4.4 Article

Increased Fecal Neopterin Parallels Gastrointestinal Symptoms in COVID-19

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.14309/ctg.0000000000000293

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Funding

  1. excellence initiative VASCage (Centre for Promoting Vascular Health in the Ageing Community)
  2. R&D K-Centre (COMET programme-Competence Centers for Excellent Technologies) - Austrian Ministry for Transport, Innovation and Technology
  3. Austrian Ministry for Digital and Economic Affairs
  4. federal state Tyrol
  5. federal state Salzburg
  6. federal state Vienna
  7. Austrian Science Fund (FWF) [FP33070-B]

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COVID-19 patients show elevated levels of fecal neopterin, especially in those experiencing gastrointestinal symptoms, indicating an inflammatory immune response in the gastrointestinal tract.
INTRODUCTION: Coronavirus disease (COVID-19) has spread from Wuhan, China, and become a worldwide pandemic. Most patients display respiratory symptoms but up to 50% report gastrointestinal symptoms. Neopterin is a surrogate marker for viral inflammation, and its production by macrophages is driven by interferon-gamma. METHODS: We measured fecal neopterin in 37 hospitalized COVID-19 patients not requiring intensive care measures and 22 healthy controls. RESULTS: Fecal neopterin was elevated in stool samples from COVID-19 patients compared with that in samples from healthy controls. Especially, patients reporting gastrointestinal symptoms exhibited increased fecal neopterin values. DISCUSSION: COVID-19 is associated with an inflammatory immune response in the gastrointestinal tract.

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