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Endocan as a marker of endotheliitis in COVID-19 patients

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Resumo:BACKGROUND AND AIMS: Endocan has been scarcely explored in COVID-19, especially regarding its modulation by veno-venous extracorporeal membrane oxygenation (VV-ECMO), hypertension or previous renin-angiotensin-aldosterone system (RAAS) inhibitors treatment. We compared endocan and other endotheliitis markers in hospitalized COVID-19 patients and assessed their modulation by VV-ECMO, hypertension and previous RAAS inhibitors treatment. MATERIAL AND METHODS: Serum endocan, intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1) and E-selectin were measured in "severe" (n = 27), "critically ill" (n = 17) and "critically ill on VV-ECMO" (n = 17) COVID-19 patients at admission, days 3-4, 5-8 and weekly thereafter, and in controls (n = 23) at a single time point. RESULTS: Admission endocan and VCAM-1 were increased in all patients, but "critically ill on VV-ECMO" patients had higher endocan and E-Selectin. Endocan remained elevated throughout hospitalization in all groups. "Severe" and "critically ill" hypertensive patients or previously treated with RAAS inhibitors had higher endocan and/or VCAM-1, but in VV-ECMO patients the raised endocan values seemed unrelated with these factors. Among all COVID-19 hypertensive patients, those with previous RAAS inhibitors treatment had higher endocan. CONCLUSIONS: In our study, endocan stands out as the best marker of endotheliitis in hospitalized COVID-19 patients, being upregulated by VV-ECMO support, hypertension and previous RAAS inhibitor treatment.
Autores principais:Reina-Couto, Marta
Outros Autores:Alves, David; Silva-Pereira, Carolina; Pereira-Terra, Patrícia; Martins, Sandra; Bessa, João; Teixeira-Santos, Luísa; Pinho, Dora; Morato, Manuela; Dias, Cláudia Camila; Sarmento, António; Tavares, Margarida; Guimarães, João T.; Roncon-Albuquerque, Roberto; Paiva, José Artur; Albino-Teixeira, António; Sousa, Teresa
Assunto:COVID-19 Endocan Endotheliitis Hypertension RAAS inhibitors VV-ECMO Immunology Pharmacology
Ano:2025
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade Nova de Lisboa
Idioma:inglês
Origem:Repositório Institucional da UNL
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author Reina-Couto, Marta
author2 Alves, David
Silva-Pereira, Carolina
Pereira-Terra, Patrícia
Martins, Sandra
Bessa, João
Teixeira-Santos, Luísa
Pinho, Dora
Morato, Manuela
Dias, Cláudia Camila
Sarmento, António
Tavares, Margarida
Guimarães, João T.
Roncon-Albuquerque, Roberto
Paiva, José Artur
Albino-Teixeira, António
Sousa, Teresa
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Reina-Couto, Marta
Alves, David
Silva-Pereira, Carolina
Pereira-Terra, Patrícia
Martins, Sandra
Bessa, João
Teixeira-Santos, Luísa
Pinho, Dora
Morato, Manuela
Dias, Cláudia Camila
Sarmento, António
Tavares, Margarida
Guimarães, João T.
Roncon-Albuquerque, Roberto
Paiva, José Artur
Albino-Teixeira, António
Sousa, Teresa
author_role author
contributor_name_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Science and Business Media Deutschland GmbH
RUN
country_str PT
creators_json_txt [{\"Person.name\":\"Reina-Couto, Marta\"},{\"Person.name\":\"Alves, David\"},{\"Person.name\":\"Silva-Pereira, Carolina\"},{\"Person.name\":\"Pereira-Terra, Patrícia\"},{\"Person.name\":\"Martins, Sandra\"},{\"Person.name\":\"Bessa, João\"},{\"Person.name\":\"Teixeira-Santos, Luísa\"},{\"Person.name\":\"Pinho, Dora\"},{\"Person.name\":\"Morato, Manuela\"},{\"Person.name\":\"Dias, Cláudia Camila\"},{\"Person.name\":\"Sarmento, António\"},{\"Person.name\":\"Tavares, Margarida\"},{\"Person.name\":\"Guimarães, João T.\"},{\"Person.name\":\"Roncon-Albuquerque, Roberto\"},{\"Person.name\":\"Paiva, José Artur\"},{\"Person.name\":\"Albino-Teixeira, António\"},{\"Person.name\":\"Sousa, Teresa\"}]
datacite.contributors.contributor.contributorName.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Science and Business Media Deutschland GmbH
RUN
datacite.creators.creator.creatorName.fl_str_mv Reina-Couto, Marta
Alves, David
Silva-Pereira, Carolina
Pereira-Terra, Patrícia
Martins, Sandra
Bessa, João
Teixeira-Santos, Luísa
Pinho, Dora
Morato, Manuela
Dias, Cláudia Camila
Sarmento, António
Tavares, Margarida
Guimarães, João T.
