Exploring the relationship between HCMV serostatus and outcomes in COVID-19 sepsis Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.3389/fimmu.2024.1386586
Background Sepsis, a life-threatening condition caused by the dysregulated host response to infection, is a major global health concern. Understanding the impact of viral or bacterial pathogens in sepsis is crucial for improving patient outcomes. This study aimed to investigate the human cytomegalovirus (HCMV) seropositivity as a risk factor for development of sepsis in patients with COVID-19. Methods A multicenter observational study enrolled 95 intensive care patients with COVID-19-induced sepsis and 80 post-surgery individuals as controls. HCMV serostatus was determined using an ELISA test. Comprehensive clinical data, including demographics, comorbidities, and 30-day mortality, were collected. Statistical analyses evaluated the association between HCMV seropositivity and COVID-19 induced sepsis. Results The prevalence of HCMV seropositivity did not significantly differ between COVID-19-induced sepsis patients (78%) and controls (71%, p = 0.382) in the entire cohort. However, among patients aged ≤60 years, HCMV seropositivity was significantly higher in COVID-19 sepsis patients compared to controls (86% vs 61%, respectively; p = 0.030). Nevertheless, HCMV serostatus did not affect 30-day survival. Discussion These findings confirm the association between HCMV seropositivity and COVID-19 sepsis in non-geriatric patients. However, the lack of an independent effect on 30-day survival can be explained by the cross-reactivity of HCMV specific CD8 + T-cells towards SARS-CoV-2 peptides, which might confer some protection to HCMV seropositive patients. The inclusion of a post-surgery control group strengthens the generalizability of the findings. Further research is needed to elucidate the underlying mechanisms of this association, explore different patient populations, and identify interventions for optimizing patient management. Conclusion This study validates the association between HCMV seropositivity and severe COVID-19-induced sepsis in non-geriatric patients, contributing to the growing body of evidence on viral pathogens in sepsis. Although HCMV serostatus did not independently influence 30-day survival, future investigations should focus on unraveling the intricate interplay between HCMV, immune responses, and COVID-19. These insights will aid in risk stratification and the development of targeted interventions for viral sepsis.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fimmu.2024.1386586
- https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1386586/pdf
- OA Status
- gold
- Cited By
- 2
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396743734
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396743734Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fimmu.2024.1386586Digital Object Identifier
- Title
-
Exploring the relationship between HCMV serostatus and outcomes in COVID-19 sepsisWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-08Full publication date if available
- Authors
-
Dominik Ziehe, Alexander Wolf, Tim Rahmel, Hartmuth Nowak, Helge Haberl, Lars Bergmann, Katharina Rump, Birte Dyck, Lars Palmowski, Britta Marko, Andrea Witowski, Katrin Willemsen, Stephanie Pfaender, Martin Eisenacher, Moritz Anft, Nina Babel, Thilo Bracht, Barbara Sitek, Malte Bayer, Alexander Zarbock, Thilo von Groote, Christian Putensen, Stefan Ehrentraut, Christina Weisheit, Michael Adamzik, Matthias Unterberg, Björn KoosList of authors in order
- Landing page
-
https://doi.org/10.3389/fimmu.2024.1386586Publisher landing page
- PDF URL
-
https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1386586/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1386586/pdfDirect OA link when available
- Concepts
-
Serostatus, Medicine, Sepsis, Human cytomegalovirus, Internal medicine, Immunology, Cohort study, Virus, Viral loadTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W3128078191, https://openalex.org/W3098790758, https://openalex.org/W2901929987, https://openalex.org/W1898928487, https://openalex.org/W2280404143, https://openalex.org/W3182386410, https://openalex.org/W2894422883, https://openalex.org/W2035509260, https://openalex.org/W1965154773, https://openalex.org/W6639175370, https://openalex.org/W3019247800, https://openalex.org/W3190290982, https://openalex.org/W4306167283, https://openalex.org/W3211813296, https://openalex.org/W3169047476, https://openalex.org/W3209538173, https://openalex.org/W3190442895, https://openalex.org/W4388089356, https://openalex.org/W1492950536, https://openalex.org/W1976978388, https://openalex.org/W2588030598, https://openalex.org/W1965298358, https://openalex.org/W2143012846, https://openalex.org/W3010634832, https://openalex.org/W3121465336, https://openalex.org/W4388582430, https://openalex.org/W4362668361, https://openalex.org/W4309510532, https://openalex.org/W2759168201, https://openalex.org/W2161911625, https://openalex.org/W2158154689, https://openalex.org/W2115364134, https://openalex.org/W4210627986, https://openalex.org/W4281556208, https://openalex.org/W2979874232, https://openalex.org/W2407434056, https://openalex.org/W2100637490, https://openalex.org/W2783891746, https://openalex.org/W4309516074, https://openalex.org/W4210792795, https://openalex.org/W2972917228, https://openalex.org/W1874876720, https://openalex.org/W4224299048 |
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