ABSTRACT
Aggressive immune response, due to over-expressed pro-inflammatory molecules, had been characterized in COVID-19 patients. Some of those mediators have a dual and opposite role on immune-systems to play behind differential disease severities. We investigated the expression of some cytokines and chemokines in COVID-19 patients in Bangladesh. We diagnosed the patients by detecting SARS-CoV-2 RNA in nasal swab samples by the real-time RT-PCR method. Thirty adult patients were preselected based on their disease severities and grouped into mild, moderate, and severe cases. Nine healthy volunteers participated in this study as control. Relative expression of nine cytokines/chemokine in total leukocytes was semi-quantified in SYBRgreen-based qRT-PCR. We performed statistical tests on transformed log data using SPSS 24.0. At the onset of symptoms (day-1), ACE2 (P < 0.05) and IL-6 (P > 0.05) were up-regulated in all COVID-19 groups, although expression levels did not significantly correlate with disease severities. However, expression of IL-6, MCP-1, MIP-1, TNF-, RANTES, and ACE2, on day-14, were positively correlated with disease severities. Relative viral load at day-1 showed no significant correlation with cytokine expression but had a significant positive correlation with RANTES and ACE2 expression on day-14 (P < 0.05). Male patients had a higher level of IL-6 than female patients on day-1 (P < 0.05). All COVID-19 patients showed up-regulated cytokines and chemokines on the day-14 compared to day-1 except TNF-. Female patients had higher expression of ACE2 and IL-12 on day-14. Up-regulated cytokines/chemokines at the convalescent stage, especially IL-6, may target anti-cytokine therapy in post-COVID-19 patients management.
ABSTRACT
Originating at December 2019 in China, SARS-CoV-2 has emerged as the deadliest pandemic in the history of mankind. Along with direct contact and droplet contaminations, possibility of infections through contaminated surfaces and fomites are being investigated. In this study, we aim to assess the prevalence of SARS-CoV-2 viral RNA by real time one-step reverse transcriptase PCR on banknotes being circulating in Bangladesh. We also assessed the persistence of the virus on banknotes spiked with SARS-CoV-2 positive diluted human nasopharyngeal samples. Among the 425 banknote samples collected from different entities, 7.29% (n= 31) were tested positive for targeted genes. Twenty four representative positive samples were assessed for N gene fragments by conventional PCR and sequenced. All the samples carry viral RNA belonged to GR clade, the predominant circulating clade in Bangladesh. In the test of stability, the N gene was detected for up to 72 h on banknotes spiked with nasopharyngeal samples and CT values increases significantly with time (p<0.05). ORF1b gene was observed to be less stable specially on old banknotes and usually went beyond detectable limit within 8 to 10 h. The stability of virus RNA was well fitted by Weibull model and concave curve for new banknotes and convex curve for old banknotes have been revealed. Handling of banknotes is unavoidable; hence these findings implicated that in order to limit SARS-CoV-2 transmission through banknotes proper hygiene practice are needed.