The link between moderate COVID-19 and delayed manifestation of glomerulonephritis: Insights from cluster analysis of TGF-β1 and VEGF levels

Recent data reveal delayed pathological kidney changes occurring 8-12 months post-moderate COVID-19, often detected for the first time. While severe COVID-19 leads to interstitial and subsequent glomerular lesions, the predominant changes in moderate cases remain elusive. This study aimed to investigate the potential association between moderate COVID-19 and the manifestation of glomerulonephritis (GN). Methods. This cross-sectional study included 25 patients with stage 1-2 GN and a history of moderate COVID-19 8-12 months before the onset of GN, 27 individuals without GN who experienced COVID-19, and 20 healthy subjects without a history of COVID-19. Transforming growth factor-β1 (TGF-β1) and vascular endothelial growth factor (VEGF) levels in blood and urine were measured using enzyme-linked immunosorbent assay. Cluster and classification data mining methods were utilized for these markers to assess potential relationships between moderate COVID-19 and GN manifestation. Results. A significant increase in blood and urine TGF-β1 and VEGF levels was found in GN patients with a history of moderate COVID-19 (p<0.05), while elevated blood VEGF was observed in those without GN (p<0.05). Cluster analysis affirmed the correlation, emphasizing that urinary TGF-β1 within the range of 1.352 to 5.693 pg/ml and urinary VEGF < 214.12 pg/ml serve as classification rules for predicting GN. Conclusions. The cluster and classification analysis method for TGF-β1 and VEGF levels can be utilized in clinical practice to predict the development of GN in the long-term post-COVID period..

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Український Журнал Нефрології та Діалізу - (2024), 1(81)

Sprache:

Englisch ; Russisch ; Ukrainisch

Beteiligte Personen:

L.O. Zub [VerfasserIn]
B.V. Horban [VerfasserIn]
V.T. Kulachek [VerfasserIn]

Links:

doi.org [kostenfrei]
doaj.org [kostenfrei]
ukrjnd.com.ua [kostenfrei]
Journal toc [kostenfrei]
Journal toc [kostenfrei]

Themen:

Diseases of the genitourinary system. Urology

doi:

10.31450/ukrjnd.1(81).2024.05

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

DOAJ09719784X