Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity

High levels of inflammatory cytokines in serum have been reported in patients with severe SARS-CoV-2 infection. There is growing interest in recognizing the role of inflammatory biomarkers in saliva in diagnosing systemic diseases. This study assumed that estimating biomarkers in saliva samples from...

Full description

Saved in:
Bibliographic Details
Main Authors: Hanadi Abdullah Alwafi, Soad Shaker Ali, Sunil Babu Kotha, Layla Waleed Abuljadayel, Maha Ibrahim, Ibrahim Rashad Noor Elahi, Hebah Abdullah Alwafi, Mohammed S. Almuhayawi, Matthew D. Finkelman, Nagla A. El-Shitany
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2022/1543918
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565700974084096
author Hanadi Abdullah Alwafi
Soad Shaker Ali
Sunil Babu Kotha
Layla Waleed Abuljadayel
Maha Ibrahim
Ibrahim Rashad Noor Elahi
Hebah Abdullah Alwafi
Mohammed S. Almuhayawi
Matthew D. Finkelman
Nagla A. El-Shitany
author_facet Hanadi Abdullah Alwafi
Soad Shaker Ali
Sunil Babu Kotha
Layla Waleed Abuljadayel
Maha Ibrahim
Ibrahim Rashad Noor Elahi
Hebah Abdullah Alwafi
Mohammed S. Almuhayawi
Matthew D. Finkelman
Nagla A. El-Shitany
author_sort Hanadi Abdullah Alwafi
collection DOAJ
description High levels of inflammatory cytokines in serum have been reported in patients with severe SARS-CoV-2 infection. There is growing interest in recognizing the role of inflammatory biomarkers in saliva in diagnosing systemic diseases. This study assumed that estimating biomarkers in saliva samples from patients infected with SARS-CoV-2 would distinguish between mild and severe cases. Saliva was collected from 142 controls and 158 SARS-CoV-2 patients (mild 72 and severe 86) to measure interleukin-6 (IL-6), C-reactive protein (CRP), and C-X-C motif chemokine ligand-10 (CXCL-10). IL-6 and CXCL-10 were significantly increased in patients with mild and severe SARS-CoV-2 infections. CRP was significantly increased only in severe SARS-CoV-2 cases. All biomarkers were significantly higher in severe cases than in mild cases (p<0.001). Among patients with SARS-CoV-2 infection, men showed significantly higher CRP and CXCL-10 levels than females (p<0.01 and 0.05, respectively). In addition, elderly patients (40–80 years) had significantly higher IL-6, CRP, and CXCL-10 (p<0.001). Patients with diabetes and hypertension showed elevated IL-6, CRP, and CXCL-10 (p<0.001). There was a significant positive correlation between IL-6, CRP, CXCL-10, and between age, IL-6, CRP, and CXCL-10. Saliva may have a future value in measuring the inflammatory biomarkers associated with the severity of SARS-CoV2 infection and therapeutic monitoring.
format Article
id doaj-art-25cf8fc5ce254a3b86c893d9797cfe32
institution Kabale University
issn 1918-1493
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-25cf8fc5ce254a3b86c893d9797cfe322025-02-03T01:06:53ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1918-14932022-01-01202210.1155/2022/1543918Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection SeverityHanadi Abdullah Alwafi0Soad Shaker Ali1Sunil Babu Kotha2Layla Waleed Abuljadayel3Maha Ibrahim4Ibrahim Rashad Noor Elahi5Hebah Abdullah Alwafi6Mohammed S. Almuhayawi7Matthew D. Finkelman8Nagla A. El-Shitany9Department of Preventive DentistryDepartment of Histology and Cell BiologyDepartment of Preventive DentistryDepartment of Dental Public HealthDepartment of HematologyDepartment of Public HealthSecurity Force HospitalDepartment of Medical Microbiology and ParasitologyDivision of Biostatistics and Experimental DesignDepartment of Pharmacology and ToxicologyHigh levels of inflammatory cytokines in serum have been reported in patients with severe SARS-CoV-2 infection. There is growing interest in recognizing the role of inflammatory biomarkers in saliva in diagnosing systemic diseases. This study assumed that estimating biomarkers in saliva samples from patients infected with SARS-CoV-2 would distinguish between mild and severe cases. Saliva was collected from 142 controls and 158 SARS-CoV-2 patients (mild 72 and severe 86) to measure interleukin-6 (IL-6), C-reactive protein (CRP), and C-X-C motif chemokine ligand-10 (CXCL-10). IL-6 and CXCL-10 were significantly increased in patients with mild and severe SARS-CoV-2 infections. CRP was significantly increased only in severe SARS-CoV-2 cases. All biomarkers were significantly higher in severe cases than in mild cases (p<0.001). Among patients with SARS-CoV-2 infection, men showed significantly higher CRP and CXCL-10 levels than females (p<0.01 and 0.05, respectively). In addition, elderly patients (40–80 years) had significantly higher IL-6, CRP, and CXCL-10 (p<0.001). Patients with diabetes and hypertension showed elevated IL-6, CRP, and CXCL-10 (p<0.001). There was a significant positive correlation between IL-6, CRP, CXCL-10, and between age, IL-6, CRP, and CXCL-10. Saliva may have a future value in measuring the inflammatory biomarkers associated with the severity of SARS-CoV2 infection and therapeutic monitoring.http://dx.doi.org/10.1155/2022/1543918
spellingShingle Hanadi Abdullah Alwafi
Soad Shaker Ali
Sunil Babu Kotha
Layla Waleed Abuljadayel
Maha Ibrahim
Ibrahim Rashad Noor Elahi
Hebah Abdullah Alwafi
Mohammed S. Almuhayawi
Matthew D. Finkelman
Nagla A. El-Shitany
Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
Canadian Journal of Infectious Diseases and Medical Microbiology
title Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
title_full Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
title_fullStr Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
title_full_unstemmed Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
title_short Elevated Salivary Inflammatory Biomarkers are Associated with SARS-CoV-2 Infection Severity
title_sort elevated salivary inflammatory biomarkers are associated with sars cov 2 infection severity
url http://dx.doi.org/10.1155/2022/1543918
work_keys_str_mv AT hanadiabdullahalwafi elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT soadshakerali elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT sunilbabukotha elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT laylawaleedabuljadayel elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT mahaibrahim elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT ibrahimrashadnoorelahi elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT hebahabdullahalwafi elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT mohammedsalmuhayawi elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT matthewdfinkelman elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity
AT naglaaelshitany elevatedsalivaryinflammatorybiomarkersareassociatedwithsarscov2infectionseverity