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Gene & Protein in Disease                                    Interleukins-1β, interleukin-8, and the SARS-CoV-2




            Table 2. Description of the frequency of patients’ clinical   Table 3. Description of the frequency of comorbidities and
            signs and symptoms categorized into influenza syndrome   health problems in the study patients
            and SARS
                                                               Clinical signs and symptoms  DVAC  DNVAC  ND
            Clinical signs and   DVAC  DNVAC  ND     Total     Smoker                 0 (0.0)  1 (2.3)  0 (0.0)
            symptoms                                n (%)
                                                               Chronic neurological disease  0.0  0.0   3 (6.8)
            Influenza syndrome
                                                               Diabetes                 0.0    7 (16.3)  5 (11.4)
             Fever            11 (27.5) 21 (48.8) 25 (56.8) 57 (44.9)
                                                               Immunodeficiency       1 (2.5)  0 (0.0)  2 (4.5)
             Cough            29 (72.5) 37 (86.0) 37 (84.1) 103 (81.1)
                                                               Chronic cardiovascular disease  0 (0.0)  8 (18.6)  21 (47.7)
             Sore throat      26 (65.0) 24 (55.58) 11 (25.0) 61 (48.0)
                                                               Chronic kidney disease  0 (0.0)  0 (0.0)  4 (9.1)
             Fatigue and weakness  0 (0.0)  16 (37.2) 11 (25.0) 27 (21.3)
                                                               Cancer                 0 (0.0)  0 (0.0)  2 (4.5)
             Loss of smell     0 (0.0)  5 (11.6)  3 (6.8)  8 (6.3)
                                                               Asthma/pulmonopathy     2 (5)   4 (9.3)  10 (22.7)
             Loss of taste    10 (25.0)  4 (9.5)  2 (4.5)  16 (12.7)
                                                               Obesity                0 (0.0)  3 (7.0)  6 (13.6)
             Myalgia          18 (45.0) 17 (39.5)  3 (6.8)  38 (29.9)
                                                               Abbreviations: DVAC: Vaccinated detectable (with SARS-CoV-2);
             Headache         18 (45.0) 10 (23.3)  1 (2.3)  29 (22.8)  DNVAC: With SARS-CoV-2 and not vaccinated; ND: Without
             Runny nose       27 (67.5) 17 (39.5)  2 (4.5)  46 (36.2)  SARS-CoV-2.
             Chills            9 (22.5)  0 (0.0)  0 (0.0)  9 (7.1)
             Conjunctival     20 (50.0)  3 (7.0)  0 (0.0)  81.1 (23)  Table 4. Frequency of hospitalizations and need for
             co-management                                     maintenance in the ICU in the study patients
             Diarrhea          6 (15.0)  7 (16.3)  8 (18.2)  21 (16.5)     DVAC     DNVAC      ND      P‑value
             Nausea and vomiting  1 (2.5)  2 (4.7)  7 (15.9)  10 (7.9)      n (%)    n (%)     n (%)
             Abdominal pain    0 (0.0)  2 (4.7)  9 (20.5)  11 (8.7)  Hospitalized  1 (2.5)  10 (76.7)  39 (88.6)  <0.0001*
            SARS                                               ICU          1 (2.5)  8 (18.6)  15 (34.1)  <0.0001*
             Dyspnea           3 (7.5)  16 (37.2) 37 (84.1) 56 (44.1)  Total  40 (100)  43 (100)  44 (100)  -
             Oxygen saturation <95%  2 (5.0)  16 (37.2) 35 (79.5) 53 (41.7)  Note: * indicates a significant difference between groups according to
                                                               Welch’s test at P≤0.05.
            Abbreviations: IS: Influenza syndrome; SARS: Severe acute respiratory   Abbreviations: DVAC: Vaccinated detectable; DNVAC: Detectable not
            syndrome; DVAC: Vaccinated with SARS-CoV-2; DNVAC: With   vaccinated; ND: Not detectable.
            SARS-CoV-2 not vaccinated; ND: Without SARS-CoV-2. Missing
            values have been omitted.
                                                               4. Discussion
            collection of 5.22 (±2.38) days. Wong et al.  reported an   Systemic hyperinflammation appears to be a relevant
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            increase in the levels of pro-inflammatory cytokines, such   aspect  of  COVID-19.  However,  the  expression  level  of
            as IL-1β, IL-6, and IL-12, from 5 to 12 days after the onset   various cytokines that orchestrate the inflammatory
            of SARS symptoms, whereas IL-8 levels increased primarily   process  is  controversial.  Huang  et al.   measured  the
                                                                                               12
            from 9 to 14 days after the onset of symptoms.     plasma concentration of several pro-inflammatory
            3.4. Frequency of comorbidities and injuries and   cytokines, including IL-1β, IL1-RA/RN, IL-2, IL-4, IL-5,
            health                                             IL-6, IL-7, IL-8, IL-9, IL-10, IL-12p70, IL-13,  IL-15,
                                                               and IL-17A, and confirmed increased concentrations
            We observed statistically significant differences among   of IL-1β, IL-1RN, IL-8, IL-9, and IL-10 in patients with
            the study groups in the frequency of the following   COVID-19 compared with those in healthy adults. They
            comorbidities: diabetes (P = 0.035), chronic cardiovascular   also compared the plasma concentrations of ILs between
            disease (P < 0.001), chronic kidney disease (P = 0.02), cancer   patients with COVID-19 who required and did not require
            (P = 0.02), and asthma/lung disease (P = 0.036). However,   ICU admission and found that patients in the ICU showed
            no statistically significant differences were observed in   a significant increase in the levels of IL-2, IL-7, IL-10, and
            the frequency of smoking (P = 0.374), immunodeficiency   TNF-α but not in the levels of IL-1β, IL-1RN, and IL-8.
            (P = 0.377), and obesity (P = 0.052) (Table 3).    Another study showed that among the major cytokines
                                                               whose plasma levels increase in patients with SARS, IL-2,
            3.5. Frequency of ICU admissions and maintenance   IL-6, IL-7, GCSF, macrophage inflammatory protein 1-α,
            The  frequency  of  hospitalizations and  ICU  admissions   TNF-α, C-reactive protein, ferritin, and d-dimer are
            showed a statistically significant difference among the   prominent.  Moreover, disease severity has been associated
                                                                        6
            study groups (P < 0.0001), as shown in Table 4.    with elevated plasma concentrations of IFN-γ, IL-1β, IL-6,

            Volume 3 Issue 4 (2024)                         5                               doi: 10.36922/gpd.4076
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