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2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Background

This study aims to reveal the relationship between lung involvement and visceral adipose tissue changes between chest-computed tomography (CT) scans taken in short intervals in COVID-19 patients.

Methods

The retrospective study included 52 patients who tested positive for SARS-CoV-2. All patients had two chest CT exams. Lung involvement measurements were calculated by using an artificial intelligence tool. Visceral and subcutaneous fat tissue was measured at the level of the first lumbar vertebra on chest CT. Additionally, demographic and laboratory data were collected.

Results

52 patients were included (36.5% female, mean age 50). Visceral fat area and visceral fat thickness changes were significantly positive predictors of total lung involvement changes (p=0.033, p=0.00024). Subcutaneous fat area and subcutaneous fat thickness changes were not associated with lung involvement change (p>0.05). CRP, IL-6, d-dimer, and ferritin levels were higher in patients who need intensive care units.

Conclusion

Visceral adipose tissue changes may indicate that it can have a role as a reservoir of virus involvement.

© 2024 The Author(s). Published by Bentham Open. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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/content/journals/cmir/10.2174/1573405620666230810093651
2024-01-01
2024-11-22
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References

  1. World Health OrganizationCoronavirus disease (COVID-19) dashboardAvailable from: https:// covid19.who.int/ (Accessed on: June 15, 2021).
    [Google Scholar]
  2. ChenT WuD ChenH YanW YangD ChenG Clinical characteristics of 113 deceased patients with coronavirus disease 2019: Retrospective study.BMJ.2020368m1091
    [Google Scholar]
  3. PetrilliC.M. JonesS.A. YangJ. RajagopalanH. O’DonnellL. ChernyakY. TobinK.A. CerfolioR.J. FrancoisF. HorwitzL.I. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: Prospective cohort study.BMJ2020369m196610.1136/bmj.m196632444366
    [Google Scholar]
  4. KalligerosM. ShehadehF. MylonaE.K. BenitezG. BeckwithC.G. ChanP.A. MylonakisE. Association of obesity with disease severity among patients with coronavirus disease 2019.Obesity20202871200120410.1002/oby.2285932352637
    [Google Scholar]
  5. ZieglerC.G.K. AllonS.J. NyquistS.K. MbanoI.M. MiaoV.N. TzouanasC.N. CaoY. YousifA.S. BalsJ. HauserB.M. FeldmanJ. MuusC. WadsworthM.H.II KazerS.W. HughesT.K. DoranB. GatterG.J. VukovicM. TaliaferroF. MeadB.E. GuoZ. WangJ.P. GrasD. PlaisantM. AnsariM. AngelidisI. AdlerH. SucreJ.M.S. TaylorC.J. LinB. WaghrayA. MitsialisV. DwyerD.F. BuchheitK.M. BoyceJ.A. BarrettN.A. LaidlawT.M. CarrollS.L. ColonnaL. TkachevV. PetersonC.W. YuA. ZhengH.B. GideonH.P. WinchellC.G. LinP.L. BingleC.D. SnapperS.B. KropskiJ.A. TheisF.J. SchillerH.B. ZaragosiL.E. BarbryP. LeslieA. KiemH.P. FlynnJ.L. FortuneS.M. BergerB. FinbergR.W. KeanL.S. GarberM. SchmidtA.G. LingwoodD. ShalekA.K. Ordovas-MontanesJ. BanovichN. BarbryP. BrazmaA. DesaiT. DuongT.E. EickelbergO. FalkC. FarzanM. GlassI. HaniffaM. HorvathP. HungD. KaminskiN. KrasnowM. KropskiJ.A. KuhnemundM. LafyatisR. LeeH. LeroyS. LinnarsonS. LundebergJ. MeyerK. MisharinA. NawijnM. NikolicM.Z. Ordovas-MontanesJ. Pe’erD. PowellJ. QuakeS. RajagopalJ. TataP.R. RawlinsE.L. RegevA. ReyfmanP.A. RojasM. RosenO. Saeb-ParsyK. SamakovlisC. SchillerH. SchultzeJ.L. SeiboldM.A. ShalekA.K. ShepherdD. SpenceJ. SpiraA. SunX. TeichmannS. TheisF. TsankovA. van den BergeM. von PapenM. WhitsettJ. XavierR. XuY. ZaragosiL-E. ZhangK. SARS-CoV-2 receptor ACE2 is an interferon-stimulated gene in human airway epithelial cells and is detected in specific cell subsets across tissues.Cell2020181510161035.e1910.1016/j.cell.2020.04.03532413319
    [Google Scholar]
  6. Al-BennaS. Association of high level gene expression of ACE2 in adipose tissue with mortality of COVID-19 infection in obese patients.Obes. Med.20201910028310.1016/j.obmed.2020.10028332835126
    [Google Scholar]
  7. ZhangY. SomersK.R. BecariC. PolonisK. PfeiferM.A. AllenA.M. KelloggT.A. CovassinN. SinghP. Comparative expression of renin-angiotensin pathway proteins in visceral versus subcutaneous fat.Front. Physiol.20189137010.3389/fphys.2018.0137030364113
