Why the study?
The study aimed to explore the correlation of Ang-1, Ang-2, and the Ang-2/Ang-1 ratio with clinical outcomes, potentially serving as disease severity and survival biomarkers in COVID-19.
Does the Ang-2/Ang-1 ratio correlate with disease severity in COVID-19 patients?
Does the Ang-2/Ang-1 ratio correlate with disease severity in COVID-19 patients?
The Ang-2/Ang-1 ratio may serve as a useful biomarker for assessing disease severity and guiding treatment strategies in COVID-19 patients.
May support Ang-2/Ang-1 as COVID-19 severity marker; hypothesis-generating and requires prospective validation.
This study aimed to explore the correlation between Angiopoietin-1 (Ang-1) and Angiopoietin-2 (Ang-2) concentrations and the Angiopoietin-2/Angiopoietin-1 ratio (Ang-2/Ang-1) with clinical outcomes, potentially serving as disease severity and survival biomarkers. A study at AHEPA University Hospital involved 90 Coronavirus Disease 2019 (COVID-19) adult patients, 30 hospitalized intensive care units (ICU), 30 inward units (non-ICU), and 30 asymptomatic non-hospitalized individuals as controls. Estimated endothelial dysfunction markers related to angiogenesis were measured. There was a statistically significant difference only between outpatient and hospitalized patients (non-ICU-ICU groups) for the Ang-1 and Ang-2 indices. The Ang-2/Ang-1 ratio has differed significantly among the individual patient groups. An ROC analysis was conducted to find an optimal threshold for distinguishing between (outpatients-non-ICU) and (non-ICU-ICU) groups. It was based on Youden's index of 0.1122 and 0.3825, respectively. The Ang-1, Ang-2 levels, and Ang-2/Ang-1 ratio were analyzed as severity indicators in COVID-19 patients. The Ang-2/Ang-1 ratio demonstrated better prognostic and diagnostic utility than individual biomarker levels. Monitoring the Ang-2/Ang-1 ratio can identify COVID-19 patients at risk and assist clinicians in tailoring treatment strategies to improve outcomes.
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Τσιάτσιου et al. (2024) studied this question.
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