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Clinical Investigation of Leukocyte DNA Damage in COVID-19 Patients

Doğan et al., Current Issues in Molecular Biology, doi:10.3390/cimb45020062, Jan 2023
https://c19early.org/dogan4.html
Cross-sectional study of 50 COVID-19 patients and 42 controls showing significantly increased DNA damage in leukocytes of COVID-19 patients. Authors hypothesize that SARS-CoV-2 causes DNA damage through cytokine storm-induced reactive oxygen species production and inflammatory processes that disrupt cellular DNA repair mechanisms.
Doğan et al., 19 Jan 2023, prospective, Turkey, peer-reviewed, 7 authors. Contact: dthdogan@gmail.com (corresponding author), dthdogan@atauni.edu.tr.
Clinical Investigation of Leukocyte DNA Damage in COVID-19 Patients
Hasan Doğan, Aslı Kara, Erdem Çankaya, Eda Balkan, Muhammet Ali Gürbüz, Murat Kızılkaya, Merve Aykaç
Current Issues in Molecular Biology, doi:10.3390/cimb45020062
This prospective cross-sectional study aimed to evaluate leukocyte DNA damage in coronavirus disease patients. In this study, 50 COVID-19-positive patients attending the Erzurum City Hospital Internal Medicine Outpatient Clinic and 42 control group patients were included. DNA damage was detected in living cells through leukocyte isolation in 50 COVID-19positive patients using the comet assay method. DNA tail/head (olive) moments were evaluated and compared. White blood cells (WBC), red blood cells (RBC), hemoglobin (HGB), neutrophils (NEU), lymphocytes (LYM), eosinophils (EO), monocytes (MONO), basophils (BASO), platelets (PLT), and the neutrophil/lymphocyte ratio (NLR) were analyzed. The RBC, lymphocyte, eosinophil, and monocyte means were significantly higher in the control group (p < 0.05), whereas the HGB and neutrophile means were significantly higher in the study group (p < 0.05). There were significant negative correlations between COVID-19 and RBC (r = -0.863), LYM (r = -0.542), EO (r = -0.686), and MONO (r = -0.385). Meanwhile, there were significant positive correlations between COVID-19 and HGB (r = 0.863), NEU (r = 0.307), tail moment (r = 0.598), and olive moment (r = 0.582). Both the tail and olive moment mean differences were significantly higher in the study group, with higher ranges (p < 0.05). COVID-19 infection caused statistically significant increases in both the tail and olive damage percentage in patients, causing DNA damage. Lastly, the NLR rate was associated with the presence and progression of COVID-19.
Informed Consent Statement: Informed consent was obtained from all subjects involved in the study. Conflicts of Interest: The authors declare no conflict of interest.
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DOI record: { "DOI": "10.3390/cimb45020062", "ISSN": [ "1467-3045" ], "URL": "http://dx.doi.org/10.3390/cimb45020062", "abstract": "<jats:p>This prospective cross-sectional study aimed to evaluate leukocyte DNA damage in coronavirus disease (COVID-19) patients. In this study, 50 COVID-19-positive patients attending the Erzurum City Hospital Internal Medicine Outpatient Clinic and 42 control group patients were included. DNA damage was detected in living cells through leukocyte isolation in 50 COVID-19-positive patients using the comet assay method. DNA tail/head (olive) moments were evaluated and compared. White blood cells (WBC), red blood cells (RBC), hemoglobin (HGB), neutrophils (NEU), lymphocytes (LYM), eosinophils (EO), monocytes (MONO), basophils (BASO), platelets (PLT), and the neutrophil/lymphocyte ratio (NLR) were analyzed. The RBC, lymphocyte, eosinophil, and monocyte means were significantly higher in the control group (p &lt; 0.05), whereas the HGB and neutrophile means were significantly higher in the study group (p &lt; 0.05). There were significant negative correlations between COVID-19 and RBC (r = −0.863), LYM (r = −0.542), EO (r = −0.686), and MONO (r = −0.385). Meanwhile, there were significant positive correlations between COVID-19 and HGB (r = 0.863), NEU (r = 0.307), tail moment (r = 0.598), and olive moment (r = 0.582). Both the tail and olive moment mean differences were significantly higher in the study group, with higher ranges (p &lt; 0.05). COVID-19 infection caused statistically significant increases in both the tail and olive damage percentage in patients, causing DNA damage. Lastly, the NLR rate was associated with the presence and progression of COVID-19.