The Assessment of Complement Proteins in Patients With Severe COVID-19

Introduction: The complement system, consisting of more than 20 soluble proteins, has a crucial role in innate immunity and inflammation and eliminates pathogens and viral infections. Therefore, we investigated the titers of C3, C4, and total IgG in the sera of non-severe and severe coronavirus dise...

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Main Authors: Ali Ghazavi, Ghasem Mosayebi, Nafiesh Keshavarzian, Somayeh Rabiemajd, Ali Ganji
Format: Article
Language:English
Published: Zabol University of Medical sciences 2021-12-01
Series:International Journal of Basic Science in Medicine
Subjects:
Online Access:https://ijbsm.zbmu.ac.ir/PDF/ijbsm-6-152.pdf
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author Ali Ghazavi
Ghasem Mosayebi
Nafiesh Keshavarzian
Somayeh Rabiemajd
Ali Ganji
author_facet Ali Ghazavi
Ghasem Mosayebi
Nafiesh Keshavarzian
Somayeh Rabiemajd
Ali Ganji
author_sort Ali Ghazavi
collection DOAJ
description Introduction: The complement system, consisting of more than 20 soluble proteins, has a crucial role in innate immunity and inflammation and eliminates pathogens and viral infections. Therefore, we investigated the titers of C3, C4, and total IgG in the sera of non-severe and severe coronavirus disease 2019 (COVID-19) patients. Methods: For this purpose, peripheral blood samples were collected from 30 non-severe and 30 severe COVID-19 patients and 30 healthy individuals with similar age and sex as the control group. The serum levels of total IgG, C3, and C4 were analyzed. Also, white blood cells, platelets (PLTs), and lymphocytes were counted by an auto-analyzer. Results: White blood cell count showed no difference between COVID-19 patients and the control group. The results showed a significant decrease in lymphocyte and PLT counts in COVID-19 patients compared to the control. Complement proteins, including C3 and C4, were increased in non-severe COVID-19 patients (C3; P=0.017 and C4; P=0.012) compared to other groups. Total IgG showed a notable decrease in severe COVID-19 patients. Conclusion: The decrease in C3 and C4 complement factors in severe COVID-19 patients may be due to further consumption secondary to the formation of immune complexes. By clarifying the role of complement proteins of C3 and C4 in different stages of the disease, our results can be helpful in designing therapeutic and diagnostic measures for the disease.
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spelling doaj.art-8bfe8abb858042478eb8aa1957a517452022-12-22T02:55:22ZengZabol University of Medical sciencesInternational Journal of Basic Science in Medicine2476-664X2021-12-016415215610.34172/ijbsm.2021.27ijbsm-22516The Assessment of Complement Proteins in Patients With Severe COVID-19Ali Ghazavi0Ghasem Mosayebi1Nafiesh Keshavarzian2Somayeh Rabiemajd3Ali Ganji4Molecular and Medicine Research Center, Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, IranMolecular and Medicine Research Center, Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, IranMolecular and Medicine Research Center, Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, IranDepartment of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, IranMolecular and Medicine Research Center, Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, IranIntroduction: The complement system, consisting of more than 20 soluble proteins, has a crucial role in innate immunity and inflammation and eliminates pathogens and viral infections. Therefore, we investigated the titers of C3, C4, and total IgG in the sera of non-severe and severe coronavirus disease 2019 (COVID-19) patients. Methods: For this purpose, peripheral blood samples were collected from 30 non-severe and 30 severe COVID-19 patients and 30 healthy individuals with similar age and sex as the control group. The serum levels of total IgG, C3, and C4 were analyzed. Also, white blood cells, platelets (PLTs), and lymphocytes were counted by an auto-analyzer. Results: White blood cell count showed no difference between COVID-19 patients and the control group. The results showed a significant decrease in lymphocyte and PLT counts in COVID-19 patients compared to the control. Complement proteins, including C3 and C4, were increased in non-severe COVID-19 patients (C3; P=0.017 and C4; P=0.012) compared to other groups. Total IgG showed a notable decrease in severe COVID-19 patients. Conclusion: The decrease in C3 and C4 complement factors in severe COVID-19 patients may be due to further consumption secondary to the formation of immune complexes. By clarifying the role of complement proteins of C3 and C4 in different stages of the disease, our results can be helpful in designing therapeutic and diagnostic measures for the disease.https://ijbsm.zbmu.ac.ir/PDF/ijbsm-6-152.pdfcovid-19complementc3c4igginflammation
spellingShingle Ali Ghazavi
Ghasem Mosayebi
Nafiesh Keshavarzian
Somayeh Rabiemajd
Ali Ganji
The Assessment of Complement Proteins in Patients With Severe COVID-19
International Journal of Basic Science in Medicine
covid-19
complement
c3
c4
igg
inflammation
title The Assessment of Complement Proteins in Patients With Severe COVID-19
title_full The Assessment of Complement Proteins in Patients With Severe COVID-19
title_fullStr The Assessment of Complement Proteins in Patients With Severe COVID-19
title_full_unstemmed The Assessment of Complement Proteins in Patients With Severe COVID-19
title_short The Assessment of Complement Proteins in Patients With Severe COVID-19
title_sort assessment of complement proteins in patients with severe covid 19
topic covid-19
complement
c3
c4
igg
inflammation
url https://ijbsm.zbmu.ac.ir/PDF/ijbsm-6-152.pdf
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