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Urinary cytokines correlate with acute kidney injury in critically ill COVID-19 patients

Gradin, Anna (author)
Uppsala universitet,Anestesiologi och intensivvård
Andersson, Hanna (author)
Uppsala universitet,Anestesiologi och intensivvård
Luther, Tomas (author)
Uppsala universitet,Anestesiologi och intensivvård
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Bülow Anderberg, Sara (author)
Uppsala universitet,Anestesiologi och intensivvård
Rubertsson, Sten (author)
Uppsala universitet,Anestesiologi och intensivvård
Lipcsey, Miklós (author)
Uppsala universitet,Hedenstiernalaboratoriet
Åberg, Mikael (author)
Uppsala universitet,Klinisk kemi
Larsson, Anders (author)
Uppsala universitet,Klinisk kemi
Frithiof, Robert (author)
Uppsala universitet,Anestesiologi och intensivvård
Hultström, Michael, 1978- (author)
Uppsala universitet,Anestesiologi och intensivvård,Integrativ Fysiologi
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 (creator_code:org_t)
Springer Nature, 2021
2021
English.
In: Cytokine. - : Springer Nature. - 1043-4666 .- 1096-0023. ; 146
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: Acute kidney injury is common in COVID-19 patients admitted to the ICU. Urinary biomarkers are a non-invasive way of assaying renal damage, and so far, urinary cytokines are not fully investigated. The current study aimed to assess urinary cytokine levels in COVID-19 patients.METHODS: Urine was collected from COVID-19 patients (n = 29) in intensive care and compared to a preoperative group of patients (n = 9) with no critical illness. 92 urinary cytokines were analyzed in multiplex using the Olink Target 96 inflammation panel and compared to clinical characteristics, and urinary markers of kidney injury.RESULTS: There were strong correlations between proinflammatory cytokines and between urinary cytokines and urinary kidney injury markers in 29 COVID-19 patients. Several cytokines were correlated to kidney injury, 31 cytokines to AKI stage and 19 cytokines correlated to maximal creatinine.CONCLUSIONS: Urinary inflammatory cytokines from a wide range of immune cell lineages were significantly upregulated during COVID-19 and the upregulation correlated with acute kidney injury as well as urinary markers of kidney tissue damage.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Keyword

Acute kidney injury
Biomarkers
COVID-19
Inflammation
Intensive care
Urine

Publication and Content Type

ref (subject category)
art (subject category)

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