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



            elderly individuals. In individuals aged ≥60  years,  the   and the need for ICU admissions. Therefore, our results
            lethality rate was 55.4%, whereas it was 86.5% in those   reinforce that vaccination promotes a decrease in severity,
            who required ICU care.  Ranzani  et al.  reported high   mortality, and  lethality  in  patients  with  SARS-CoV-2
                                33
                                             34
            mortality in hospitalized patients with COVID-19, even   infection, thereby contributing to a significant improvement
            in those patients aged <60 years, which reached rates of   in their clinical prognosis.
            31% in those not undergoing mechanical ventilation and
            77% in those undergoing ICU treatment or mechanical   Acknowledgments
            ventilation.                                       None.
              The  vaccinated  group  had  a  lower  frequency  of   Funding
            hospitalizations and maintenance in the ICU, similar
            to the results reported by Orellana  et al.,  in which   This study was supported by the Sao Paulo Research
                                                27
            vaccinated patients showed a reduction in both the rate of   Foundation (FAPESP) (case numbers: 2018/08481-1 and
            hospitalizations and deaths from COVID-19. In patients   2021/12017-1).
            aged 60 – 69 years, these authors confirmed hospitalization
            rates of 60.5% and 39.5% in unvaccinated and vaccinated   Conflict of interest
            patients, with mortality rates of 81.8% and 18.2% in   The authors declare they have no competing interests.
            unvaccinated and vaccinated patients, respectively.
                                                               Author contributions
              The expression of  IL-8 was statistically significantly
            greater in the ND group than in the other groups, with the   Conceptualization:  Laine Andreotti Almeida, Lucas T.
            DVAC group showing the lowest expression. The other ILs   Rasmussen
            and receptors showed no statistically significant difference   Formal analysis: Lucas T. Rasmussen
            in their expression.                               Investigation:  Laine Andreotti Almeida, Lucas T.
                                                                  Rasmussen, Spencer L.M. Payão, Roger Labio
              It is important to emphasize that this study has a few   Methodology:  Laine Andreotti Almeida, Lucas T.
            methodological and technical limitations due to the   Rasmussen, Spencer L.M. Payão, Roger Labio
            pandemic itself. It was conducted at the time of the greatest   Writing–original draft: Laine Andreotti
            impact of SARS-CoV-2, amidst the care of thousands of   Writing–review & editing: Laine Andreotti Almeida, Lucas
            individuals, and during the rapid evolution of immunization   T. Rasmussen, Mônica P. Santos, Mikaela Nagahara,
            methods. One fact is that vaccination status is inherently   Manuela S. Bueno
            linked to the risk profile, which can affect groups. Numerous
            doubts existed and still exist concerning COVID-19; hence,   Ethics approval and consent to participate
            the precision and generalizability of some data obtained at   The study design consists of qualitative, cross-sectional,
            that time can currently be considered a bias.
                                                               comparative, and randomized observational research
            5. Conclusion                                      and  was conducted  at the  Genetics  Laboratory  of  the
                                                               Hemocenter of the HC-FAMEMA, from September 2020
            A detailed analysis of the data presented in this study   to December 2021. All participants agreed to participate in
            indicates that the presence of comorbidities is associated   the study. This study was approved by the Research Ethics
            with an increase in  the expression of ILs genes, which   Committee of Faculdade de Medicina de Marília (case
            in turn is related to the greater severity of clinical signs   number 4.414.477).
            and  symptoms.  This  resulted  in  a  significant  increase
            in the number of hospitalizations and the need for ICU   Consent for publication
            admissions, as observed in the ND and DNVAC groups.  Verbal consent was obtained from each of the subjects to
              Altogether, our findings indicated that the severity   publish the data.
            of clinical manifestations in patients with COVID-19
            reduced after administering at least two initial doses of the   Availability of data
            CoronaVac/Sinovac vaccine. Moreover, among patients   Not applicable.
            who received the minimum regimen of two doses of this
            vaccine, a reduction in the frequency of most clinical   References
            manifestations was observed, especially those associated   1.   Lu R, Zhao X, Li J,  et al. Genomic characterisation and
            with SARS. This reduction was accompanied by a        epidemiology  of  2019  novel  coronavirus:  Implications
            considerable decrease in the number of hospitalizations   for virus origins and receptor binding.  Lancet.


            Volume 3 Issue 4 (2024)                         7                               doi: 10.36922/gpd.4076
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