Covid-19, SARS-CoV Infection
Conditions
Keywords
Innate immune response, Adaptive immune response, Inflammation, Neurological damage
Brief summary
The Investigators plan to study the innate and adaptive immune response, the inflammatory response, and associated complications such as complement activation and neurological damage in SARS-Cov-2 infected individuals. Patients with mild, moderate and severe COVID-19 disease will be enrolled.
Detailed description
The severity of coronavirus disease 2019 (COVID-19) ranges from asymptomatic infection to severe illness requiring mechanical ventilation. Immunological factors which lead to severe disease in certain COVID-19 patients remain incompletely understood. Neurological damage and complement activation may be a consequence of excess inflammation in severe COVID-19. The investigators plan to study the innate and adaptive immune response and potentially associated complications such as neurological damage and complement activation in mild, moderate and severe COVID-19 courses.
Interventions
Analysis of cytokine response, innate and adaptive immune response, complement activation, and serum neurofilaments as a marker of neurological damage.
Sponsors
Study design
Eligibility
Inclusion criteria
* PCR confirmed SARS-Cov-2 infection
Exclusion criteria
* Refusal to participate * Age \< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cytokine response to SARS-Cov-2 | At enrollment | Measurement of cytokine concentration (pg/ml) in serum (IL-6, IL-8, IL-1b,TNF-alpha) |
| Innate immune response to SARS-Cov-2 | At enrollment | Measurement of HLA-DR expression on CD14+ cells (flowcytometry) |
| Humoral immune response | At enrollment | Measurement of neutralizing SARS-Cov-2 antibody concentrations (plaque reduction assay) |
| Cell mediated immune response | At enrollment | Measurement of frequencies of SARS-Cov-2 specific T-cells (ELISPOT assay) |
| Neurological damage | At enrollment | Measurement of neurofilament light chains in serum (on ELLA platform; Protein Simple, Bio-techne) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complement activation | At enrollment | Measurement of factor B, factor H, factor I, C3a, C4a, C5a, SC5b9 |
Countries
Switzerland