</jats:p>", "alternative-id": [ "cimb45020062" ], "author": [ { "ORCID": "https://orcid.org/0000-0002-5232-4336", "affiliation": [ { "name": "Department of Medical Biology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "authenticated-orcid": false, "family": "Doğan", "given": "Hasan", "sequence": "first" }, { "affiliation": [ { "name": "Department of Internal Medicine, Erzurum Regional Training and Research Hospital, Health Sciences University, Erzurum 25100, Turkey" } ], "family": "Kara", "given": "Aslı", "sequence": "additional" }, { "ORCID": "https://orcid.org/0000-0003-3971-3318", "affiliation": [ { "name": "Department of Nephrology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "authenticated-orcid": false, "family": "Çankaya", "given": "Erdem", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medical Biology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "family": "Balkan", "given": "Eda", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Histology and Embryology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "family": "Gürbüz", "given": "Muhammet Ali", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medical Biology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "family": "Kızılkaya", "given": "Murat", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Medical Biology, Faculty of Medicine, Ataturk University, Erzurum 25240, Turkey" } ], "family": "Aykaç", "given": "Merve", "sequence": "additional" } ], "container-title": "Current Issues in Molecular Biology", "container-title-short": "CIMB", "content-domain": { "crossmark-restriction": false, "domain": [] }, "created": { "date-parts": [ [ 2023, 1, 20 ] ], "date-time": "2023-01-20T07:52:21Z", "timestamp": 1674201141000 }, "deposited": { "date-parts": [ [ 2024, 8, 25 ] ], "date-time": "2024-08-25T09:50:43Z", "timestamp": 1724579443000 }, "funder": [ { "DOI": "10.13039/501100004951", "award": [ "TSA-2021-8869" ], "doi-asserted-by": "publisher", "id": [ { "asserted-by": "publisher", "id": "10.13039/501100004951", "id-type": "DOI" } ], "name": "Atatürk University" } ], "indexed": { "date-parts": [ [ 2025, 3, 19 ] ], "date-time": "2025-03-19T16:54:53Z", "timestamp": 1742403293023, "version": "3.37.3" }, "is-referenced-by-count": 2, "issue": "2", "issued": { "date-parts": [ [ 2023, 1, 19 ] ] }, "journal-issue": { "issue": "2", "published-online": { "date-parts": [ [ 2023, 2 ] ] } }, "language": "en", "license": [ { "URL": "https://creativecommons.org/licenses/by/4.0/", "content-version": "vor", "delay-in-days": 0, "start": { "date-parts": [ [ 2023, 1, 19 ] ], "date-time": "2023-01-19T00:00:00Z", "timestamp": 1674086400000 } } ], "link": [ { "URL": "https://www.mdpi.com/1467-3045/45/2/62/pdf", "content-type": "unspecified", "content-version": "vor", "intended-application": "similarity-checking" } ], "member": "1968", "original-title": [], "page": "963-974", "prefix": "10.3390", "published": { "date-parts": [ [ 2023, 1, 19 ] ] }, "published-online": { "date-parts": [ [ 2023, 1, 19 ] ] }, "publisher": "MDPI AG", "reference": [ { "DOI": "10.7326/M20-0504", "article-title": "The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application", "author": "Lauer", "doi-asserted-by": "crossref", "first-page": "577", "journal-title": "Ann. 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Please send us corrections, updates, or comments. c19early involves the extraction of 200,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. IMA and WCH provide treatment protocols.
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