Rezk, N., Elsayed Sileem, A., Gad, D., Khalil, A. (2022). miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin. Zagazig University Medical Journal, 28(3), 573-582. doi: 10.21608/zumj.2021.92746.2329
Noha Rezk; Ashraf Elsayed Sileem; Doaa Gad; amr osam Khalil. "miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin". Zagazig University Medical Journal, 28, 3, 2022, 573-582. doi: 10.21608/zumj.2021.92746.2329
Rezk, N., Elsayed Sileem, A., Gad, D., Khalil, A. (2022). 'miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin', Zagazig University Medical Journal, 28(3), pp. 573-582. doi: 10.21608/zumj.2021.92746.2329
Rezk, N., Elsayed Sileem, A., Gad, D., Khalil, A. miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin. Zagazig University Medical Journal, 2022; 28(3): 573-582. doi: 10.21608/zumj.2021.92746.2329
miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin
2chest department, faculty of medicine, zagazig university
3Chest department, faculty of medicine, Zagazig University
4Lecturer of Radio-diagnosis, Faculty of Medicine – Zagazig University
Abstract
The role of Ivermectin in improving the outcome of coronavirus disease of 2019 (COVID-19) symptoms was reported in several studies, while its effect on the pro-inflammatory cytokines triggering the cytokine storm is still not investigated. This study aimed to investigate the role of Ivermectin on the proinflammatory cytokines in Covid-19 patients and correlated the results with the expression of miR-2909, miR-223-3p. Three hundred and twenty hospitalized patients with confirmed moderate-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were selected. The patients were divided into 2 groups: Group I treated with the Egyptian protocol of COVID-19 including (Ivermectin plus hydroxychloroquine). Group II was treated with the Egyptian protocol, including hydroxychloroquine and no Ivermectin. IL-6, IL-1b, procalcitonin, and gene expression of miR-2909, miR-223-3p, and Toll-like receptor 4 were done by real-time Polymerase Chain Reaction (PCR). Patients treated with COVID-19 protocol including Ivermectin showed a significant decrease of cytokines levels (IL-6, IL-1, and procalcitonin), when compared with the other group, the cytokines levels improvement were positively correlated with miR-2029 expression and negatively correlated with the expression of miR-223-3p. Moderate ill COVID-19 patients treated with Ivermectin showed a significant decline in mortality rate and duration of hospital stay. Ivermectin is an effective drug in improving the outcome of SARS-CoV-2 patients with a significant decrease in mortality rate through decreasing cytokines expression via controlling miR-2029, miR-233-3p expressions.
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