New Study Finds COVID-19 Cytokine Storm Does Not Exist, Suggesting Anti-Cytokine Therapies Unlikely to Help
By HospiMedica International staff writers Posted on 14 Sep 2020 |
Following the measurement of several important cytokines in patients with COVID-19 and various other severe diseases, researchers have shown that COVID-19 is not characterized by a cytokine storm, which may have consequences for the treatment of these patients.
Inflammatory proteins, also known as cytokines, play a crucial role in the immune response. If this immune response is too strong, a phenomenon known as “cytokine storm”, it can cause harm to the patient. It has been thought that a cytokine storm contributes to disease severity in patients with COVID-19. However, the cytokine storm in COVID-19 patients is not clearly defined. In many cases, different cytokines are evaluated and no comparison has been made with other diseases. Therefore, uncertainty and doubt exists concerning the cytokine storm in these patients.
In order to verify this, researchers at the Intensive Care (IC) department at Radboud University Medical Center (Nijmegen, Netherlands) measured the concentration of three essential cytokines in the blood of patients admitted to intensive care with several distinct conditions. They performed these measurements in patients with COVID-19 who met the criteria for a severe acute respiratory infection (ARDS), patients with bacterial septic shock (with and without ARDS), and patients who had been admitted to the IC after a cardiac arrest or severe trauma. The cytokines were measured using the same methods for each of the groups of patients. The team measured the concentration of tumor necrosis factor alpha (TNF-alpha) and interleukins 6 and 8 (IL-6, IL-8) in five patient groups and found remarkable results indicating that COVID-19 is not characterized by a cytokine storm.
“The level of cytokines was significantly less elevated in COVID-19 patients than in patients with septic shock and ARDS,” said researcher Matthijs Kox. “Compared to patients with septic shock without ARDS, so without severe pulmonary disease, patients with COVID-19 also displayed markedly lower levels of IL-6 and IL-8. The cytokine concentrations in COVID-19 patients were similar to those in IC patients with trauma or cardiac arrest, conditions that are not noted for a cytokine storm.”
“The severe disease observed in critically ill COVID-19 patients is therefore not explained by strongly elevated levels of inflammatory proteins in the blood. This means that critically ill COVID-19 patients likely will not benefit from specific anti-cytokine therapies,” said Professor of Intensive Care Medicine Peter Pickkers.
Related Links:
Radboud University Medical Center
Inflammatory proteins, also known as cytokines, play a crucial role in the immune response. If this immune response is too strong, a phenomenon known as “cytokine storm”, it can cause harm to the patient. It has been thought that a cytokine storm contributes to disease severity in patients with COVID-19. However, the cytokine storm in COVID-19 patients is not clearly defined. In many cases, different cytokines are evaluated and no comparison has been made with other diseases. Therefore, uncertainty and doubt exists concerning the cytokine storm in these patients.
In order to verify this, researchers at the Intensive Care (IC) department at Radboud University Medical Center (Nijmegen, Netherlands) measured the concentration of three essential cytokines in the blood of patients admitted to intensive care with several distinct conditions. They performed these measurements in patients with COVID-19 who met the criteria for a severe acute respiratory infection (ARDS), patients with bacterial septic shock (with and without ARDS), and patients who had been admitted to the IC after a cardiac arrest or severe trauma. The cytokines were measured using the same methods for each of the groups of patients. The team measured the concentration of tumor necrosis factor alpha (TNF-alpha) and interleukins 6 and 8 (IL-6, IL-8) in five patient groups and found remarkable results indicating that COVID-19 is not characterized by a cytokine storm.
“The level of cytokines was significantly less elevated in COVID-19 patients than in patients with septic shock and ARDS,” said researcher Matthijs Kox. “Compared to patients with septic shock without ARDS, so without severe pulmonary disease, patients with COVID-19 also displayed markedly lower levels of IL-6 and IL-8. The cytokine concentrations in COVID-19 patients were similar to those in IC patients with trauma or cardiac arrest, conditions that are not noted for a cytokine storm.”
“The severe disease observed in critically ill COVID-19 patients is therefore not explained by strongly elevated levels of inflammatory proteins in the blood. This means that critically ill COVID-19 patients likely will not benefit from specific anti-cytokine therapies,” said Professor of Intensive Care Medicine Peter Pickkers.
Related Links:
Radboud University Medical Center
Latest COVID-19 News
- Low-Cost System Detects SARS-CoV-2 Virus in Hospital Air Using High-Tech Bubbles
- World's First Inhalable COVID-19 Vaccine Approved in China
- COVID-19 Vaccine Patch Fights SARS-CoV-2 Variants Better than Needles
- Blood Viscosity Testing Can Predict Risk of Death in Hospitalized COVID-19 Patients
- ‘Covid Computer’ Uses AI to Detect COVID-19 from Chest CT Scans
- MRI Lung-Imaging Technique Shows Cause of Long-COVID Symptoms
- Chest CT Scans of COVID-19 Patients Could Help Distinguish Between SARS-CoV-2 Variants
- Specialized MRI Detects Lung Abnormalities in Non-Hospitalized Long COVID Patients
- AI Algorithm Identifies Hospitalized Patients at Highest Risk of Dying From COVID-19
- Sweat Sensor Detects Key Biomarkers That Provide Early Warning of COVID-19 and Flu
- Study Assesses Impact of COVID-19 on Ventilation/Perfusion Scintigraphy
- CT Imaging Study Finds Vaccination Reduces Risk of COVID-19 Associated Pulmonary Embolism
- Third Day in Hospital a ‘Tipping Point’ in Severity of COVID-19 Pneumonia
- Longer Interval Between COVID-19 Vaccines Generates Up to Nine Times as Many Antibodies
- AI Model for Monitoring COVID-19 Predicts Mortality Within First 30 Days of Admission
- AI Predicts COVID Prognosis at Near-Expert Level Based Off CT Scans