6.03±2.28 pg/mL, P=0.9129). Conclusion: Saliva could be used as an alternative sample in measuring IL-10, IL-4, and IL-1β with the suggestion of using IL-10 and IL-4 as markers for predicting disease severity.
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spelling doaj.art-51feca6f00b348408bd8bbb2d32896872023-06-09T17:44:29ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292023-06-0113224124410.21103/Article13(2)_OA6Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 PatientsSamia M. Ahmed0Tariq E. Elmissbah1Ammar A. Bayoumi2Maha Ibrahim3Elshibli M. Elshibli4Amin O. Abbas5Sannaa M. A Osman6Department of Medical Laboratory Technology, Faculty of Applied Medical Science, Taibah University, Saudi ArabiaDepartment of Clinical Laboratory Science, Faculty of Applied Medical Sciences, Taif University, Saudi ArabiaMedical Scientific Foundation for Research & Development, Jeddah, Saudi ArabiaMedical Scientific Foundation for Research & Development, Jeddah, Saudi ArabiaAlneelain Stem Cell Center (ASCC), Alneelain University, Khartoum, SudanDepartment of Clinical medicine, Faculty of Medicine, Alrayan Colleges, Saudi ArabiaDepartment of Microbiology and Immunology. Faculty of Medical Laboratory Sciences, AlZaiem AlAzhari University, Khartoum, Sudan Background: Saliva is a specimen that is easily collected by non-invasive means and does not require well-trained staff; it could be helpful in measuring inflammatory markers to determine COVID-19 severity. The aim of this study was to investigate saliva as an alternative specimen for measuring inflammatory markers IL-10, IL-4, and IL-1β among COVID-19 patients in relation to disease severity. Methods and Results: This cross-sectional study was conducted among COVID-19 patients in a fever clinic, isolated hotels, and hospitals providing care for positive COVID-19 patients and in public health centers for negative control patients in Jeddah, Saudi Arabia. A total of 151 subjects participated in this study, including 101 patients with COVID-19 and 50 healthy controls. Patients with COVID-19 were categorized according to the severity of their symptoms into mild (n=50) and severe cases (n=51). The salivary concentrations of IL-4, IL-10, and IL-1β were measured using sandwich MyBioSource ELISA Test Kits. The age of the study population ranged from 19 to 70 years old, with a mean age of 43.3±13.0 years. The distribution of the study population showed that more of the patients were men (65[64.4%]) than women (36[35.6%]) (P=0.004). The frequency of severe infection in men was higher than in women (35[68.6%] and 16[31.4%], respectively, P=0.008). The group of severe cases was significantly older than the group of mild cases (47.9±11.03 years and 38.64±13.82 years, respectively, P=0.0007). The volume of saliva was the smallest in severe COVID-19, compared to mild cases and controls (P=0.0000 in all cases). The salivary levels of IL-4, IL-10, and IL-1β were greater in the severe cases than in mild cases and controls (46.14±11.61 pg/mL, 12.86±1.99 pg/mL, and 27.45±11.47 pg/mL versus 19.31±5.72 pg/mL, 7.96±2.12 pg/mL, and 6.59±1.90 pg/mL, respectively; P=0.0000 in all cases). The salivary levels of IL-4 and IL-10 in mild cases were greater than in controls (19.31±5.72 pg/mL and 7.96±2.12 pg/mL versus 15.30±4.36 pg/mL and 6.02±0.89 pg/mL, respectively; P=0.0329 and P=0.000, respectively), but salivary IL-1β levels in mild cases did not differ from controls (6.59±1.90 pg/mL vs. 6.03±2.28 pg/mL, P=0.9129). Conclusion: Saliva could be used as an alternative sample in measuring IL-10, IL-4, and IL-1β with the suggestion of using IL-10 and IL-4 as markers for predicting disease severity. http://www.ijbm.org/articles/i50/ijbm_13(2)_oa6.pdfcovid-19salivail-4il-10il-1β
spellingShingle Samia M. Ahmed
Tariq E. Elmissbah
Ammar A. Bayoumi
Maha Ibrahim
Elshibli M. Elshibli
Amin O. Abbas
Sannaa M. A Osman
Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
International Journal of Biomedicine
covid-19
saliva
il-4
il-10
il-1β
title Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
title_full Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
title_fullStr Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
title_full_unstemmed Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
title_short Saliva as Alternative Specimen for Measuring Inflammatory Markers Interleukins (IL10, IL-4, and IL-1β) in Association with Disease Severity among COVID-19 Patients
title_sort saliva as alternative specimen for measuring inflammatory markers interleukins il10 il 4 and il 1β in association with disease severity among covid 19 patients
topic covid-19
saliva
il-4
il-10
il-1β
url http://www.ijbm.org/articles/i50/ijbm_13(2)_oa6.pdf
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