• Ahmed Bilal Genç, Selçuk Yaylacı, Hamad Dheir, Ahmed Cihad Genç, Kubilay İşsever, Deniz Çekiç, Havva Kocayiğit, Erdem Çokluk, Alper Karacan, Mehmet Ramazan Şekeroğlu, Hande Toptan Çakar, and Ertuğrul Güçlü.
• Department of Internal Medicine, Faculty of Medicine, Sakarya University, Sakarya, Turkey
• Turk J Med Sci. 2021 Apr 30; 51 (2): 448453448-453.

Background/AimThe purpose of this study is to evaluate serum pentraxin-3 (PTX-3) levels in Sars-CoV-2 virus infection (COVID-19) patients and to investigate whether PTX-3 predicts the disease prognosis.Materials And MethodsThis study was conducted on 88 confirmed COVID-19 patients who were hospitalized due to symptomatic pneumonia between April 15 and August 15, 2020. The patients were divided into two groups as survived patients and non-survived patients. Both groups were compared according to demographic features, comorbid conditions and measurement of the PTX-3 and other laboratory parameters of the patients.ResultsOf 88 patients with COVID-19, 59 (67%) were discharged with complete cure and 29 (33%) resulted in death. 46 (52.3%) of the patients were men. PTX-3 median value (IQR) was 3.66 ng/mL (0.9–27.9) in all patients, 3.3 ng/mL (0.9–27.9) in survivors and 3.91 ng/mL (1.9–23.2) in nonsurvivors which was significantly higher (P = 0.045). As a receiver operating characteristic curve analysis the cut-off value of PTX-3 for predicting mortality in patients was 3.73 with 65% sensitivity and 65% specificity (AUC: 0.646, 95% CI: 0.525– 0.767, P = 0.045). Also, we found significant cut-off values with respect to D-dimer, D-dimer/PTX-3, high-sensitivity troponin, high- sensitivity troponin/PTX-3, lymphocyte, PTX-3/lymphocyte, procalcitonin, procalcitonin/PTX-3, CRP, and CRP/PTX-3 (P < 0.05).ConclusionIn this study, as far as we know, for the first time, we have shown PTX-3 as the new mortality biomarker for COVID-19 disease.This work is licensed under a Creative Commons Attribution 4.0 International License.

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