Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients

Recent studies indicate that host immune responses are dysregulated with either myeloid cell compartment or lymphocyte composition being disturbed in COVID-19. This study aimed to assess the impact of SARS-CoV-2 viral infection on the composition of circulating immune cells in severe COVID-19 patien...

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Autores principales: Ma Hui, Lim Xiong Chang, Yu Qihong, Li Yi, Li Yuechuan, Jia Wei
Formato: article
Lenguaje:EN
Publicado: De Gruyter 2021
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Acceso en línea:https://doaj.org/article/265e18707dfa45919c4b4be5ee28e61d
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spelling oai:doaj.org-article:265e18707dfa45919c4b4be5ee28e61d2021-12-05T14:10:54ZRatios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients2391-546310.1515/med-2021-0237https://doaj.org/article/265e18707dfa45919c4b4be5ee28e61d2021-02-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0237https://doaj.org/toc/2391-5463Recent studies indicate that host immune responses are dysregulated with either myeloid cell compartment or lymphocyte composition being disturbed in COVID-19. This study aimed to assess the impact of SARS-CoV-2 viral infection on the composition of circulating immune cells in severe COVID-19 patients. In this retrospective single-center cohort, 71 out of 87 COVID-19 patients admitted to the intense care unit for oxygen treatment were included in this study. Demographics, clinical features, comorbidities, and laboratory findings were collected on admission. Out of the 71 patients, 5 died from COVID-19. Compared with survived patients, deceased patients showed higher blood cell counts of neutrophils and monocytes but lower cell counts of lymphocytes. Intriguingly, the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and basophil-to-lymphocyte ratio (BLR) were markedly higher in deceased patients compared to survived patients. Furthermore, the lymphocyte counts were negatively correlated with D-dimer levels, while the ratios between myeloid cells and lymphocyte (NLR, MLR, and BLR) were positively correlated with D-dimer levels. Our findings revealed that the ratios between myeloid cells and lymphocytes were highly correlated with coagulation status and patient mortality in severe COVID-19.Ma HuiLim Xiong ChangYu QihongLi YiLi YuechuanJia WeiDe Gruyterarticlecovid-19myeloid cellslymphocytescoagulationd-dimerMedicineRENOpen Medicine, Vol 16, Iss 1, Pp 351-360 (2021)
institution DOAJ
collection DOAJ
language EN
topic covid-19
myeloid cells
lymphocytes
coagulation
d-dimer
Medicine
R
spellingShingle covid-19
myeloid cells
lymphocytes
coagulation
d-dimer
Medicine
R
Ma Hui
Lim Xiong Chang
Yu Qihong
Li Yi
Li Yuechuan
Jia Wei
Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
description Recent studies indicate that host immune responses are dysregulated with either myeloid cell compartment or lymphocyte composition being disturbed in COVID-19. This study aimed to assess the impact of SARS-CoV-2 viral infection on the composition of circulating immune cells in severe COVID-19 patients. In this retrospective single-center cohort, 71 out of 87 COVID-19 patients admitted to the intense care unit for oxygen treatment were included in this study. Demographics, clinical features, comorbidities, and laboratory findings were collected on admission. Out of the 71 patients, 5 died from COVID-19. Compared with survived patients, deceased patients showed higher blood cell counts of neutrophils and monocytes but lower cell counts of lymphocytes. Intriguingly, the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and basophil-to-lymphocyte ratio (BLR) were markedly higher in deceased patients compared to survived patients. Furthermore, the lymphocyte counts were negatively correlated with D-dimer levels, while the ratios between myeloid cells and lymphocyte (NLR, MLR, and BLR) were positively correlated with D-dimer levels. Our findings revealed that the ratios between myeloid cells and lymphocytes were highly correlated with coagulation status and patient mortality in severe COVID-19.
format article
author Ma Hui
Lim Xiong Chang
Yu Qihong
Li Yi
Li Yuechuan
Jia Wei
author_facet Ma Hui
Lim Xiong Chang
Yu Qihong
Li Yi
Li Yuechuan
Jia Wei
author_sort Ma Hui
title Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
title_short Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
title_full Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
title_fullStr Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
title_full_unstemmed Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
title_sort ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe covid-19 patients
publisher De Gruyter
publishDate 2021
url https://doaj.org/article/265e18707dfa45919c4b4be5ee28e61d
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AT limxiongchang ratiosbetweencirculatingmyeloidcellsandlymphocytesareassociatedwithmortalityinseverecovid19patients
AT yuqihong ratiosbetweencirculatingmyeloidcellsandlymphocytesareassociatedwithmortalityinseverecovid19patients
AT liyi ratiosbetweencirculatingmyeloidcellsandlymphocytesareassociatedwithmortalityinseverecovid19patients
AT liyuechuan ratiosbetweencirculatingmyeloidcellsandlymphocytesareassociatedwithmortalityinseverecovid19patients
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