Proteomics validate circulating GDF-15 as an independent biomarker for COVID-19 severity.

Autor: Simeng Bu, Royston, Léna, Mabanga, Tsoarello, Berini, Carolina A., Tremblay, Cécile, Lebouché, Bertrand, Cox, Joseph, Costiniuk, Cecilia T., Durand, Madeleine, Isnard, Stephane, Routy, Jean-Pierre
Předmět:
Zdroj: Frontiers in Immunology; 2024, p1-11, 11p
Abstrakt: Introduction: Growth differentiation factor 15 (GDF-15)was originally described as a stress-induced cytokine, and a biomarker of aging and cardiovascular diseases. We hypothesized that circulating GDF-15 would be associated with COVID-19 disease severity. Herein, we explored this hypothesis in a large cohort of COVID-19 patients. Methods: Blood samples were collected from 926 COVID-19 adult patients and from 285 hospitalized controls from the Biobanque Que'be'coise de la COVID-19 (BQC19). COVID-19 severity was graded according to the WHO criteria. SOMAscan proteomics assay was performed on 50µL of plasma. ELISA were performed on 46 selected participants with left-over plasma to validate differences in plasma GDF-15 levels. Statistical analyses were conducted using GraphPad Prism 9.0 and SPSS. P values < 0.01 were considered significant. Results: Proteomics showed that plasma GDF-15 levels were higher in COVID-19 patients compared to hospitalized controls. GDF-15 levels increased with COVID-19 severity. COVID-19 patients presenting with comorbidities including diabetes, cancer, chronic obstructive pulmonary disease (COPD) and cardiovascular disease had higher GDF-15 levels. ELISA revealed significant elevation of GDF-15 until 30 days after hospitalization. Plasma GDF-15 elevationwas correlated with older age.Moreover, GDF-15 levels correlated with pro-inflammatory cytokine interleukin-6 (IL-6) and inflammation marker C-reactive protein (CRP) as well as soluble levels of its putative receptor CD48. No association was established between anti-SARS-CoV-2 IgG levels and plasma GDF-15 levels. Conclusions: This study confirms GDF-15 as a biomarker for COVID-19 severity. Clinical evaluation of GDF-15 levels could assist identification of persons at highrisk of progressing to severe disease, thus improving patient care. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index