RT info:eu-repo/semantics/article T1 Evaluation of cytokines as robust diagnostic biomarkers for COVID-19 detection A1 Tamayo Velasco, Álvaro A1 Peñarrubia Ponce, María Jesús A1 Álvarez González, Francisco Javier A1 Gonzalo Benito, Hugo A1 Fuente, Ignacio de la A1 Martín Fernández, Marta A1 Eiros Bouza, José María A1 Martínez de Paz, Pedro José A1 Miramontes González, José Pablo A1 Fiz López, Aida A1 Arribas Rodríguez, Elisa A1 Cal Sabater, Paloma de la A1 Aller de la Fuente, Rocío A1 Dueñas Gutiérrez, Carlos Jesús A1 Heredia Rodríguez, María A1 Tamayo Gómez, Eduardo A1 Bernardo Ordiz, David A1 Gómez Sánchez, Esther K1 COVID-19 (Enfermedad) K1 Diagnosis K1 Diagnóstico K1 Biomarkers K1 Biomarcadores AB Antigen tests or polymerase chain reaction (PCR) amplification are currently COVID-19 diagnostic tools. However, developing complementary diagnosis tools is mandatory. Thus, we performed a plasma cytokine array in COVID-19 patients to identify novel diagnostic biomarkers. A discovery–validation study in two independent prospective cohorts was performed. The discovery cohort included 136 COVID-19 and non-COVID-19 patients recruited consecutively from 24 March to 11 April 2020. Forty-five cytokines’ quantification by the MAGPIX system (Luminex Corp., Austin, TX, USA) was performed in plasma samples. The validation cohort included 117 patients recruited consecutively from 15 to 25 April 2020 for validating results by ELISA. COVID-19 patients showed different levels of multiple cytokines compared to non-COVID-19 patients. A single chemokine, IP-10, accurately identified COVID-19 patients who required hospital admission (AUC: 0.962; 95%CI (0.933–0.992); p < 0.001)). The results were validated in an independent cohort by multivariable analysis (OR: 25.573; 95%CI (8.127–80.469); p < 0.001) and AUROC (AUC: 0.900; 95%CI (0.846–0.954); p < 0.001). Moreover, showing IP-10 plasma levels over 173.35 pg/mL identified COVID-19 with higher sensitivity (86.20%) than the first SARS-CoV-2 PCR. Our discover–validation study identified IP-10 as a robust biomarker in clinical practice for COVID-19 diagnosis at hospital. Therefore, IP-10 could be used as a complementary tool in clinical practice, especially in emergency departments. PB MDPI SN 2075-4426 YR 2021 FD 2021 LK https://uvadoc.uva.es/handle/10324/51604 UL https://uvadoc.uva.es/handle/10324/51604 LA eng NO Journal of Personalized Medicine, 2021, vol. 11, n. 7, 681 NO Producción Científica DS UVaDOC RD 23-nov-2024