Salivary Ferritin Changes in Patients with COVID-19

High ferritin serum levels can be found in patients with macrophage activation syndrome, and increased serum ferritin due to cytokine storm have been reported in severe COVID-19 patients. Saliva is being increasingly used in COVID-19 tests as a diagnostic sample for virus detection and quantification. This study aimed to evaluate the possible changes in ferritin in saliva in COVID-19 patients. In addition, the effects of different inactivation SARS-CoV-2 treatments in ferritin measurements in saliva, the correlation between ferritin in saliva and serum, and the possible effects of correction of ferritin values by total protein were assessed. Ferritin was measured in saliva from healthy (n = 30) and COVID-19 (n = 65) patients with severe, (n = 18) or mild (n = 47) disease, depending on the need for nasal flow oxygen or assisted respiration. Ferritin was also measured in paired serum and saliva samples (n = 32) from healthy and COVID-19 patients. The evaluated inactivation protocols did not affect the assay's results except the addition of 0.5% SDS. Significantly higher ferritin was found in the saliva of COVID-19 patients (median; 25-75th percentile) (27.75; 9.77-52.2 µg/L), compared with healthy controls (4.21; 2.6-8.08 µg/L). Individuals with severe COVID-19 showed higher ferritin values in saliva (48.7; 18.7-53.9) than mild ones (15.5; 5.28-41.3 µg/L). Significant correlation (r = 0.425; p < 0.001) was found between serum and saliva in ferritin. Ferritin levels were higher in COVID-19 patients in serum and saliva, and the highest values were found in those patients presenting severe symptomatology. In conclusion, ferritin in saliva has the potential to be a biomarker to evaluate severity in patients with COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

International journal of environmental research and public health - 19(2021), 1 vom: 21. Dez.

Sprache:

Englisch

Beteiligte Personen:

Franco-Martínez, Lorena [VerfasserIn]
Cerón, José J [VerfasserIn]
Vicente-Romero, María R [VerfasserIn]
Bernal, Enrique [VerfasserIn]
Torres Cantero, Alberto [VerfasserIn]
Tecles, Fernando [VerfasserIn]
Sánchez Resalt, Cristina [VerfasserIn]
Martínez, Mónica [VerfasserIn]
Tvarijonaviciute, Asta [VerfasserIn]
Martínez-Subiela, Silvia [VerfasserIn]

Links:

Volltext

Themen:

9007-73-2
Biomarker
Biomarkers
COVID-19
Ferritin
Ferritins
Journal Article
Non-invasive sample
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 13.01.2022

Date Revised 05.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph19010041

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM335454534