Zinc level in COVID-19 Infection; Truth or myth?

Background: COVID-19 is accompanied by a systemic hyperinflammatory reaction and thromboembolic consequences. Zinc has antiviral, anti-inflammatory, and antioxidant properties. Moreover, zinc deficiency adversely affects immune cells' survival and function. Although it is uncertain if COVID-19...

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Main Authors: Zeinab Soliman, Rasha Abdalaziz, Aya Alsharif, Yasmine Gaber, Reem El-Korashy, Youssef Soliman, Manal Kamal, Ahmed Hashem, Hanan Zaghla, Khaled Salem, Hala Ramadan
Format: Article
Language:English
Published: Zagazig University, Faculty of Medicine 2023-08-01
Series:Microbes and Infectious Diseases
Subjects:
Online Access:https://mid.journals.ekb.eg/article_297826_221e0c3805cfa2117461211299e2cf35.pdf
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author Zeinab Soliman
Rasha Abdalaziz
Aya Alsharif
Yasmine Gaber
Reem El-Korashy
Youssef Soliman
Manal Kamal
Ahmed Hashem
Hanan Zaghla
Khaled Salem
Hala Ramadan
author_facet Zeinab Soliman
Rasha Abdalaziz
Aya Alsharif
Yasmine Gaber
Reem El-Korashy
Youssef Soliman
Manal Kamal
Ahmed Hashem
Hanan Zaghla
Khaled Salem
Hala Ramadan
author_sort Zeinab Soliman
collection DOAJ
description Background: COVID-19 is accompanied by a systemic hyperinflammatory reaction and thromboembolic consequences. Zinc has antiviral, anti-inflammatory, and antioxidant properties. Moreover, zinc deficiency adversely affects immune cells' survival and function. Although it is uncertain if COVID-19 individuals lack zinc, zinc administration is used in treatment. We aimed to determine if there is a change in zinc levels in COVID-19 individuals and the relationship between zinc levels and illness severity and outcome. Methods: Sixty individuals with COVID-19 infection verified by PCR were recruited. Patients' demographics, degree of illness at the time of blood specimen, and prognosis were gathered. The zinc level in serum was measured in the first 72 hours of admission, using a cutoff for normal zinc levels between 70.6 and 114 g/dl for women and 72.6 and 127 g/dl for men. Results: Sixty individuals with an average age of 50.7 + 14.41 years were enrolled in the study; 51.7% were males, 60% were diabetics, 73% had hypertension, and 35% had obesity, where BMI was above 30 kg/m2. Regarding the COVID-19 severity, the percentage was 28.3%, 50%, and 21.7% for mild, moderate, and severe cases, respectively. There was a high prevalence of zinc deficiency; about 87% (n=52) of the patients had below-normal zinc values. The median zinc level was 39.5 (20.5-58) μg/dl. No statistically significant association was observed between blood zinc levels and illness severity or prognosis. Conclusion: Zinc insufficiency might be a risk component for the incidence of COVID-19 infection. Nevertheless, it seems unrelated to the disease course or outcome.
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spelling doaj.art-8ca7b1fd69e14b31806de2a08bb386d22023-08-11T15:20:51ZengZagazig University, Faculty of MedicineMicrobes and Infectious Diseases2682-41322682-41402023-08-014373574010.21608/mid.2023.196286.1478297826Zinc level in COVID-19 Infection; Truth or myth?Zeinab Soliman0Rasha Abdalaziz1Aya Alsharif2Yasmine Gaber3Reem El-Korashy4Youssef Soliman5Manal Kamal6Ahmed Hashem7Hanan Zaghla8Khaled Salem9Hala Ramadan10Endemic Medicine Department, Faculty of Medicine, Cairo University, Cairo, EgyptHepatogastroentrology and Endemic Medicine department, Faculty of Medicine, Cairo University.Endemic Medicine Department, Faculty of Medicine, Cairo UniversityEndemic Medicine Department, Faculty of Medicine, Cairo University, Cairo, EgyptPulmonary Medicine department, Faculty of Medicine, Cairo University, Egypt.Pulmonary Medicine department, Faculty of Medicine, Cairo University, Egypt.Clinical and Chemical Pathology department, Faculty of Medicine, Cairo University,Egypt.National Hepatology and Tropical Medicine Research Institute, Cairo, EgyptCritical Care Medicine Department, Faculty of Medicine, Cairo UniversityInternal Medicine Department, Faculty of Medicine, Cairo UniversityInternal Medicine Department, Faculty of Medicine, Cairo UniversityBackground: COVID-19 is accompanied by a systemic hyperinflammatory reaction and thromboembolic consequences. Zinc has antiviral, anti-inflammatory, and antioxidant properties. Moreover, zinc deficiency adversely affects immune cells' survival and function. Although it is uncertain if COVID-19 individuals lack zinc, zinc administration is used in treatment. We aimed to determine if there is a change in zinc levels in COVID-19 individuals and the relationship between zinc levels and illness severity and outcome. Methods: Sixty individuals with COVID-19 infection verified by PCR were recruited. Patients' demographics, degree of illness at the time of blood specimen, and prognosis were gathered. The zinc level in serum was measured in the first 72 hours of admission, using a cutoff for normal zinc levels between 70.6 and 114 g/dl for women and 72.6 and 127 g/dl for men. Results: Sixty individuals with an average age of 50.7 + 14.41 years were enrolled in the study; 51.7% were males, 60% were diabetics, 73% had hypertension, and 35% had obesity, where BMI was above 30 kg/m2. Regarding the COVID-19 severity, the percentage was 28.3%, 50%, and 21.7% for mild, moderate, and severe cases, respectively. There was a high prevalence of zinc deficiency; about 87% (n=52) of the patients had below-normal zinc values. The median zinc level was 39.5 (20.5-58) μg/dl. No statistically significant association was observed between blood zinc levels and illness severity or prognosis. Conclusion: Zinc insufficiency might be a risk component for the incidence of COVID-19 infection. Nevertheless, it seems unrelated to the disease course or outcome.https://mid.journals.ekb.eg/article_297826_221e0c3805cfa2117461211299e2cf35.pdfzincsars-cov-2pneumoniacovid-19
spellingShingle Zeinab Soliman
Rasha Abdalaziz
Aya Alsharif
Yasmine Gaber
Reem El-Korashy
Youssef Soliman
Manal Kamal
Ahmed Hashem
Hanan Zaghla
Khaled Salem
Hala Ramadan
Zinc level in COVID-19 Infection; Truth or myth?
Microbes and Infectious Diseases
zinc
sars-cov-2
pneumonia
covid-19
title Zinc level in COVID-19 Infection; Truth or myth?
title_full Zinc level in COVID-19 Infection; Truth or myth?
title_fullStr Zinc level in COVID-19 Infection; Truth or myth?
title_full_unstemmed Zinc level in COVID-19 Infection; Truth or myth?
title_short Zinc level in COVID-19 Infection; Truth or myth?
title_sort zinc level in covid 19 infection truth or myth
topic zinc
sars-cov-2
pneumonia
covid-19
url https://mid.journals.ekb.eg/article_297826_221e0c3805cfa2117461211299e2cf35.pdf
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