COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality

Background and Methods: Severe COVID-19 is known to induce neurological damage (NeuroCOVID), mostly in aged individuals, by affecting brain-derived neurotrophic factor (BDNF), matrix metalloproteinases (MMP) 2 and 9 and the neurofilament light chain (NFL) pathways. Thus, the aim of this pilot study...

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Main Authors: Carla Petrella, Maria Antonella Zingaropoli, Flavio Maria Ceci, Patrizia Pasculli, Tiziana Latronico, Grazia Maria Liuzzi, Maria Rosa Ciardi, Antonio Angeloni, Evaristo Ettorre, Michela Menghi, Christian Barbato, Giampiero Ferraguti, Antonio Minni, Marco Fiore
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/4/655
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author Carla Petrella
Maria Antonella Zingaropoli
Flavio Maria Ceci
Patrizia Pasculli
Tiziana Latronico
Grazia Maria Liuzzi
Maria Rosa Ciardi
Antonio Angeloni
Evaristo Ettorre
Michela Menghi
Christian Barbato
Giampiero Ferraguti
Antonio Minni
Marco Fiore
author_facet Carla Petrella
Maria Antonella Zingaropoli
Flavio Maria Ceci
Patrizia Pasculli
Tiziana Latronico
Grazia Maria Liuzzi
Maria Rosa Ciardi
Antonio Angeloni
Evaristo Ettorre
Michela Menghi
Christian Barbato
Giampiero Ferraguti
Antonio Minni
Marco Fiore
author_sort Carla Petrella
collection DOAJ
description Background and Methods: Severe COVID-19 is known to induce neurological damage (NeuroCOVID), mostly in aged individuals, by affecting brain-derived neurotrophic factor (BDNF), matrix metalloproteinases (MMP) 2 and 9 and the neurofilament light chain (NFL) pathways. Thus, the aim of this pilot study was to investigate BDNF, MMP-2, MMP-9, and NFL in the serum of aged men affected by COVID-19 at the beginning of the hospitalization period and characterized by different outcomes, i.e., attending a hospital ward or an intensive care unit (ICU) or with a fatal outcome. As a control group, we used a novelty of the study, unexposed age-matched men. We also correlated these findings with the routine blood parameters of the recruited individuals. Results: We found in COVID-19 individuals with severe or lethal outcomes disrupted serum BDNF, NFL, and MMP-2 presence and gross changes in ALT, GGT, LDH, IL-6, ferritin, and CRP. We also confirmed and extended previous data, using ROC analyses, showing that the ratio MMPs (2 and 9) versus BDNF and NFL might be a useful tool to predict a fatal COVID-19 outcome. Conclusions: Serum BDNF and NFL and/or their ratios with MMP-2 and MMP-9 could represent early predictors of NeuroCOVID in aged men.
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spelling doaj.art-8f699157280146779d0396ef0c9927522023-11-16T19:45:23ZengMDPI AGCells2073-44092023-02-0112465510.3390/cells12040655COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and MortalityCarla Petrella0Maria Antonella Zingaropoli1Flavio Maria Ceci2Patrizia Pasculli3Tiziana Latronico4Grazia Maria Liuzzi5Maria Rosa Ciardi6Antonio Angeloni7Evaristo Ettorre8Michela Menghi9Christian Barbato10Giampiero Ferraguti11Antonio Minni12Marco Fiore13Institute of Biochemistry and Cell Biology (IBBC-CNR), Department of Sensory Organs, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155, 00185 Rome, ItalyDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155, 00185 Rome, ItalyDepartment of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Biosciences, Biotechnologies and Biopharmaceutics, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155, 00185 Rome, ItalyDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Clinical, Internal Medicine, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Maternal Infantile and Urological Sciences, Sapienza University of Rome, 00185 Rome, ItalyInstitute of Biochemistry and Cell Biology (IBBC-CNR), Department of Sensory Organs, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Experimental Medicine, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Sensory Organs, Sapienza University of Rome, 00185 Rome, ItalyInstitute of Biochemistry and Cell Biology (IBBC-CNR), Department of Sensory Organs, Sapienza University of Rome, 00185 Rome, ItalyBackground and Methods: Severe COVID-19 is known to induce neurological damage (NeuroCOVID), mostly in aged individuals, by affecting brain-derived neurotrophic factor (BDNF), matrix metalloproteinases (MMP) 2 and 9 and the neurofilament light chain (NFL) pathways. Thus, the aim of this pilot study was to investigate BDNF, MMP-2, MMP-9, and NFL in the serum of aged men affected by COVID-19 at the beginning of the hospitalization period and characterized by different outcomes, i.e., attending a hospital ward or an intensive care unit (ICU) or with a fatal outcome. As a control group, we used a novelty of the study, unexposed age-matched men. We also correlated these findings with the routine blood parameters of the recruited individuals. Results: We found in COVID-19 individuals with severe or lethal outcomes disrupted serum BDNF, NFL, and MMP-2 presence and gross changes in ALT, GGT, LDH, IL-6, ferritin, and CRP. We also confirmed and extended previous data, using ROC analyses, showing that the ratio MMPs (2 and 9) versus BDNF and NFL might be a useful tool to predict a fatal COVID-19 outcome. Conclusions: Serum BDNF and NFL and/or their ratios with MMP-2 and MMP-9 could represent early predictors of NeuroCOVID in aged men.https://www.mdpi.com/2073-4409/12/4/655BDNFNFLNGFMMP-2MMP-9NeuroCOVID
spellingShingle Carla Petrella
Maria Antonella Zingaropoli
Flavio Maria Ceci
Patrizia Pasculli
Tiziana Latronico
Grazia Maria Liuzzi
Maria Rosa Ciardi
Antonio Angeloni
Evaristo Ettorre
Michela Menghi
Christian Barbato
Giampiero Ferraguti
Antonio Minni
Marco Fiore
COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
Cells
BDNF
NFL
NGF
MMP-2
MMP-9
NeuroCOVID
title COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
title_full COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
title_fullStr COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
title_full_unstemmed COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
title_short COVID-19 Affects Serum Brain-Derived Neurotrophic Factor and Neurofilament Light Chain in Aged Men: Implications for Morbidity and Mortality
title_sort covid 19 affects serum brain derived neurotrophic factor and neurofilament light chain in aged men implications for morbidity and mortality
topic BDNF
NFL
NGF
MMP-2
MMP-9
NeuroCOVID
url https://www.mdpi.com/2073-4409/12/4/655
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