Cytokine Levels and Immune Response in PASC
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Questions and Answers

What were the most common comorbidities present in the cohort?

Lung problems, diabetes, and obesity

How many participants had a history of autoimmune disease?

9

What percentage of participants were managed as outpatients during their COVID-19 illness?

78%

What were the most common symptoms reported at the late recovery timepoint?

<p>Problems with memory or concentration, fatigue, shortness of breath, and anosmia/dysgeusia</p> Signup and view all the answers

What is the abbreviation for postacute sequelae of severe acute respiratory syndrome coronavirus 2?

<p>PASC</p> Signup and view all the answers

What are the risk factors for PASC?

<p>more severe acute infection, advanced age, female sex, and socioeconomic factors</p> Signup and view all the answers

What are IL-6 and TNF-α?

<p>proinflammatory cytokines</p> Signup and view all the answers

What are the potential biomarkers that differ during early and late recovery among individuals with PASC?

<p>IL-6 and TNF-α</p> Signup and view all the answers

What are postacute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC)?

<p>Postacute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC) refers to the presence of one or more coronavirus disease 2019 (COVID-19) symptoms beyond 90 days after initial infection.</p> Signup and view all the answers

What are the biological processes associated with PASC?

<p>The biological processes associated with postacute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC) are currently unknown.</p> Signup and view all the answers

How were soluble markers of inflammation measured in the study?

<p>Soluble markers of inflammation were measured in a SARS-CoV-2 recovery cohort at early (90 days) timepoints.</p> Signup and view all the answers

What is the role of IL-6 in chronic inflammatory diseases?

<p>IL-6 has been implicated in models of chronic inflammatory diseases and is associated with tissue-specific manifestations such as lung or neurologic disease.</p> Signup and view all the answers

What is the role of TNF-α in inflammatory diseases?

<p>TNF-α induces tissue inflammation and endothelial activation and its uncontrolled activity underlies various inflammatory diseases involving multiple organ systems.</p> Signup and view all the answers

What did the study find about individuals with persistent symptoms of COVID-19?

<p>The study found that individuals with persistent symptoms were likely to demonstrate higher levels of markers of inflammation and immune activation during the first 90 days of COVID-19 recovery, with elevations in IL-6 persisting into the late recovery period.</p> Signup and view all the answers

What biomarkers were found to be correlated with levels of binding antibodies in individuals with PASC?

<p>TNF-α, IFN-γ, MCP-1, IL-6</p> Signup and view all the answers

Were there any statistically significant differences in the trends of biomarkers over time between the PASC and non-PASC groups?

<p>No</p> Signup and view all the answers

Did adjustment for demographic factors change the interpretation of the earlier analyses?

<p>No</p> Signup and view all the answers

Which symptoms were reported by participants at the late follow-up visit?

<p>Constitutional fatigue, subjective fever, chills, objective fever, rhinorrhea, sore throat, cough, shortness of breath, chest pain, palpitations, fainting, diarrhea, nausea, loss of appetite, abdominal pain, vomiting, constipation, menstrual cramps, dyspareunia, rash, myalgia, back pain, joint pain, anosmia/dysgeusia, headache, concentration problems, dizziness, balance problems, neuropathy, vision problems, parosmia, trouble sleeping</p> Signup and view all the answers

What are the cytokine biomarkers associated with the development of PASC?

<p>The cytokine biomarkers associated with the development of PASC are tumor necrosis factor–α (TNF-α) and interferon-γ–induced protein 10 (IP-10).</p> Signup and view all the answers

What is the trend in interleukin 6 levels during early and late recovery among those with PASC?

<p>There is a trend towards higher interleukin 6 levels during early recovery, which becomes more pronounced in late recovery among those with PASC.</p> Signup and view all the answers

What is the relationship between immune activation and ongoing symptoms following COVID-19?

<p>Persistent immune activation may be associated with ongoing symptoms following COVID-19.</p> Signup and view all the answers

What is the significance of the differences in cytokine biomarker levels among those with a greater number of PASC symptoms?

<p>The differences in cytokine biomarker levels are more pronounced among those with a greater number of PASC symptoms.</p> Signup and view all the answers

What is the primary outcome (PASC) defined as in this study?

<p>The presence of 1 or more symptoms at a visit occurring &gt;90 days from initial COVID-19 symptom onset.</p> Signup and view all the answers

How were participants recruited for this study?

<p>Through a combination of clinician referrals, mailings to consecutive patients testing positive at university-affiliated testing sites, and responses to medical center recruitment postings and websites.</p> Signup and view all the answers

What biomarkers were measured in blood plasma using the HD-X Simoa platform?

<p>MCP-1, Cytokine 3-PlexA (interleukin 6 [IL-6], interleukin 10 [IL-10], tumor necrosis factor alpha [TNF-α]), IFN-γ–induced protein 10 (IP-10), IFN-γ, and SARS-CoV-2 receptor-binding domain (RBD) immunoglobulin G (IgG).</p> Signup and view all the answers

What statistical analysis approach was used to compare biomarker values between those with and without persistent symptoms?

<p>Mixed-effects models with terms for PASC and time period (early vs late recovery).</p> Signup and view all the answers

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