Increased Fecal Neopterin Parallels Gastrointestinal Symptoms in COVID-19

被引:10
作者
Grabherr, Felix [1 ]
Effenberger, Maria [1 ]
Pedrini, Alisa [1 ]
Mayr, Lisa [1 ]
Schwaerzler, Julian [1 ]
Reider, Simon [1 ]
Enrich, Barbara [1 ]
Fritsche, Gernot [2 ]
Wildner, Sophie [2 ]
Bellmann-Weiler, Rosa [2 ]
Weiss, Guenter [2 ]
Scholl-Buergi, Sabine [3 ]
Mueller, Thomas [3 ]
Moschen, Alexander [1 ]
Adolph, Timon E. [1 ]
Tilg, Herbert [1 ]
机构
[1] Med Univ Innsbruck, Dept Internal Med Gastroenterol Hepatol Endocrino, Innsbruck, Austria
[2] Med Univ Innsbruck, Dept Internal Med Infect Dis Pulmonol & Rheumatol, Innsbruck, Austria
[3] Med Univ Innsbruck, Dept Pediat 1, Innsbruck, Austria
基金
奥地利科学基金会;
关键词
DISEASE-ACTIVITY;
D O I
10.14309/ctg.0000000000000293
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
INTRODUCTION: Coronavirus disease (COVID-19) has spread from Wuhan, China, and become a worldwide pandemic. Most patients display respiratory symptoms but up to 50% report gastrointestinal symptoms. Neopterin is a surrogate marker for viral inflammation, and its production by macrophages is driven by interferon-gamma. METHODS: We measured fecal neopterin in 37 hospitalized COVID-19 patients not requiring intensive care measures and 22 healthy controls. RESULTS: Fecal neopterin was elevated in stool samples from COVID-19 patients compared with that in samples from healthy controls. Especially, patients reporting gastrointestinal symptoms exhibited increased fecal neopterin values. DISCUSSION: COVID-19 is associated with an inflammatory immune response in the gastrointestinal tract.
引用
收藏
页数:4
相关论文
共 17 条
[1]   Faecal calprotectin indicates intestinal inflammation in COVID-19 [J].
Effenberger, Maria ;
Grabherr, Felix ;
Mayr, Lisa ;
Schwaerzler, Julian ;
Nairz, Manfred ;
Seifert, Markus ;
Hilbe, Richard ;
Seiwald, Stefanie ;
Scholl-Buergi, Sabine ;
Fritsche, Gernot ;
Bellmann-Weiler, Rosa ;
Weiss, Guenter ;
Mueller, Thomas ;
Adolph, Timon Erik ;
Tilg, Herbert .
GUT, 2020, 69 (08) :1543-+
[2]   Gastrointestinal and Hepatic Manifestations of 2019 Novel Coronavirus Disease in a Large Cohort of Infected Patients From New York: Clinical Implications [J].
Hajifathalian, Kaveh ;
Krisko, Tibor ;
Mehta, Amit ;
Kumar, Sonal ;
Schwartz, Robert ;
Fortune, Brett ;
Sharaiha, Reem Z. .
GASTROENTEROLOGY, 2020, 159 (03) :1137-+
[3]   Digestive Symptoms in COVID-19 Patients With Mild Disease Severity: Clinical Presentation, Stool Viral RNA Testing, and Outcomes [J].
Han, Chaoqun ;
Duan, Caihan ;
Zhang, Shengyan ;
Spiegel, Brennan ;
Shi, Huiying ;
Wang, Weijun ;
Zhang, Lei ;
Lin, Rong ;
Liu, Jun ;
Ding, Zhen ;
Hou, Xiaohua .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2020, 115 (06) :916-923
[4]   Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J].
Huang, Chaolin ;
Wang, Yeming ;
Li, Xingwang ;
Ren, Lili ;
Zhao, Jianping ;
Hu, Yi ;
Zhang, Li ;
Fan, Guohui ;
Xu, Jiuyang ;
Gu, Xiaoying ;
Cheng, Zhenshun ;
Yu, Ting ;
Xia, Jiaan ;
Wei, Yuan ;
Wu, Wenjuan ;
Xie, Xuelei ;
Yin, Wen ;
Li, Hui ;
Liu, Min ;
Xiao, Yan ;
Gao, Hong ;
Guo, Li ;
Xie, Jungang ;
Wang, Guangfa ;
Jiang, Rongmeng ;
Gao, Zhancheng ;
Jin, Qi ;
Wang, Jianwei ;
Cao, Bin .
