[HTML][HTML] Oxidative stress status in COVID-19 patients hospitalized in intensive care unit for severe pneumonia. A pilot study

J Pincemail, E Cavalier, C Charlier, JP Cheramy–Bien…�- Antioxidants, 2021 - mdpi.com
J Pincemail, E Cavalier, C Charlier, JP Cheramy–Bien, E Brevers, A Courtois, M Fadeur…
Antioxidants, 2021mdpi.com
Background: A key role of oxidative stress has been highlighted in the pathogenesis of
COVID-19. However, little has been said about oxidative stress status (OSS) of COVID-19
patients hospitalized in intensive care unit (ICU). Material and Methods: Biomarkers of the
systemic OSS included antioxidants (9 assays), trace elements (3 assays), inflammation
markers (4 assays) and oxidative damage to lipids (3 assays). Results: Blood samples were
drawn after 9 (7–11) and 41 (39–43) days of ICU stay, respectively in 3 and 6 patients�…
Background
A key role of oxidative stress has been highlighted in the pathogenesis of COVID-19. However, little has been said about oxidative stress status (OSS) of COVID-19 patients hospitalized in intensive care unit (ICU).
Material and Methods
Biomarkers of the systemic OSS included antioxidants (9 assays), trace elements (3 assays), inflammation markers (4 assays) and oxidative damage to lipids (3 assays).
Results
Blood samples were drawn after 9 (7–11) and 41 (39–43) days of ICU stay, respectively in 3 and 6 patients. Vitamin C, thiol proteins, reduced glutathione, γ-tocopherol, β-carotene and PAOT score were significantly decreased compared to laboratory reference values. Selenium concentration was at the limit of the lower reference value. By contrast, the copper/zinc ratio (as a source of oxidative stress) was higher than reference values in 55% of patients while copper was significantly correlated with lipid peroxides (r = 0.95, p < 0.001). Inflammatory biomarkers (C-reactive protein and myeloperoxidase) were significantly increased when compared to normals.
Conclusions
The systemic OSS was strongly altered in critically ill COVID-19 patients as evidenced by increased lipid peroxidation but also by deficits in some antioxidants (vitamin C, glutathione, thiol proteins) and trace elements (selenium).
MDPI