Yıl: 2022 Cilt: 75 Sayı: 3 Sayfa Aralığı: 400 - 405 Metin Dili: İngilizce DOI: 10.4274/atfm.galenos.2022.49354 İndeks Tarihi: 31-10-2022

The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients

Öz:
Objectives: Coronavirus disease-2019 (COVID-19) spreads quickly all over the world. Interleukin-1 (IL-1) is a proinflammatory cytokine associated with SARS-CoV-2, causing lung damage. Anakinra is an IL-1 receptor antagonist. In this study, we aimed to describe the characteristics of COVID-19 patients who survived after anakinra treatment. Materials and Methods: Forty-four patients who did not respond to pulse steroid treatment and were given 8 mg/kg Anakinra were included in this study. The clinical, laboratory, and imaging [thorax computed tomography (CT)] findings of survivors and non-survivors who received anakinra treatment were compared. Results: Most of the patients were male (81.8%), the median follow-up period was 19.5 (IQR 15.5) days. Of the patients, 40.9% died. The median age was higher (p<0.001), and diabetes mellitus was more common (p<0.034) in non-survivors. In multivariate cox regression analysis, the presence of underlying hypertension (p=0.017) and pure ground glass opacity (GGO) on thorax CT at first admission to hospital (p=0.04) were found to be independent risk factors for mortality in COVID-19 patients treated with anakinra. Conclusion: The presence of hypertension in COVID-19 patients and the presence of pure GGO on thorax CT at first admission to the hospital are the findings that may reduce the response to anakinra treatment. Prospective studies with larger patient populations are needed to demonstrate the validity of this finding.
Anahtar Kelime:

COVID-19 Hastalarında İnterlökin-1 Reseptör Antagonistlerinin Etkinliğini Etkileyen Faktörler

Öz:
Amaç: Koronavirüs hastalığı-2019 (COVID-19) tüm dünyaya hızla yayılmaktadır. İnterlökin-1 (IL-1), akciğer hasarına neden olan SARS-CoV-2 ile bağlantılı proinflamatuar bir sitokindir. Anakinra, bir IL-1 reseptör antagonistidir. Bu çalışmada anakinra tedavisi sonrası hayatta kalan COVID-19 hastalarının özelliklerini açıklamaya hedefledik. Gereç ve Yöntem: Pulse steroid tedavisine yanıt vermeyen ve 8 mg/kg Anakinra verilen 44 hasta çalışmaya dahil edildi. Anakinra sonrası sağ kalan ve yaşamayan hastaların klinik, laboratuvar ve görüntüleme [toraks bilgisayarlı tomografi (BT)] bulguları karşılaştırıldı. Bulgular: Hastaların çoğu erkekti (%81,8), medyan takip süresi 19,5 (IQR 15.5) gündü. Hastaların %40,9’unda ölüm meydana geldi. Yaşamayan grupta ortanca yaş daha yüksek (p<0,001) ve diabetes mellitus daha yaygındı (p<0,034). Çok değişkenli cox regresyon analizinde, anakinra ile tedavi edilen COVID-19 hastalarında altta yatan hipertansiyon varlığı (p=0,017) ve hastaneye ilk başvurusundaki akciğer bilgisayarlı tomografisinde saf buzlu cam görünümünün (p=0,04) bağımsız mortalite risk faktörleri olduğu bulundu. Sonuç: COVID-19 hastalarında hipertansiyon varlığı ve hastaneye ilk başvuruda akciğer BT’sinde saf buzlu cam varlığı anakinra tedavisine yanıtı azaltabilecek durumlardır. Bu bulgunun geçerliliğini göstermek için daha büyük hasta popülasyonları ile ileriye dönük çalışmalara ihtiyaç vardır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA uslu yurteri e, alparslan v, Serindere M, Yayla M, Eser M, batmaz l, Mizrak Kaya D (2022). The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. , 400 - 405. 10.4274/atfm.galenos.2022.49354
Chicago uslu yurteri emine,alparslan volkan,Serindere Mehmet,Yayla Müçteba Enes,Eser Metin,batmaz leyla,Mizrak Kaya Dilsa The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. (2022): 400 - 405. 10.4274/atfm.galenos.2022.49354
MLA uslu yurteri emine,alparslan volkan,Serindere Mehmet,Yayla Müçteba Enes,Eser Metin,batmaz leyla,Mizrak Kaya Dilsa The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. , 2022, ss.400 - 405. 10.4274/atfm.galenos.2022.49354
AMA uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. . 2022; 400 - 405. 10.4274/atfm.galenos.2022.49354
Vancouver uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. . 2022; 400 - 405. 10.4274/atfm.galenos.2022.49354
IEEE uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D "The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients." , ss.400 - 405, 2022. 10.4274/atfm.galenos.2022.49354
ISNAD uslu yurteri, emine vd. "The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients". (2022), 400-405. https://doi.org/10.4274/atfm.galenos.2022.49354
APA uslu yurteri e, alparslan v, Serindere M, Yayla M, Eser M, batmaz l, Mizrak Kaya D (2022). The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(3), 400 - 405. 10.4274/atfm.galenos.2022.49354
Chicago uslu yurteri emine,alparslan volkan,Serindere Mehmet,Yayla Müçteba Enes,Eser Metin,batmaz leyla,Mizrak Kaya Dilsa The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75, no.3 (2022): 400 - 405. 10.4274/atfm.galenos.2022.49354
MLA uslu yurteri emine,alparslan volkan,Serindere Mehmet,Yayla Müçteba Enes,Eser Metin,batmaz leyla,Mizrak Kaya Dilsa The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol.75, no.3, 2022, ss.400 - 405. 10.4274/atfm.galenos.2022.49354
AMA uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022; 75(3): 400 - 405. 10.4274/atfm.galenos.2022.49354
Vancouver uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022; 75(3): 400 - 405. 10.4274/atfm.galenos.2022.49354
IEEE uslu yurteri e,alparslan v,Serindere M,Yayla M,Eser M,batmaz l,Mizrak Kaya D "The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients." Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75, ss.400 - 405, 2022. 10.4274/atfm.galenos.2022.49354
ISNAD uslu yurteri, emine vd. "The Factors Affecting the Efficacy of Interleukin-1 Receptor Antagonists in COVID-19 Patients". Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/3 (2022), 400-405. https://doi.org/10.4274/atfm.galenos.2022.49354