Roncon-Albuquerque, Roberto
Paiva, José Artur
Albino-Teixeira, António
Sousa, Teresa
datacite.date.Accepted.fl_str_mv 2025-01-25T00:00:00Z
datacite.date.available.fl_str_mv 2025-02-18T21:21:07Z
datacite.date.embargoed.fl_str_mv 2025-02-18T21:21:07Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
datacite.titles.title.fl_str_mv Endocan as a marker of endotheliitis in COVID-19 patients
modulation by veno-venous extracorporeal membrane oxygenation, arterial hypertension and previous treatment with renin-angiotensin-aldosterone system inhibitors
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Springer Science and Business Media Deutschland GmbH
RUN
dc.creator.none.fl_str_mv Reina-Couto, Marta
Alves, David
Silva-Pereira, Carolina
Pereira-Terra, Patrícia
Martins, Sandra
Bessa, João
Teixeira-Santos, Luísa
Pinho, Dora
Morato, Manuela
Dias, Cláudia Camila
Sarmento, António
Tavares, Margarida
Guimarães, João T.
Roncon-Albuquerque, Roberto
Paiva, José Artur
Albino-Teixeira, António
Sousa, Teresa
dc.date.Accepted.fl_str_mv 2025-01-25T00:00:00Z
dc.date.available.fl_str_mv 2025-02-18T21:21:07Z
dc.date.embargoed.fl_str_mv 2025-02-18T21:21:07Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10362/179283
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
dc.title.fl_str_mv Endocan as a marker of endotheliitis in COVID-19 patients
modulation by veno-venous extracorporeal membrane oxygenation, arterial hypertension and previous treatment with renin-angiotensin-aldosterone system inhibitors
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description BACKGROUND AND AIMS: Endocan has been scarcely explored in COVID-19, especially regarding its modulation by veno-venous extracorporeal membrane oxygenation (VV-ECMO), hypertension or previous renin-angiotensin-aldosterone system (RAAS) inhibitors treatment. We compared endocan and other endotheliitis markers in hospitalized COVID-19 patients and assessed their modulation by VV-ECMO, hypertension and previous RAAS inhibitors treatment. MATERIAL AND METHODS: Serum endocan, intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1) and E-selectin were measured in "severe" (n = 27), "critically ill" (n = 17) and "critically ill on VV-ECMO" (n = 17) COVID-19 patients at admission, days 3-4, 5-8 and weekly thereafter, and in controls (n = 23) at a single time point. RESULTS: Admission endocan and VCAM-1 were increased in all patients, but "critically ill on VV-ECMO" patients had higher endocan and E-Selectin. Endocan remained elevated throughout hospitalization in all groups. "Severe" and "critically ill" hypertensive patients or previously treated with RAAS inhibitors had higher endocan and/or VCAM-1, but in VV-ECMO patients the raised endocan values seemed unrelated with these factors. Among all COVID-19 hypertensive patients, those with previous RAAS inhibitors treatment had higher endocan. CONCLUSIONS: In our study, endocan stands out as the best marker of endotheliitis in hospitalized COVID-19 patients, being upregulated by VV-ECMO support, hypertension and previous RAAS inhibitor treatment.
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eu_rights_str_mv openAccess
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identifier.url.fl_str_mv http://hdl.handle.net/10362/179283
inst_facet_str urn:organizationAcronym:unl{{{_:::_}}}Universidade Nova de Lisboa
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institution Universidade Nova de Lisboa
instname_str Universidade Nova de Lisboa
language eng
network_acronym_str run
network_name_str Repositório Institucional da UNL
oai_identifier_str oai:run.unl.pt:10362/179283
organization_str_mv urn:organizationAcronym:unl
person_str_mv Reina-Couto, Marta
Alves, David
Silva-Pereira, Carolina
Pereira-Terra, Patrícia
Martins, Sandra
Bessa, João
Teixeira-Santos, Luísa
Pinho, Dora
Morato, Manuela
Dias, Cláudia Camila
Sarmento, António
Tavares, Margarida
Guimarães, João T.
