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Cytokine . IL-6 is a predictor and potential therapeutic target for coronavirus disease 2019-related heart failure: A single-center retrospective s

tetano

Editor, Senior Moderator
Cytokine


. 2024 Jan 24:176:156514.
doi: 10.1016/j.cyto.2024.156514. Online ahead of print. IL-6 is a predictor and potential therapeutic target for coronavirus disease 2019-related heart failure: A single-center retrospective study

Yan Xi[SUP] 1 [/SUP], Yu Mao[SUP] 2 [/SUP], Wei Zhu[SUP] 3 [/SUP], Peng Xi[SUP] 2 [/SUP], Feifei Huang[SUP] 2 [/SUP], Hongwei Tan[SUP] 2 [/SUP], Xudong Liao[SUP] 2 [/SUP], Lin Zhou[SUP] 4 [/SUP]



Affiliations
Abstract

Background: Inflammation is linked to coronavirus disease 2019 (COVID-19)-related heart failure (HF), but the specific mechanisms are unclear. This study aimed to assess the relationship between specific inflammatory factors, such as interleukin (IL)-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12, IL-17, interferon (IFN)-α, and IFN-γ, and COVID-19-related HF.
Methods: We retrospectively identified 212 adult patients with COVID-19 who were hospitalized at Shanghai Public Health Center from March 1 to May 30, 2022 (including 80 patients with HF and 132 without HF). High-sensitivity C-reactive protein (hs-CRP), procalcitonin (PCT), and inflammatory factors, including IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12, IL-17, IFN-α, and IFN-γ, were compared between patients with COVID-19 with and without HF.
Results: Patients with COVID-19 having and not having HF differed with regard to sex, age, hs-CRP, PCT, and IL-6 levels (p < 0.05). Logistic regression analysis indicated a significant positive association between IL and 6 and HF (odds ratio = 1.055; 95 % confidence interval: 1.019-1.093, p < 0.005). Sex, age, and hs-CRP were also associated with HF. Women had a greater risk of HF than men. Older age, higher levels of hs-CRP, and IL-6 were associated with a greater risk of HF.
Conclusions: In patients with COVID-19, increased IL-6 levels are significantly associated with COVID-19-related HF.

Keywords: COVID-19; Heart failure; Inflammation; Interleukin-6; SARS-CoV-2.

 
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