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METHODS FOR DETECTING AND TREATING COVID PATIENTS REQUIRING INTENSIVE CARE

机译:检测和治疗需要重症监护的Covid患者的方法

摘要

The present invention provides novel, easy-to-monitor and sensitive parameters, biomarkers and methods for the prediction of SARS-CoV-2 patients outcome, allowing in particular an early identification of patients evolving towards severe COVID-19 forms. The examples presented in the application show that a calprotectin-driven emergency myelopoisis in patients undergoing a switch toward a severe form of COVID 19 generates an innate immune cell signature of severe COVID-19. More precisely, the present inventors have found that the amount of CD14low/CD16+ monocytes, of HLA-DRlow classical monocytes and of CD16low neutrophils can independently or concomitantly be used as biomarkers of the severity of betacoronavirus infection, before the switch to the severe form of the infection (and related painful symptoms) actually occurs. The methods of the invention comprise the quantification, in a biological sample from an infected subject, of the amount of these immune cells. In addition, the Inventors have observed a surprising burst of calprotectin levels in COVID-19 patients that are undergoing a switch toward a severe disease. They therefore propose to use calprotectin plasma level as a biomarker of COVID-19 switch to severe form, and also as a therapeutic target for alleviating the disease symptoms.
机译:本发明提供了新颖,易于监测和敏感的参数,生物标志物和用于预测SARS-COV-2患者结果的方法,特别是特别是早期鉴定患者对严重的Covid-19形式的患者。本申请中提出的实施例表明,在经历朝向严重形式的Covid 19的患者中,患者患者进行了抗蛋白驱动的紧急髓鞘,产生严重Covid-19的先天免疫细胞签名。更确切地说,本发明人发现,HLA-DRLOW古典单核细胞和CD16Low中性粒细胞的CD14LOW / CD16 +单核细胞的量可以独立地或兼容地用作Betacoronavirus感染的严重程度的生物标志物,在切换到严重形式之前实际上发生感染(和相关的痛苦症状)。本发明的方法包括在来自感染受试者的生物样品中的定量这些免疫细胞的量。此外,发明人已经观察到Covid-19患者的CalProtectin水平令人惊讶的爆发,该患者正在接受严重疾病。因此,他们建议使用CALPROTectin等离子体水平作为Covid-19切换到严重形式的生物标志物,并且作为减轻疾病症状的治疗靶标。

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