The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19

Introduction: Due to the established role of oxidative stress in the pathophysiology of COVID-19, it has been proposed that inter-individual differences in patients' clinical manifestations might be affected by variations in genes encoding antioxidant enzymes, such as glutathione S-transferases...

Full description

Bibliographic Details
Main Authors: Krunić Ana, Jerotić Đurđa, Matić Marija
Format: Article
Language:English
Published: University of Belgrade, Medical Faculty 2023-01-01
Series:Medicinski Podmladak
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272301051K.pdf
_version_ 1827927571618070528
author Krunić Ana
Jerotić Đurđa
Matić Marija
author_facet Krunić Ana
Jerotić Đurđa
Matić Marija
author_sort Krunić Ana
collection DOAJ
description Introduction: Due to the established role of oxidative stress in the pathophysiology of COVID-19, it has been proposed that inter-individual differences in patients' clinical manifestations might be affected by variations in genes encoding antioxidant enzymes, such as glutathione S-transferases (GSTs). Aim: The aim of this study was to assess the association of polymorphisms in cytosolic GSTs (GSTA1 rs3957357, GSTM3 rs1332018 and GSTP1 rs1695) with inflammatory parameters (leukocytes, lymphocytes, monocytes, C-reactive protein (CRP), fibrinogen, ferritin) and multiorgan impairment biomarkers (urea, creatinine, AST, ALT, LDH) in COVID-19 patients at two-time points. Material and methods: GSTM3, GSTA1 and GSTP1 genotypes were determined in 150 COVID-19 patients by appropriate polymerase chain reaction (PCR) methods. Results: Inflammatory biomarkers (leukocytes, lymphocytes, monocytes) increased 7 days upon admission to the hospital (p < 0.001), while CRP and fibrinogen decreased (p < 0.001). Out of five analyzed multiorgan impairment biomarkers, only urea increased significantly 7 days upon admission (p < 0.007), while AST showed a statistically significant drop (p < 0.001). COVID-19 patients homozygous for variant GSTM3*C/C genotype had increased levels of inflammatory biomarkers such as CRP, fibrinogen and ferritin, but the borderline significance was observed only for fibrinogen (p = 0.057). COVID-19 patients homozygous for variant GSTM3*C allele had the highest levels of ALT (p = 0.021) and LDH (p = 0.045) upon admission. Conclusion: Our results on the association between GSTM3 variant genotype with parameters of systemic inflammation and liver damage in COVID-19 patients can contribute to further understanding of pathophysiological mechanisms underpinning this disease, as well as early recognition of COVID-19 patients prone to worse course of the disease.
first_indexed 2024-03-13T05:55:08Z
format Article
id doaj.art-b5adb86c7a60471595248e8c1f029b6a
institution Directory Open Access Journal
issn 0369-1527
2466-5525
language English
last_indexed 2024-03-13T05:55:08Z
publishDate 2023-01-01
publisher University of Belgrade, Medical Faculty
record_format Article
series Medicinski Podmladak
spelling doaj.art-b5adb86c7a60471595248e8c1f029b6a2023-06-13T06:57:43ZengUniversity of Belgrade, Medical FacultyMedicinski Podmladak0369-15272466-55252023-01-0174151580369-15272301051KThe association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19Krunić Ana0Jerotić Đurđa1https://orcid.org/0000-0002-1664-6557Matić Marija2https://orcid.org/0000-0002-1488-3647Univerzitet u Beogradu, Medicinski fakultet, Beograd, SerbiaUniverzitet u Beogradu, Medicinski fakultet, Beograd, SerbiaUniverzitet u Beogradu, Medicinski fakultet, Beograd, SerbiaIntroduction: Due to the established role of oxidative stress in the pathophysiology of COVID-19, it has been proposed that inter-individual differences in patients' clinical manifestations might be affected by variations in genes encoding antioxidant enzymes, such as glutathione S-transferases (GSTs). Aim: The aim of this study was to assess the association of polymorphisms in cytosolic GSTs (GSTA1 rs3957357, GSTM3 rs1332018 and GSTP1 rs1695) with inflammatory parameters (leukocytes, lymphocytes, monocytes, C-reactive protein (CRP), fibrinogen, ferritin) and multiorgan impairment biomarkers (urea, creatinine, AST, ALT, LDH) in COVID-19 patients at two-time points. Material and methods: GSTM3, GSTA1 and GSTP1 genotypes were determined in 150 COVID-19 patients by appropriate polymerase chain reaction (PCR) methods. Results: Inflammatory biomarkers (leukocytes, lymphocytes, monocytes) increased 7 days upon admission to the hospital (p < 0.001), while CRP and fibrinogen decreased (p < 0.001). Out of five analyzed multiorgan impairment biomarkers, only urea increased significantly 7 days upon admission (p < 0.007), while AST showed a statistically significant drop (p < 0.001). COVID-19 patients homozygous for variant GSTM3*C/C genotype had increased levels of inflammatory biomarkers such as CRP, fibrinogen and ferritin, but the borderline significance was observed only for fibrinogen (p = 0.057). COVID-19 patients homozygous for variant GSTM3*C allele had the highest levels of ALT (p = 0.021) and LDH (p = 0.045) upon admission. Conclusion: Our results on the association between GSTM3 variant genotype with parameters of systemic inflammation and liver damage in COVID-19 patients can contribute to further understanding of pathophysiological mechanisms underpinning this disease, as well as early recognition of COVID-19 patients prone to worse course of the disease.https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272301051K.pdfcovid-19oxidative stressglutathione s-transferasespolymorphism
spellingShingle Krunić Ana
Jerotić Đurđa
Matić Marija
The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
Medicinski Podmladak
covid-19
oxidative stress
glutathione s-transferases
polymorphism
title The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
title_full The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
title_fullStr The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
title_full_unstemmed The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
title_short The association of common glutathione S-transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in COVID-19
title_sort association of common glutathione s transferases polymorphisms with inflammatory and multiorgan impairment biomarkers in covid 19
topic covid-19
oxidative stress
glutathione s-transferases
polymorphism
url https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2023/0369-15272301051K.pdf
work_keys_str_mv AT krunicana theassociationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19
AT jeroticđurđa theassociationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19
AT maticmarija theassociationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19
AT krunicana associationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19
AT jeroticđurđa associationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19
AT maticmarija associationofcommonglutathionestransferasespolymorphismswithinflammatoryandmultiorganimpairmentbiomarkersincovid19