| Autor: |
Anton S.M. Dofferhoff, Ianthe Piscaer, Leon J. Schurgers, Jona Walk, Jody M.W. van den Ouweland, Tilman M. Hackeng, Pim A. de Jong, Reinoud Gosens, Petra Lux, Henny van Daal, Cecile Maassen, Esther G.A. Maassen, Loes E.M. Kistemaker, Cees Vermeer, Emiel F.M. Wouters, Rob Janssen |
| Rok vydání: |
2020 |
| Předmět: |
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| DOI: |
10.20944/preprints202004.0457.v2 |
| Popis: |
Background: A significant proportion of SARS-CoV-2-infected patients develops respiratory failure. Thromboembolism is also prevalent in coronavirus disease 2019 (Covid-19). Vitamin K plays a role in coagulation and possibly also in lung diseases. We therefore hypothesized that vitamin K is implicated in Covid-19 pathogenesis. Methods: 134 Covid-19 patients and 184 controls were included. Inactive vitamin K-dependent matrix Gla protein (i.e.dp-ucMGP) and prothrombin (i.e. PIVKA-II) were measured, which are inversely related to respectively extrahepatic and hepatic vitamin K status. Desmosine was measured to quantify elastic fiber degradation. Lung involvement and arterial calcifications severity were assessed by computed tomography. Results Dp-ucMGP was elevated in Covid-19 patients compared to controls (P=0.001). Higher dp-ucMGP was found in Covid-19 patients with poor compared to better outcomes (P=0.002). PIVKA-II was normal in 81.8%, mildly elevated in 14.0% and moderately elevated in 4.1% of Covid-19 patients not using vitamin K antagonists. Dp-ucMGP in Covid-19 patients was correlated with desmosine (P |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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