دورية أكاديمية

The Association of the Levels of High-Density Lipoprotein and Apolipoprotein A1 with SARS-CoV-2 Infection and COVID-19 Severity: An Analysis of the N3C Database

التفاصيل البيبلوغرافية
العنوان: The Association of the Levels of High-Density Lipoprotein and Apolipoprotein A1 with SARS-CoV-2 Infection and COVID-19 Severity: An Analysis of the N3C Database
المؤلفون: Meng-Hao Li, Rajendra Kulkarni, Naoru Koizumi, Ali Andalibi, on behalf of the N3C Consortium
المصدر: Biology, Vol 12, Iss 6, p 852 (2023)
بيانات النشر: MDPI AG, 2023.
سنة النشر: 2023
المجموعة: LCC:Biology (General)
مصطلحات موضوعية: high density lipoprotein, apolipoprotein A1, acute kidney injury, COVID-19, SARS-CoV-2, Biology (General), QH301-705.5
الوصف: This study analyzed data from the National COVID Cohort Collaborative (N3C) database to investigate whether high-density lipoprotein (HDL) and its major protein component, apolipoprotein A1 (apoA1), are associated with severe COVID-19 sequelae, specifically acute kidney injury (AKI) and severe COVID-19 disease as defined by the infection resulting in hospitalization, extracorporeal membrane oxygenation (ECMO), invasive ventilation, or death. Our study included a total of 1,415,302 subjects with HDL values and 3589 subjects with apoA1 values. Higher levels of both HDL and apoA1 were associated with a lower incidence of infection as well as a lower incidence of severe disease. Higher HDL levels were also associated with a lower incidence of developing AKI. Most comorbidities were negatively correlated with SARS-CoV-2 infection, presumably due to the behavioral changes that occurred as a result of the precautions taken by individuals with underlying comorbidities. The presence of comorbidities, however, was associated with developing severe COVID-19 disease and AKI. African American and Hispanic populations experienced worse outcomes, including a higher incidence of infection and the development of severe disease, as well as AKI. Smoking and being male were associated with a lower incidence of infection, while they were risk factors for the development of severe disease and AKI. The results on cholesterol and diabetes drugs warrant further research, given that the database included multiple drugs in each category impeding for analysis of specific medications. Despite the current limitations in the N3C data, this study is the first to investigate the roles of HDL and apoA1 on the outcomes of COVID-19 using the US population data.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 12060852
2079-7737
Relation: https://www.mdpi.com/2079-7737/12/6/852; https://doaj.org/toc/2079-7737
DOI: 10.3390/biology12060852
URL الوصول: https://doaj.org/article/53a7a8775f7d492c9d417936a877d4b0
رقم الأكسشن: edsdoj.53a7a8775f7d492c9d417936a877d4b0
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:12060852
20797737
DOI:10.3390/biology12060852