Dyslipidemia and inflammation as hallmarks of oxidative stress in COVID-19: A follow-up study

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  • dc.contributor.author Aparisi, Álvaro
  • dc.contributor.author Martín-Fernández, Marta
  • dc.contributor.author Ybarra-Falcón, Cristina
  • dc.contributor.author Gil, José Francisco
  • dc.contributor.author Carrasco-Moraleja, Manuel
  • dc.contributor.author Martínez-Paz, Pedro
  • dc.contributor.author Cusácovich, Iván
  • dc.contributor.author Gonzalo-Benito, Hugo
  • dc.contributor.author Fuertes, Raúl
  • dc.contributor.author Marcos-Mangas, Marta
  • dc.contributor.author Iglesias-Echeverría, Carolina
  • dc.contributor.author San Román, J. Alberto
  • dc.contributor.author Tamayo Aguirre, Eduardo
  • dc.contributor.author Andaluz Ojeda, David
  • dc.contributor.author Tamayo-Velasco, Álvaro
  • dc.date.accessioned 2023-04-12T06:10:47Z
  • dc.date.available 2023-04-12T06:10:47Z
  • dc.date.issued 2022
  • dc.description.abstract Recent works have demonstrated a significant reduction in cholesterol levels and increased oxidative stress in patients with coronavirus disease 2019 (COVID-19). The cause of this alteration is not well known. This study aimed to comprehensively evaluate their possible association during the evolution of COVID-19. This is an observational prospective study. The primary endpoint was to analyze the association between lipid peroxidation, lipid, and inflammatory profiles in COVID-19 patients. A multivariate regression analysis was employed. The secondary endpoint included the long-term follow-up of lipid profiles. COVID-19 patients presented significantly lower values in their lipid profile (total, low, and high-density lipoprotein cholesterol) with greater oxidative stress and inflammatory response compared to the healthy controls. Lipid peroxidation was the unique oxidative parameter with a significant association with the total cholesterol (OR: 0.982; 95% CI: 0.969-0.996; p = 0.012), IL1-RA (OR: 0.999; 95% CI: 0.998-0.999; p = 0.021) IL-6 (OR: 1.062; 95% CI: 1.017-1.110; p = 0.007), IL-7 (OR: 0.653; 95% CI: 0.433-0.986; p = 0.042) and IL-17 (OR: 1.098; 95% CI: 1.010-1.193; p = 0.028). Lipid abnormalities recovered after the initial insult during long-term follow-up (IQR 514 days); however, those with high LPO levels at hospital admission had, during long-term follow-up, an atherogenic lipid profile. Our study suggests that oxidative stress in COVID-19 is associated with derangements of the lipid profile and inflammation. Survivors experienced a recovery in their lipid profiles during long-term follow-up, but those with stronger oxidative responses had an atherogenic lipid profile.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Aparisi Á, Martín-Fernández M, Ybarra-Falcón C, Gil JF, Carrasco-Moraleja M, Martínez-Paz P, Cusácovich I, Gonzalo-Benito H, Fuertes R, Marcos-Mangas M, Iglesias-Echeverría C, San Román JA, Tamayo E, Andaluz-Ojeda D, Tamayo-Velasco Á. Dyslipidemia and inflammation as hallmarks of oxidative stress in COVID-19: A follow-up study. Int J Mol Sci. 2022 Dec 5;23(23):15350. DOI: 10.3390/ijms232315350
  • dc.identifier.doi http://dx.doi.org/10.3390/ijms232315350
  • dc.identifier.issn 1422-0067
  • dc.identifier.uri http://hdl.handle.net/10230/56448
  • dc.language.iso eng
  • dc.publisher MDPI
  • dc.relation.ispartof Int J Mol Sci. 2022 Dec 5;23(23):15350
  • dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword COVID-19
  • dc.subject.keyword Inflammation
  • dc.subject.keyword Lipid peroxidation
  • dc.subject.keyword Lipoproteins
  • dc.subject.keyword Oxidative stress
  • dc.subject.keyword Total cholesterol
  • dc.title Dyslipidemia and inflammation as hallmarks of oxidative stress in COVID-19: A follow-up study
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion