Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers

BackgroundSARS-CoV-2, the causative virus of the COVID-19 global pandemic, leads to a wide variety of responses among patients. Some of them present a very severe phenotype, while others only experience mild symptoms or are even asymptomatic. This differential prognosis is tightly related to the inf...

Full description

Saved in:
Bibliographic Details
Main Authors: Sergio Sánchez-García, Rafael I. Jaén, Roberto Lozano-Rodríguez, José Avendaño-Ortiz, Alejandro Pascual‐Iglesias, Laura Hurtado-Navarro, Eduardo López-Collazo, Lisardo Boscá, Patricia Prieto
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1509188/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832591039104286720
author Sergio Sánchez-García
Rafael I. Jaén
Roberto Lozano-Rodríguez
José Avendaño-Ortiz
Alejandro Pascual‐Iglesias
Laura Hurtado-Navarro
Eduardo López-Collazo
Eduardo López-Collazo
Lisardo Boscá
Lisardo Boscá
Patricia Prieto
Patricia Prieto
Patricia Prieto
author_facet Sergio Sánchez-García
Rafael I. Jaén
Roberto Lozano-Rodríguez
José Avendaño-Ortiz
Alejandro Pascual‐Iglesias
Laura Hurtado-Navarro
Eduardo López-Collazo
Eduardo López-Collazo
Lisardo Boscá
Lisardo Boscá
Patricia Prieto
Patricia Prieto
Patricia Prieto
author_sort Sergio Sánchez-García
collection DOAJ
description BackgroundSARS-CoV-2, the causative virus of the COVID-19 global pandemic, leads to a wide variety of responses among patients. Some of them present a very severe phenotype, while others only experience mild symptoms or are even asymptomatic. This differential prognosis is tightly related to the inflammatory status of the patient. Although WHO declared the end of the emergency, the pandemic caused a great socio-sanitary impact in all countries. Thus, the possible outbreak of new biological diseases in the future makes it necessary to deepen the knowledge of this uncontrolled immune response and look for reliable biomarkers to help us predict its potential health impact. Specialized pro-resolving lipid mediators (SPMs) as lipoxins are endogenous mediators synthesized from arachidonic acid in the resolution stage of any inflammatory process. These lipids have pro-resolving actions in several pathological models, including reducing NF-κB-mediated inflammation, and inducing the antioxidant response through the Nrf-2 pathway. Thus, although a potential relationship has already been suggested between low levels of SPMs and COVID-19 severity, their true role as a predictive biomarker is still unknown.Methods and resultsIn this study, we have analyzed by ELISA the serum levels of lipoxin A4 (LXA4) in a representative Spanish cohort. We found reduced levels in deceased patients when compared to mild or severe patients, concomitant with a decrease in the LXA4 biosynthetic pathway and an increase in its degradation pathway. Furthermore, we have studied the correlation between the levels of this SPM and several pathology indicators, finding a significant correlation between increased LXA4 levels and a better prognosis of the patients.ConclusionWe propose to measure systemic LXA4 as a new promising biomarker to predict the survival in patients affected by SARS-CoV-2 and presumably to other viruses that can affect humanity in the future.
format Article
id doaj-art-7e3c6118a74e44418ed7b4d69bd9ebd3
institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-7e3c6118a74e44418ed7b4d69bd9ebd32025-01-23T05:10:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15091881509188Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkersSergio Sánchez-García0Rafael I. Jaén1Roberto Lozano-Rodríguez2José Avendaño-Ortiz3Alejandro Pascual‐Iglesias4Laura Hurtado-Navarro5Eduardo López-Collazo6Eduardo López-Collazo7Lisardo Boscá8Lisardo Boscá9Patricia Prieto10Patricia Prieto11Patricia Prieto12Departamento de enfermedades metabólicas e inmunitarias, Instituto de Investigaciones Biomédicas “Sols-Morreale”, Madrid, SpainDepartamento de enfermedades metabólicas e inmunitarias, Instituto de Investigaciones Biomédicas “Sols-Morreale”, Madrid, SpainInnate Immune Response Group, Instituto de Investigación del Hospital Universitario La Paz (IdiPaz), Madrid, SpainMicrobiology Department, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, SpainInnate Immune Response Group, Instituto de Investigación del Hospital Universitario La Paz (IdiPaz), Madrid, SpainInnate Immune Response Group, Instituto de Investigación del Hospital Universitario La Paz (IdiPaz), Madrid, SpainInnate Immune Response Group, Instituto de Investigación del Hospital Universitario La Paz (IdiPaz), Madrid, SpainCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, SpainDepartamento