High GRP78 Levels in Covid-19 Infection: A Case-Control Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Determination of the change of the serum GRP-78 protein levels in patients who have Covid-19 infection compared to control group
研究概览
简要总结
Covid-19 infection was declared a global pandemic by WHO on March 11, 2020. GRP78 protein is known to be involved in the intrusion of numerous viruses. Our current study tries to provide some insight into the variation of GRP78 protein levels in patients with Covid-19(-) pneumonia, Covid-19(+) pneumonia, and CT negative Covid-19 infection in comparison to the normal population through a larger number of cases.
42 patients who have Covid-19(-) pneumonia; 72 patients who have Covid-19 infection (30 pneumonia,42 CT negative patients) and 30 patient who have no known diseases (control group) will be included in the study after the clinical and radiological evaluation. Serum GRP78 levels of the subjects will be measured through a commercially available enzyme-linked immunosorbent assay (ELISA) kit.
详细描述
Caused by a new type of coronavirus (SARS-CoV-2) that emerged in China in late 2019 and then were imported throughout the world, Covid-19 infection was declared a global pandemic by WHO on March 11, 2020 (1). Covid-19 infection may manifest itself in severe clinical conditions, ranging from viral upper respiratory tract infection to pneumonia, sepsis, septic shock, and even acute respiratory distress syndrome (ARDS), in symptomatic patients .
This study tries to provide some insight into the variation of GRP78 protein levels in patients with Covid-19 (-) pneumonia, Covid-19 (+) pneumonia, and CT negative Covid-19 infection in comparison to the normal population through a larger number of cases.
The present study is a prospective case-control study, and the required approval was obtained from the Ethics Committee of Pamukkale University prior to the study (60116787-020 / 26598 numbered).
The present study will be included the patients who were admitted between April 2020 and June 2020 to Covid-19 pandemic outpatient clinic of the emergency department (ED) with symptoms of upper respiratory tract infection and pneumonia, were asymptomatic, were established to be Covid-19 PCR (+) during contact tracing, and presented to the ED for further examination and treatment. After the required information concerning the study will be provided both to the patient group and to the healthy control group, the written consent forms will be obtained from all the subjects who agreed to participate in the study. The healthy volunteers with no known chronic or acute disease or drug use as well as no recent history of infection will be included study as the control group. Once these subjects will be assessed in accordance with the inclusion and exclusion criteria, they will be divided into three groups as the Covid-19(-) pneumonia group, the Covid-19 infection group, and the healthy control group.
Chest CT will performed at the time of admission of the patients to the ED was assessed under the criteria of the Radiological Society of North America Expert Consensus by an emergency physician who followed up the patient clinically. The pneumonia cases will be classified in line with these criteria and recorded in the clinical classification dataset.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- •Diagnosis of kidney and liver failure,
- •Acute pulmonary embolism,
- •Chronic inflammatory disease history (rheumatological disease, autoimmune disease),
- •Pregnancy,
- •Presence of any cancer diagnosis,
- •Chronic obstructive pulmonary disease,
- •Asthma disease
- •History of cerebrovascular disease
- •Patient Groups;
- •Covid-19 infection Group;
- •Inculusion Criteria .Presenting Whose CT imagings were normal in accordance with the RSNAEC criteria.
- •To have positive Covid-19 PCR test
- •To have Covid-19 PCR tests were positive as a result of contact tracing,
- •Presenting to the ED for further examination.
- •Exclusion Criteria
- •Diagnosis of kidney and liver failure,
- •Acute pulmonary embolism
- •Chronic inflammatory disease history (rheumatological disease, autoimmune disease)
- •Pregnancy
- •Presence of any cancer diagnosis
- •Chronic obstructive pulmonary disease
- •Asthma disease
- •History of cerebrovascular disease .To have a CT imagings that is compatible with Covid-19 pneumonia but whose PCR tests were negative.
- •Covid-19 Pneumonia Group
- •Inclusion Criteria
- •Presenting to the Covid-19 outpatient policlinic of the ED with pneumonia symptoms
- •To have CT imagings were not compatible with Covid-19 pneumonia in accordance with the .Radiological Society of North America Expert Consensus (RSNAEC) criteria
- •To have nasopharyngeal swab samples taken in the ED were negative for PCR, and .To give their informed consent to participate in the study.
- •Exclusion Criteria
- •To have diagnosis of kidney and liver failure,
- •Acute pulmonary embolism
- •Chronic inflammatory disease history (rheumatological disease, autoimmune disease)
结局指标
主要结局
Determination of the change of the serum GRP-78 protein levels in patients who have Covid-19 infection compared to control group
时间窗: 2 months
The change of the serum levels of the GRP-78 protein levels in patient who have Covid 19 infection compared to control group. It will be determined whether GRP-78 protein level change in Covid-19 infection.
Determination of the change of the serum GRP-78 protein levels in patients who have Covid-19 infection compared to Covid-19 negative pneumonia group.
时间窗: 2 months
The change of the serum levels of the GRP-78 protein levels in patient who have Covid 19 infection compared to Covid-19 negative pneumonia group.. It will be determined whether GRP-78 protein level change in Covid-19 (-) pneumonia.
次要结局
- Determination of the correlations between laboratory parameters, clinical parameters and radiological parameters(2 months)