Assessment of trec and krec levels in COVID-19 patients with varying disease severity

According to the WHO data, the number of infected people exceeded 765.2 million people during the COVID-19 pandemic. The severity of patient’s condition is determined by immune system hyperactivation. Activation of T- and B-lymphocyte subsets plays a prominent role in the control of infectious proce...

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Príomhchruthaitheoirí: M. A. Saitgalina, Yulia V. Ostankova, Natalia A. Arsentieva, Zoya R. Korobova, Natalia E. Liubimova, Victor A. Kashchenko, Alexandr N. Kulikov, Dmitry E. Pevtsov, Oksana V. Stanevich, Ekaterina I. Chernykh, Areg A. Totolian
Formáid: Alt
Teanga:Russian
Foilsithe / Cruthaithe: Sankt-Peterburg : NIIÈM imeni Pastera 2023-11-01
Sraith:Инфекция и иммунитет
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Rochtain ar líne:https://iimmun.ru/iimm/article/viewFile/16937/1813
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author M. A. Saitgalina
Yulia V. Ostankova
Natalia A. Arsentieva
Zoya R. Korobova
Natalia E. Liubimova
Victor A. Kashchenko
Alexandr N. Kulikov
Dmitry E. Pevtsov
Oksana V. Stanevich
Ekaterina I. Chernykh
Areg A. Totolian
author_facet M. A. Saitgalina
Yulia V. Ostankova
Natalia A. Arsentieva
Zoya R. Korobova
Natalia E. Liubimova
Victor A. Kashchenko
Alexandr N. Kulikov
Dmitry E. Pevtsov
Oksana V. Stanevich
Ekaterina I. Chernykh
Areg A. Totolian
author_sort M. A. Saitgalina
collection DOAJ
description According to the WHO data, the number of infected people exceeded 765.2 million people during the COVID-19 pandemic. The severity of patient’s condition is determined by immune system hyperactivation. Activation of T- and B-lymphocyte subsets plays a prominent role in the control of infectious process. A content of small circular DNA molecules — T-cell receptor excision circles (TREC — T-cell receptor excision circles) and B-cell (“kappa”) excision rings (KREC — Kappa-deleting recombination excision circles) — in the peripheral blood can be used as a marker of the functionally active T and B cells maturation. The purpose of this work is to quantify peripheral blood TREC and KREC level in patients with the new coronavirus infection COVID-19 of varying severity.Materials and methods.The material consisted of 1028 blood samples from patients with a confirmed diagnosis of COVID-19, as well as 717 blood samples from apparently healthy volunteers. The content of TREC and KREC DNA fragments in the total DNA fraction was assessed by quantitative Real-time PCR using the “TREC/KREC-AMP PS” test system (St. Petersburg Pasteur Institute, Russia). Blood cell phenotyping was carried out using flow cytometry.Results.TREC/KREC levels were significantly reduced in COVID-19 patients (p 0.0001 at 95% CI). A significant direct correlation was established between the levels of peripheral blood TREC molecules and level of CD45+CD3+CD19–T cells (r = 0.59, p 0.0001), as well as between KREC level and count of CD45+CD3–CD19+B cells (r = 0.66, p 0.0001). The level of TREC molecules in patients with severe vs. moderate infection was significantly reduced in patients aged 30–39 years old (p = 0.0404) and 40–49 years old (p = 0.0356). The negative correlation between severity of COVID-19 clinical manifestations and TREC level in the blood of patients in 30–49 year age group indicates about an opportunity of using this analyte as a diagnostic and prognostic laboratory marker of patient’s condition. A simple PCR analysis algorithm makes it relevant to use the described method for assessing a state of immunity in coronavirus patients in the context of systemic negative impact of the SARS-CoV-2 virus on human organism.
