Affiliation:
1. Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy
2. Department of Translational Biomedicine Neuroscience, University of Bari Aldo Moro, Piazza G. Cesare 11, 70124 Bari, Italy
Abstract
In addition to the acute symptoms after infection, patients and society are also being challenged by the long-term effects of COVID-19, known as long COVID. Oxidative stress, as a pivotal point in the pathophysiology of COVID-19, could potentially be also involved in the development of the post-COVID syndrome. The aim of the present study was to evaluate the relationship between changes in oxidative status and the persistence of long-COVID symptoms in workers with a previous mild COVID-19 infection. A cross-sectional study was conducted among 127 employees of an Italian university (80 with a previous COVID-19 infection, and 47 healthy subjects). The TBARS assay was used to detect malondialdehyde serum levels (MDA), while total hydroperoxide (TH) production was measured by a d-ROMs kit. A significant difference in mean serum MDA values was found between previously infected subjects and healthy controls and (4.9 µm vs. 2.8 µm, respectively). Receiver–operating characteristic (ROC) curves showed high specificity and good sensibility (78.7% and 67.5%, respectively) for MDA serum levels. A random forest classifier identified the hematocrit value, MDA serum levels, and IgG titer against SARS-CoV-2 as features with the highest predictive value in distinguishing 34 long-COVID from 46 asymptomatic post-COVID subjects. Oxidative damage persists in subjects with previous COVID-19 infection, suggesting a possible role of oxidative stress mediators in the pathogenesis of long COVID.
Subject
Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis
Reference59 articles.
1. High-dimensional characterization of post-acute sequelae of COVID-19;Xie;Nature,2021
2. Characterizing Long COVID: Deep Phenotype of a Complex Condition;Deer;EBioMedicine,2021
3. (2022, January 02). World Health Organization. Available online: WHO/2019-nCoV/Post_COVID-19_condition/Clinical_case_definition/2021.
4. National Institute for Health and Care Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), and Royal College of General Practitioners (RCGP) (2022). COVID-19 Rapid Guideline: Managing the Long-Term Effects of COVID-19, NICE. Available online: https://www.nice.org.uk/guidance/ng188/.
5. More than 50 long-term effects of COVID-19: A systematic review and meta-analysis;Perelman;Sci. Rep.,2021
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