de enfermedades metabólicas e inmunitarias, Instituto de Investigaciones Biomédicas “Sols-Morreale”, Madrid, SpainCentro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, SpainDepartamento de enfermedades metabólicas e inmunitarias, Instituto de Investigaciones Biomédicas “Sols-Morreale”, Madrid, SpainCentro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, SpainDepartamento de Farmacología, Farmacognosia y Botánica, Facultad de Farmacia, Universidad Complutense de Madrid, Madrid, SpainBackgroundSARS-CoV-2, the causative virus of the COVID-19 global pandemic, leads to a wide variety of responses among patients. Some of them present a very severe phenotype, while others only experience mild symptoms or are even asymptomatic. This differential prognosis is tightly related to the inflammatory status of the patient. Although WHO declared the end of the emergency, the pandemic caused a great socio-sanitary impact in all countries. Thus, the possible outbreak of new biological diseases in the future makes it necessary to deepen the knowledge of this uncontrolled immune response and look for reliable biomarkers to help us predict its potential health impact. Specialized pro-resolving lipid mediators (SPMs) as lipoxins are endogenous mediators synthesized from arachidonic acid in the resolution stage of any inflammatory process. These lipids have pro-resolving actions in several pathological models, including reducing NF-κB-mediated inflammation, and inducing the antioxidant response through the Nrf-2 pathway. Thus, although a potential relationship has already been suggested between low levels of SPMs and COVID-19 severity, their true role as a predictive biomarker is still unknown.Methods and resultsIn this study, we have analyzed by ELISA the serum levels of lipoxin A4 (LXA4) in a representative Spanish cohort. We found reduced levels in deceased patients when compared to mild or severe patients, concomitant with a decrease in the LXA4 biosynthetic pathway and an increase in its degradation pathway. Furthermore, we have studied the correlation between the levels of this SPM and several pathology indicators, finding a significant correlation between increased LXA4 levels and a better prognosis of the patients.ConclusionWe propose to measure systemic LXA4 as a new promising biomarker to predict the survival in patients affected by SARS-CoV-2 and presumably to other viruses that can affect humanity in the future.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1509188/fullCovidpulmonary diseasecytokine stormlipoxinbiomarker
spellingShingle Sergio Sánchez-García
Rafael I. Jaén
Roberto Lozano-Rodríguez
José Avendaño-Ortiz
Alejandro Pascual‐Iglesias
Laura Hurtado-Navarro
Eduardo López-Collazo
Eduardo López-Collazo
Lisardo Boscá
Lisardo Boscá
Patricia Prieto
Patricia Prieto
Patricia Prieto
Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
Frontiers in Immunology
Covid
pulmonary disease
cytokine storm
lipoxin
biomarker
title Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
title_full Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
title_fullStr Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
title_full_unstemmed Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
title_short Lipoxin A4 levels correlate with severity in a Spanish COVID-19 cohort: potential use of endogenous pro-resolving mediators as biomarkers
title_sort lipoxin a4 levels correlate with severity in a spanish covid 19 cohort potential use of endogenous pro resolving mediators as biomarkers
topic Covid
pulmonary disease
cytokine storm
lipoxin
biomarker
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1509188/full
work_keys_str_mv AT sergiosanchezgarcia lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT rafaelijaen lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT robertolozanorodriguez lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT joseavendanoortiz lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT alejandropascualiglesias lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT laurahurtadonavarro lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT eduardolopezcollazo lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT eduardolopezcollazo lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT lisardobosca lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT lisardobosca lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT patriciaprieto lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT patriciaprieto lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers
AT patriciaprieto lipoxina4levelscorrelatewithseverityinaspanishcovid19cohortpotentialuseofendogenousproresolvingmediatorsasbiomarkers