Asthma, Covid19
Conditions
Brief summary
To assess if TSLP expression by airway epithelial cells following COVID-19 infection regulates viral load and disease severity.
Detailed description
The study aim is to determine the relationship between COVID-19 infection and epithelial cell expression of TSLP. Two cohorts will be used. Cohort One will include 100 hospitalized patients with Covid-19, and 100 hospitalized patients without Covid-19. Cohort 2 will include mild/moderate asthmatics and healthy controls with bio-banked biopsy material used from donors who have previously consented for samples to be used for future research.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years and above; * Able to give informed consent; * Clinically tested for SARS-CoV-2 (as completed by standard laboratory testing e.g. RT-PCR) and with a positive result and clinical features in keeping with COVID-19 illness. The control group will be patients with a negative RT-PCR COVID-19 test and without any clinical features to suggest COVID-19 illness. In addition, the control group should have NO known or current features of respiratory infection, COPD, asthma, interstitial lung disease, other respiratory inflammatory conditions or lung cancer. * Able to provide a breath sample (as based on clinical judgement).
Exclusion criteria
\- none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TSLP expression in nasal epithelium | Through study completion, an average of 1 year | Compare the level of TSLP expression in nasal epithelium in patients with and without COVID-19 infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| TSLP expression in endobronchial biopsies | Baseline | Epithelial cell expression (protein staining) of TSLP in endobronchial biopsy tissue of asthmatic patients versus normal controls. |
| IL-33 expression in endobronchial biopsies | Baseline | Epithelial cell expression (protein staining) of IL-33 in endobronchial biopsy tissue of asthmatic patients versus normal controls. |
| ACE-2 receptor expression in endobronchial biopsies | Baseline | Epithelial cell expression (protein staining) of ACE-2 receptor in endobronchial biopsy tissue of asthmatic patients versus normal controls. |
Countries
Canada