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spelling doaj.art-7ad243a01b444d3bbb51a66614b467262023-12-16T10:50:05ZrusSankt-Peterburg : NIIÈM imeni PasteraИнфекция и иммунитет2220-76192313-73982023-11-0113587388410.15789/2220-7619-AOT-169371330Assessment of trec and krec levels in COVID-19 patients with varying disease severityM. A. Saitgalina0https://orcid.org/0000-0002-7603-3269Yulia V. Ostankova1https://orcid.org/0000-0003-2270-8897Natalia A. Arsentieva2https://orcid.org/0000-0003-2490-308XZoya R. Korobova3https://orcid.org/0000-0003-0535-5014Natalia E. Liubimova4https://orcid.org/0009-0003-7092-6773Victor A. Kashchenko5https://orcid.org/0000-0001-8822-9165Alexandr N. Kulikov6Dmitry E. Pevtsov7Oksana V. Stanevich8https://orcid.org/0000-0002-6894-6121Ekaterina I. Chernykh9Areg A. Totolian10https://orcid.org/0000-0003-4571-8799St. Petersburg Pasteur InstituteSt. Petersburg Pasteur InstituteSt. Petersburg Pasteur InstituteSt. Petersburg Pasteur InstituteSt. Petersburg Pasteur InstituteNorth-Western District Scientific and Clinical Center named after L.G. Sokolov Federal Medical and Biological AgencyI.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian FederationI.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian FederationI.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian FederationNorth-Western District Scientific and Clinical Center named after L.G. Sokolov Federal Medical and Biological AgencySt. Petersburg Pasteur InstituteAccording to the WHO data, the number of infected people exceeded 765.2 million people during the COVID-19 pandemic. The severity of patient’s condition is determined by immune system hyperactivation. Activation of T- and B-lymphocyte subsets plays a prominent role in the control of infectious process. A content of small circular DNA molecules — T-cell receptor excision circles (TREC — T-cell receptor excision circles) and B-cell (“kappa”) excision rings (KREC — Kappa-deleting recombination excision circles) — in the peripheral blood can be used as a marker of the functionally active T and B cells maturation. The purpose of this work is to quantify peripheral blood TREC and KREC level in patients with the new coronavirus infection COVID-19 of varying severity.Materials and methods.The material consisted of 1028 blood samples from patients with a confirmed diagnosis of COVID-19, as well as 717 blood samples from apparently healthy volunteers. The content of TREC and KREC DNA fragments in the total DNA fraction was assessed by quantitative Real-time PCR using the “TREC/KREC-AMP PS” test system (St. Petersburg Pasteur Institute, Russia). Blood cell phenotyping was carried out using flow cytometry.Results.TREC/KREC levels were significantly reduced in COVID-19 patients (p 0.0001 at 95% CI). A significant direct correlation was established between the levels of peripheral blood TREC molecules and level of CD45+CD3+CD19–T cells (r = 0.59, p 0.0001), as well as between KREC level and count of CD45+CD3–CD19+B cells (r = 0.66, p 0.0001). The level of TREC molecules in patients with severe vs. moderate infection was significantly reduced in patients aged 30–39 years old (p = 0.0404) and 40–49 years old (p = 0.0356). The negative correlation between severity of COVID-19 clinical manifestations and TREC level in the blood of patients in 30–49 year age group indicates about an opportunity of using this analyte as a diagnostic and prognostic laboratory marker of patient’s condition. A simple PCR analysis algorithm makes it relevant to use the described method for assessing a state of immunity in coronavirus patients in the context of systemic negative impact of the SARS-CoV-2 virus on human organism.https://iimmun.ru/iimm/article/viewFile/16937/1813treckreccovid-19sars-cov-2immune statuslaboratory markers
spellingShingle M. A. Saitgalina
Yulia V. Ostankova
Natalia A. Arsentieva
Zoya R. Korobova
Natalia E. Liubimova
Victor A. Kashchenko
Alexandr N. Kulikov
Dmitry E. Pevtsov
Oksana V. Stanevich
Ekaterina I. Chernykh
Areg A. Totolian
Assessment of trec and krec levels in COVID-19 patients with varying disease severity
Инфекция и иммунитет
trec
krec
covid-19
sars-cov-2
immune status
laboratory markers
title Assessment of trec and krec levels in COVID-19 patients with varying disease severity
title_full Assessment of trec and krec levels in COVID-19 patients with varying disease severity
title_fullStr Assessment of trec and krec levels in COVID-19 patients with varying disease severity
title_full_unstemmed Assessment of trec and krec levels in COVID-19 patients with varying disease severity
title_short Assessment of trec and krec levels in COVID-19 patients with varying disease severity
title_sort assessment of trec and krec levels in covid 19 patients with varying disease severity
topic trec
krec
covid-19
sars-cov-2
immune status
laboratory markers
url https://iimmun.ru/iimm/article/viewFile/16937/1813
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