LANCET, 2020, 395 (10223) :497-506
[5]   IMMUNE-RESPONSE ASSOCIATED PRODUCTION OF NEOPTERIN - RELEASE FROM MACROPHAGES PRIMARILY UNDER CONTROL OF INTERFERON-GAMMA [J].
HUBER, C ;
BATCHELOR, JR ;
FUCHS, D ;
HAUSEN, A ;
LANG, A ;
NIEDERWIESER, D ;
REIBNEGGER, G ;
SWETLY, P ;
TROPPMAIR, J ;
WACHTER, H .
JOURNAL OF EXPERIMENTAL MEDICINE, 1984, 160 (01) :310-316
[6]   Neopterin Concentration as an Index of Disease Activity in Crohn's Disease and Ulcerative Colitis [J].
Husain, Nisreen ;
Tokoro, Ken ;
Popov, Joanna M. ;
Naides, Stanley J. ;
Kwasny, Mary J. ;
Buchman, Alan L. .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2013, 47 (03) :246-251
[7]   SARS-CoV-2 productively infects human gut enterocytes [J].
Lamers, Mart M. ;
Beumer, Joep ;
van der Vaart, Jelte ;
Knoops, Kevin ;
Puschhof, Jens ;
Breugem, Tim I. ;
Ravelli, Raimond B. G. ;
van Schayck, J. Paul ;
Mykytyn, Anna Z. ;
Duimel, Hans Q. ;
van Donselaar, Elly ;
Riesebosch, Samra ;
Kuijpers, Helma J. H. ;
Schipper, Debby ;
van de Wetering, Willine J. ;
de Graafl, Miranda ;
Koopmans, Marion ;
Cuppen, Edwin ;
Peters, Peter J. ;
Haagmans, Bart L. ;
Clevers, Hans .
SCIENCE, 2020, 369 (6499) :50-+
[8]   Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection [J].
Lin, Lu ;
Jiang, Xiayang ;
Zhang, Zhenling ;
Huang, Siwen ;
Zhang, Zhenyi ;
Fang, Zhaoxiong ;
Gu, Zhiqiang ;
Gao, Liangqing ;
Shi, Honggang ;
Mai, Lei ;
Liu, Yuan ;
Lin, Xianqi ;
Lai, Renxu ;
Yan, Zhixiang ;
Li, Xiaofeng ;
Shan, Hong .
GUT, 2020, 69 (06) :997-1001
[9]   Neopterin Is a Novel Reliable Fecal Marker as Accurate as Calprotectin for Predicting Endoscopic Disease Activity in Patients with Inflammatory Bowel Diseases [J].
Nancey, Stephane ;
Boschetti, Gilles ;
Moussata, Driffa ;
Cotte, Eddy ;
Peyras, Julie ;
Cuerq, Charlotte ;
Haybrard, Julie ;
Charlois, Anne-Laure ;
Mialon, Anne ;
Chauvenet, Marion ;
Stroeymeyt, Karine ;
Kaiserlian, Dominique ;
Drai, Jocelyne ;
Flourie, Bernard .
INFLAMMATORY BOWEL DISEASES, 2013, 19 (05) :1043-1052
[10]   Clinical Characteristics of COVID-19 Patients With Digestive Symptoms in Hubei, China: A Descriptive, Cross-Sectional, Multicenter Study [J].
Pan, Lei ;
Mu, Mi ;
Yang, Pengcheng ;
Sun, Yu ;
Wang, Runsheng ;
Yan, Junhong ;
Li, Pibao ;
Hu, Baoguang ;
Wang, Jing ;
Hu, Chao ;
Jin, Yuan ;
Niu, Xun ;
Ping, Rongyu ;
Du, Yingzhen ;
Li, Tianzhi ;
Xu, Guogang ;
Hu, Qinyong ;
Tu, Lei .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2020, 115 (05) :766-773