Roncon-Albuquerque, Roberto
Paiva, José Artur
Albino-Teixeira, António
Sousa, Teresa
publishDate 2025
repo_facet_str urn:repositoryAcronym:run{{{_:::_}}}Repositório Institucional da UNL
reponame_str Repositório Institucional da UNL
repository_id_str urn:repositoryAcronym:run
service_str_mv urn:repositoryAcronym:run
spelling engenBACKGROUND AND AIMS: Endocan has been scarcely explored in COVID-19, especially regarding its modulation by veno-venous extracorporeal membrane oxygenation (VV-ECMO), hypertension or previous renin-angiotensin-aldosterone system (RAAS) inhibitors treatment. We compared endocan and other endotheliitis markers in hospitalized COVID-19 patients and assessed their modulation by VV-ECMO, hypertension and previous RAAS inhibitors treatment. MATERIAL AND METHODS: Serum endocan, intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1) and E-selectin were measured in "severe" (n = 27), "critically ill" (n = 17) and "critically ill on VV-ECMO" (n = 17) COVID-19 patients at admission, days 3-4, 5-8 and weekly thereafter, and in controls (n = 23) at a single time point. RESULTS: Admission endocan and VCAM-1 were increased in all patients, but "critically ill on VV-ECMO" patients had higher endocan and E-Selectin. Endocan remained elevated throughout hospitalization in all groups. "Severe" and "critically ill" hypertensive patients or previously treated with RAAS inhibitors had higher endocan and/or VCAM-1, but in VV-ECMO patients the raised endocan values seemed unrelated with these factors. Among all COVID-19 hypertensive patients, those with previous RAAS inhibitors treatment had higher endocan. CONCLUSIONS: In our study, endocan stands out as the best marker of endotheliitis in hospitalized COVID-19 patients, being upregulated by VV-ECMO support, hypertension and previous RAAS inhibitor treatment.application/pdfenEndocan as a marker of endotheliitis in COVID-19 patientsSubtitleenmodulation by veno-venous extracorporeal membrane oxygenation, arterial hypertension and previous treatment with renin-angiotensin-aldosterone system inhibitorsReina-Couto, MartaAlves, DavidSilva-Pereira, CarolinaPereira-Terra, PatríciaMartins, SandraBessa, JoãoTeixeira-Santos, LuísaPinho, DoraMorato, ManuelaDias, Cláudia CamilaSarmento, AntónioTavares, MargaridaGuimarães, João T.Roncon-Albuquerque, RobertoPaiva, José ArturAlbino-Teixeira, AntónioSousa, TeresaNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Springer Science and Business Media Deutschland GmbHHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptISSNIsPartOf1420-908XURNIsPartOfPURE: 109998935URNIsPartOfPURE UUID: f0e3247f-4110-4de0-823a-8cc6cfdc60faURNIsPartOfScopus: 85217001794URNIsPartOfPubMed: 39862311DOIIsPartOf10.1007/s00011-024-01964-82025-02-18T21:21:07Z2025-01-252025-01-25T00:00:00ZHandlehttp://hdl.handle.net/10362/179283http://purl.org/coar/access_right/c_abf2open accessCOVID-19EndocanEndotheliitisHypertensionRAAS inhibitorsVV-ECMOImmunologyPharmacology2908623 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/64e20dfb-daff-4c3a-a15c-46e1b80a6a54/download
spellingShingle Endocan as a marker of endotheliitis in COVID-19 patients
Reina-Couto, Marta
COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
status SINGLETON
subject.fl_str_mv COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
title Endocan as a marker of endotheliitis in COVID-19 patients
title_full Endocan as a marker of endotheliitis in COVID-19 patients
title_fullStr Endocan as a marker of endotheliitis in COVID-19 patients
title_full_unstemmed Endocan as a marker of endotheliitis in COVID-19 patients
title_short Endocan as a marker of endotheliitis in COVID-19 patients
title_sort Endocan as a marker of endotheliitis in COVID-19 patients
topic COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
topic_facet COVID-19
Endocan
Endotheliitis
Hypertension
RAAS inhibitors
VV-ECMO
Immunology
Pharmacology
url http://hdl.handle.net/10362/179283
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