Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study

The aim of our study was to evaluate the influence of asymptomatic infection and the occurrence of symptomatic COVID-19 on specific biochemical, renal, and immune parameters—renalase, neutrophil gelatinase-associated lipocalin (NGAL) cystatin C (CysC), and creatinine—and their weekly fluctuations du...

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Main Authors: Natalia Serwin, Elżbieta Cecerska-Heryć, Ewa Pius-Sadowska, Karol Serwin, Anna Niedźwiedź, Magda Wiśniewska, Marta Roszak, Bartłomiej Grygorcewicz, Edyta Skwirczyńska, Bogusław Machaliński, Barbara Dołęgowska
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/12/1/108
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author Natalia Serwin
Elżbieta Cecerska-Heryć
Ewa Pius-Sadowska
Karol Serwin
Anna Niedźwiedź
Magda Wiśniewska
Marta Roszak
Bartłomiej Grygorcewicz
Edyta Skwirczyńska
Bogusław Machaliński
Barbara Dołęgowska
author_facet Natalia Serwin
Elżbieta Cecerska-Heryć
Ewa Pius-Sadowska
Karol Serwin
Anna Niedźwiedź
Magda Wiśniewska
Marta Roszak
Bartłomiej Grygorcewicz
Edyta Skwirczyńska
Bogusław Machaliński
Barbara Dołęgowska
author_sort Natalia Serwin
collection DOAJ
description The aim of our study was to evaluate the influence of asymptomatic infection and the occurrence of symptomatic COVID-19 on specific biochemical, renal, and immune parameters—renalase, neutrophil gelatinase-associated lipocalin (NGAL) cystatin C (CysC), and creatinine—and their weekly fluctuations during a one-month observation period in COVID-19 patients admitted to hospital. The study involved 86 individuals: 30 patients with diagnosed COVID-19, 28 people with asymptomatic infection confirmed with IgG antibodies—the IG(+) group—and 28 individuals without any (IgG, IgE) anti-SARS-CoV-2 antibodies—the IG(−) group. In the COVID-19 group, blood was drawn four times: (1) on day 0/1 after admission to hospital (C1 group), (2) 7 days later (C7 group), (3) 14 days later (C14 group), and (4) 28 days later (C28 group). In the IG(−) and IG(+) groups, blood was drawn once. There were no significant differences in creatinine, Cys C, and uric acid between any of the analyzed groups. NGAL levels were significantly higher in IG(+) and at all time-points in the COVID-19 groups than in controls. A similar observation was made for renalase at the C7, C14, and C28 time-points. Plasma renalase, NGAL, and CysC are unrelated to kidney function in non-critically ill COVID-19 patients and those with asymptomatic infection. Renalase and NGAL are most likely related to the activation of the immune system rather than kidney function. Asymptomatic SARS-CoV-2 infection causes a rise in plasma NGAL levels similar to those observed in symptomatic COVID-19 patients. Therefore, more attention should be paid to tracking and monitoring the health of these people.
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spelling doaj.art-7002fe88928341eb8ff94fe74eac07632023-11-23T13:28:25ZengMDPI AGDiagnostics2075-44182022-01-0112110810.3390/diagnostics12010108Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up StudyNatalia Serwin0Elżbieta Cecerska-Heryć1Ewa Pius-Sadowska2Karol Serwin3Anna Niedźwiedź4Magda Wiśniewska5Marta Roszak6Bartłomiej Grygorcewicz7Edyta Skwirczyńska8Bogusław Machaliński9Barbara Dołęgowska10Department of Laboratory Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of Laboratory Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of General Pathology, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, ul. Arkońska 4, 71-455 Szczecin, PolandIndependent Public Regional Hospital in Szczecin, ul. Arkońska 4, 71-455 Szczecin, PolandDepartment of Nephrology, Transplantology, and Internal Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of Laboratory Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of Laboratory Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of History of Medicine and Medical Ethics, Pomeranian Medical University in Szczecin, ul. Rybacka 1, 70-205 Szczecin, PolandDepartment of General Pathology, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandDepartment of Laboratory Medicine, Pomeranian Medical University in Szczecin, al. Powstańców Wlkp. 72, 70-111 Szczecin, PolandThe aim of our study was to evaluate the influence of asymptomatic infection and the occurrence of symptomatic COVID-19 on specific biochemical, renal, and immune parameters—renalase, neutrophil gelatinase-associated lipocalin (NGAL) cystatin C (CysC), and creatinine—and their weekly fluctuations during a one-month observation period in COVID-19 patients admitted to hospital. The study involved 86 individuals: 30 patients with diagnosed COVID-19, 28 people with asymptomatic infection confirmed with IgG antibodies—the IG(+) group—and 28 individuals without any (IgG, IgE) anti-SARS-CoV-2 antibodies—the IG(−) group. In the COVID-19 group, blood was drawn four times: (1) on day 0/1 after admission to hospital (C1 group), (2) 7 days later (C7 group), (3) 14 days later (C14 group), and (4) 28 days later (C28 group). In the IG(−) and IG(+) groups, blood was drawn once. There were no significant differences in creatinine, Cys C, and uric acid between any of the analyzed groups. NGAL levels were significantly higher in IG(+) and at all time-points in the COVID-19 groups than in controls. A similar observation was made for renalase at the C7, C14, and C28 time-points. Plasma renalase, NGAL, and CysC are unrelated to kidney function in non-critically ill COVID-19 patients and those with asymptomatic infection. Renalase and NGAL are most likely related to the activation of the immune system rather than kidney function. Asymptomatic SARS-CoV-2 infection causes a rise in plasma NGAL levels similar to those observed in symptomatic COVID-19 patients. Therefore, more attention should be paid to tracking and monitoring the health of these people.https://www.mdpi.com/2075-4418/12/1/108renalaseNGALcystatin CCOVID-19SARS-CoV-2
spellingShingle Natalia Serwin
Elżbieta Cecerska-Heryć
Ewa Pius-Sadowska
Karol Serwin
Anna Niedźwiedź
Magda Wiśniewska
Marta Roszak
Bartłomiej Grygorcewicz
Edyta Skwirczyńska
Bogusław Machaliński
Barbara Dołęgowska
Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
Diagnostics
renalase
NGAL
cystatin C
COVID-19
SARS-CoV-2
title Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
title_full Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
title_fullStr Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
title_full_unstemmed Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
title_short Renal and Inflammation Markers—Renalase, Cystatin C, and NGAL Levels in Asymptomatic and Symptomatic SARS-CoV-2 Infection in a One-Month Follow-Up Study
title_sort renal and inflammation markers renalase cystatin c and ngal levels in asymptomatic and symptomatic sars cov 2 infection in a one month follow up study
topic renalase
NGAL
cystatin C
COVID-19
SARS-CoV-2
url https://www.mdpi.com/2075-4418/12/1/108
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