Key result
COVID-19 infection was associated with a 14% increase in standard p50 (p<0.05), indicating altered hemoglobin-oxygen affinity, alongside increased nitric oxide and decreased hydrogen sulfide levels.
Why the study?
The significance of the shift in the oxyhemoglobin dissociation curve during coronavirus infection remains actively discussed.
Does COVID-19 infection alter hemoglobin-oxygen affinity and gaseous transmitters compared to healthy individuals?
Case-Control (n=30)
No
Does COVID-19 infection alter hemoglobin-oxygen affinity and gaseous transmitters compared to healthy individuals?
COVID-19 infection is associated with a rightward shift in the oxyhemoglobin dissociation curve and altered gaseous transmitters (increased NO, decreased H2S), reflecting a compensatory response to tissue hypoxia.
The development of coronavirus infection prevents the transport of oxygen to the tissues through the mechanism of impaired hemoglobin saturation in the damaged lung. The change in the affinity of hemoglobin for oxygen, which is the most important factor in compensating for oxygen deficiency in various pathological conditions, underlies the processes of adaptation to hypoxia. The question of the significance of the shift in the oxyhemoglobin dissociation curve in this pathology is actively discussed, in which its shift to the left in the arterial blood and its shift to the right in the venous blood are noted, which in the conditions of the development of the hypoxic syndrome reflects the activation of the body’s mechanisms to compensate for oxygen deficiency. The change in its position is not specific for this pathology, but is determined by the severity of oxygen deficiency and the imbalance of the mechanisms of the cardiorespiratory system, as well as the peculiarities of the status of patients and the analyzed blood sample.
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Зинчук et al. (2023) conducted a case-control in COVID-19 (n=30). COVID-19 vs. Healthy individuals was evaluated on Standard p50 (p50st) for hemoglobin-oxygen affinity (14% increase, p=<0.05). COVID-19 infection was associated with a 14% increase in standard p50 (p<0.05), indicating altered hemoglobin-oxygen affinity, alongside increased nitric oxide and decreased hydrogen sulfide levels.
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