BackgroundTobacco smoking is known to be involved in the pathogenesis of several
cardiopulmonary diseases MESHD, and smokers are susceptible to infectious agents. However, the progression of
lung injury MESHD based on
COVID-19 MESHD susceptibility and severity amongst smokers and those with pre-existing
pulmonary diseases MESHD is not known. We determined the systemic expression and activity of
COVID-19 MESHD related proteins, cytokine/chemokines, and lipid mediators (lipidomics) amongst
COVID-19 MESHD patients with and without a history of smoking with a view to define biomarkers.
MethodsWe obtained serum from
COVID-19 MESHD positive and
COVID-19 MESHD recovered patients with and without a history of smoking. We conducted a Luminex multiplex assay (cytokine levels), LC/MS (eicosanoids or oxylipin panel) and enzymatic activity assays on the serum samples to study the systemic changes in
COVID-19 MESHD patients.
ResultsOn comparing the cytokine profiles among
COVID-19 MESHD positive and
COVID-19 MESHD negative patients, we found a significant upregulation in the production of pro-inflammatory cytokines like
IL-1 HGNC,
IL-8 HGNC,
IL-2 HGNC,
VEGF HGNC and
IL-10 HGNC in
COVID-19 MESHD positive patients as compared to the respective controls. Interestingly, smoking history resulted in further augmentation of the release of some
hyper-inflammatory cytokines MESHD, like
IFN-{gamma HGNC},
Eotaxin HGNC,
MCP-1 HGNC and
IL-9 HGNC amongst
COVID-19 MESHD positive patients. The enzymatic activity for
ACE2 HGNC, the binding partner for SARS-CoV2 virus in the host cell, was found to be significantly increased in the serum of patients with a smoking history compared to the serum collected from the non-smoking controls. Similarly to our cytokine analysis, our measurement of serum
Furin HGNC levels was also affected by the patients smoking history, in which we reported a substantial rise in serum
Furin HGNC levels of
COVID-19 MESHD patients. The analysis of lipid mediators revealed a distinct signature amongst the
COVID-19 MESHD positive versus recovered subjects in PGF2, HETEs, LXA4 and LTB4 levels. However, we did not find any changes in the levels of any lipid mediators based on the smoking history of the patients. Overall, our results point towards distinct systemic signatures amongst
COVID-19 MESHD positive patients. We also show that smoking adversely affects the systemic levels of inflammatory markers and
COVID-19 MESHD related proteins, thus suggesting that
COVID-19 MESHD infection may have severe outcomes amongst smokers which is reflected systemically.