    [Google Scholar]
  8. KruglikovI.L. SchererP. The Role of Adipocytes and Adipocyte-like Cells in the Severity of COVID-19 Infections.Silver SpringObes202010.1002/oby.22856
    [Google Scholar]
  9. IacobellisG. MalavazosA.E. FerreiraT. COVID-19 rise in younger adults with obesity: Visceral adiposity can predict the risk.Obesity20202810179510.1002/oby.2295132619294
    [Google Scholar]
  10. FavreG. LegueultK. PradierC. RaffaelliC. IchaiC. IannelliA. RedheuilA. LucidarmeO. EsnaultV. Visceral fat is associated to the severity of COVID-19.Metabolism202111515444010.1016/j.metabol.2020.15444033246009
    [Google Scholar]
  11. PediconiF. RizzoV. SchiaffinoS. CozziA. Della PepaG. GalatiF. CatalanoC. SardanelliF. Visceral adipose tissue area predicts intensive care unit admission in COVID-19 patients.Obes. Res. Clin. Pract.2021151899210.1016/j.orcp.2020.12.00233358147
    [Google Scholar]
  12. BanerjeeM. GuptaS. SharmaP. ShekhawatJ. GaubaK. Obesity and COVID-19: A fatal alliance.Indian J. Clin. Biochem.202035441041710.1007/s12291‑020‑00909‑232837031
    [Google Scholar]
  13. ShusterA. PatlasM. PinthusJ.H. MourtzakisM. The clinical importance of visceral adiposity: A critical review of methods for visceral adipose tissue analysis.Br. J. Radiol.201285100911010.1259/bjr/3844723821937614
    [Google Scholar]
  14. ChenX. ZhaoB. QuY. ChenY. XiongJ. FengY. MenD. HuangQ. LiuY. YangB. DingJ. LiF. Detectable serum severe acute respiratory syndrome coronavirus 2 viral load (RNAemia) is closely correlated with drastically elevated interleukin 6 level in critically ill patients with coronavirus disease 2019.Clin. Infect. Dis.20207181937194210.1093/cid/ciaa44932301997
    [Google Scholar]
  15. Pasquarelli-do-NascimentoG. Braz-de-MeloH.A. FariaS.S. SantosI.O. KobingerG.P. MagalhãesK.G. Hypercoagulopathy and adipose tissue exacerbated inflammation may explain higher mortality in COVID-19 patients with obesity.Front. Endocrinol.20201153010.3389/fendo.2020.0053032849309
    [Google Scholar]
  16. HeroldT. JurinovicV. ArnreichC. LipworthB.J. HellmuthJ.C. von Bergwelt-BaildonM. KleinM. WeinbergerT. Elevated levels of IL-6 and CRP predict the need for mechanical ventilation in COVID-19.J. Allergy Clin. Immunol.20201461128136.e410.1016/j.jaci.2020.05.00832425269
    [Google Scholar]
  17. RuanQ. YangK. WangW. JiangL. SongJ. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China.Intensive Care Med.202046584684810.1007/s00134‑020‑05991‑x32125452
    [Google Scholar]
  18. TangY. LiuJ. ZhangD. XuZ. JiJ. WenC. Cytokine storm in COVID-19: The current evidence and treatment strategies.Front. Immunol.202011170810.3389/fimmu.2020.0170832754163
    [Google Scholar]
  19. WatanabeM. CarusoD. TuccinardiD. RisiR. ZerunianM. PoliciM. PucciarelliF. TaralloM. StrigariL. ManfriniS. MarianiS. BascianiS. LubranoC. LaghiA. GnessiL. Visceral fat shows the strongest association with the need of intensive care in patients with COVID-19.Metabolism202011115431910.1016/j.metabol.2020.15431932712222
    [Google Scholar]
  20. PetersenA. BressemK. AlbrechtJ. ThießH.M. VahldiekJ. HammB. MakowskiM.R. NiehuesA. NiehuesS.M. AdamsL.C. The role of visceral adiposity in the severity of COVID-19: Highlights from a unicenter cross-sectional pilot study in Germany.Metabolism202011015431710.1016/j.metabol.2020.15431732673651
    [Google Scholar]
  21. ChandaranaH. DaneB. MikheevA. TaffelM.T. FengY. RusinekH. Visceral adipose tissue in patients with COVID-19: risk stratification for severity.Abdom. Radiol.202146281882510.1007/s00261‑020‑02693‑232748252
    [Google Scholar]
  22. SosnaM. MłynarskaA. StasiówB. MłynarskiR. Association between lung opacities and visceral fat in COVID-19 patients.Pol. J. Radiol.202388111912310.5114/pjr.2023.12540736910886
    [Google Scholar]
  23. SacconT.D. Mousovich-NetoF. LudwigR.G. SARS-CoV-2 infects adipose tissue in a fat depot- and viral lineage-dependent manner.Nat. Commun.20221315722
    [Google Scholar]
  24. ChenJ SeeKC Artificial intelligence for COVID-19: Rapid review.J Med Internet Res.20202210e21476
    [Google Scholar]
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  • Article Type:
    Research Article
Keyword(s): COVID-19; CT; Lung involvement; Visceral adipose; Visceral fat area; Visceral fat thickness
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