Oxidative stress, DNA damage, and inflammation in COVID-19 patients

Guven Bektemur; Kubra Bozali; Sahin Colak; Selman Aktas; Eray Metin Guler

doi:10.14744/nci.2022.00947

Oxidative stress, DNA damage, and inflammation in COVID-19 patients

North Clin Istanb. 2023 Jun 20;10(3):335-340. doi: 10.14744/nci.2022.00947. eCollection 2023.

Authors

Guven Bektemur¹, Kubra Bozali², Sahin Colak³, Selman Aktas⁴, Eray Metin Guler^{2

5}

Affiliations

¹ Department of Public Health, University of Health Sciences Turkiye, Hamidiye Faculty of Medicine, Istanbul, Turkiye.
² Department of Medical Biochemistry, University of Health Sciences Turkiye, Hamidiye Faculty of Medicine, Istanbul, Turkiye.
³ Department of Emergency Medicine, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkiye.
⁴ Department of Biostatistics and Medical Informatics, University of Health Sciences Turkiye, Hamidiye Faculty of Medicine, Istanbul, Turkiye.
⁵ Department of Medical Biochemistry, University of Health Sciences Turkiye, Hamidiye Faculty of Medicine, Haydarpasa Numune Health Application and Research Center, Istanbul, Turkiye.

Abstract

Objective: Severe inflammation and oxidative stress seen in COVID-19 patients cause cumulative antiviral effects, and serious inflammation increases tissue, oxidative damage, and DNA damage. Therefore, in this study, oxidative stress, DNA damage, and inflammation biomarkers were investigated in patients diagnosed with COVID-19.

Methods: In this study, blood samples were obtained from 150 Covid-19 patients diagnosed by polymerase chain reaction and 150 healthy volunteers with the same demographic characteristics. Total oxidant status (TOS), total antioxidant status (TAS), total thiol (TT), native thiol, and myeloperoxidase (MPO) activities were measured by photometric methods. The levels of tumor necrosis factor-alpha (TNF-α), interleukin 1 beta (IL-1β), and interleukin 6 (IL-6), which are inflammation markers, were measured by the ELISA method using commercial kits. The genotoxic effect was evaluated by Comet Assay.

Results: The oxidative stress biomarkers; Disulfide, TOS, MPO, oxidative stress index, and IL-1β, IL-6, and TNF-α levels of inflammation biomarkers and the DNA damage in COVID-19 patients were increased (p<0.001), and the levels of TAS, TT, and NT In COVID-19 patients were decreased (p<0.001).

Conclusion: In COVID-19 patients, induced DNA damage, inflammation, and oxidative stress can guide the prognosis and treatment strategies of the disease.

Keywords: COVID-19; genotoxicity; oxidative stress.