The alveolar fibroproliferative response in moderate to severe COVID-19-related acute respiratory distress syndrome and 1-yr follow-up

Author:

Zhang Shiqi1ORCID,Boers Leonoor S.1ORCID,de Brabander Justin2,van den Heuvel Laura B.1,Blok Siebe G.1,Kullberg Robert F. J.2,Smids-Dierdorp Barbara S.34,Dekker Tamara34,Aberson Hella L.4,Meijboom Lilian J.5,Vlaar Alexander P. J.16,Heunks Leo7ORCID,Nossent Esther J.8,van der Poll Tom29ORCID,Bos Lieuwe D. J.16ORCID,Duitman JanWillem3410ORCID,

Affiliation:

1. Intensive Care Medicine, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

2. Center for Experimental and Molecular Medicine (CEMM), Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

3. Pulmonary Medicine, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

4. Experimental Immunology (EXIM), Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

5. Radiology and Nuclear Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

6. Laboratory of Experimental Intensive Care and Anesthesiology (LEICA), Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

7. Intensive Care Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands

8. Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

9. Division of Infectious Diseases, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

10. Infection & Immunity, Inflammatory Diseases, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands

Abstract

This is the first prospective study on the longitudinal alveolar fibroproliferative response in COVID-19 ARDS and its relationship with mortality and long-term follow-up. We used the largest cohort of COVID-19 ARDS patients who had consecutive bronchoalveolar lavages and measured 17 pulmonary fibroproliferative biomarkers. We found that a higher fibroproliferative response during admission was associated with increased mortality, but not correlated with long-term fibrotic lung sequelae in survivors.

Funder

Amsterdam University Medical Centers

China Scholarship Council

Nederlandse Organisatie voor Wetenschappelijk Onderzoek

Publisher

American Physiological Society

Subject

Cell Biology,Physiology (medical),Pulmonary and Respiratory Medicine,Physiology

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