A systematic review on neutrophil extracellular traps and its prognostication role in COVID-19 patients

Springer Science and Business Media LLC - Tập 70 - Trang 449-460 - 2022
Phey Liana1,2, Iche Andriyani Liberty3, Krisna Murti4, Zen Hafy5, Eddy Mart Salim6, Mohammad Zulkarnain3, Tungki Pratama Umar7
1Department of Clinical Pathology, Faculty of Medicine, Universitas Sriwijaya/Dr Mohammad Hoesin General Hospital, Palembang, Indonesia
2Biomedicine Doctoral Program, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
3Department of Public Health and Community Medicine, Universitas Sriwijaya, Palembang, Indonesia
4Department of Anatomic Pathology, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
5Biomedical Department, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
6Division of Allergy and Immunology, Department of Internal Medicine, Faculty of Medicine, Universitas Sriwijaya/Dr, Mohammad Hoesin General Hospital, Palembang, Indonesia
7Medical Profession Program, Faculty of Medicine, Sriwijaya University, Palembang, Indonesia

Tóm tắt

Neutrophil extracellular traps (NETs) are extracellular webs composed of neutrophil granular and nuclear elements. Because of the potentially dangerous amplification circuit between inflammation and tissue damage, NETs are becoming one of the investigated components in the current Coronavirus Disease 2019 (COVID-19) pandemic. The purpose of this systematic review is to summarize studies on the role of NETs in determining the prognosis of COVID-19 patients. The study used six databases: PubMed, Science Direct, EBSCOHost, Europe PMC, ProQuest, and Scopus. This literature search was implemented until October 31, 2021. The search terms were determined specifically for each databases, generally included the Neutrophil Extracellular Traps, COVID-19, and prognosis. The Newcastle Ottawa Scale (NOS) was then used to assess the risk of bias. Ten studies with a total of 810 participants were chosen based on the attainment of the prerequisite. Two were of high quality, seven were of moderate quality, and the rest were of low quality. The majority of studies compared COVID-19 to healthy control. Thrombosis was observed in three studies, while four studies recorded the need for mechanical ventilation. In COVID-19 patients, the early NETs concentration or the evolving NETs degradations can predict patient mortality. Based on their interactions with inflammatory and organ dysfunction markers, it is concluded that NETs play a significant role in navigating the severity of COVID-19 patients and thus impacting their prognosis.

Tài liệu tham khảo

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