The clinical significance of p53 and vascular endothelial growth factor in COVID-19 cases


Sincan S., Sincan G., Serin İ., Kiziltunç Ç., Aşkin S.

MEDICINE, cilt.104, sa.40, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 104 Sayı: 40
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1097/md.0000000000044378
  • Dergi Adı: MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, Directory of Open Access Journals
  • Atatürk Üniversitesi Adresli: Evet

Özet

Vascular endothelial growth factor (VEGF) plays a critical role in increasing the release of pro-inflammatory cytokines, endothelial cell proliferation, and regulating vascular permeability in COVID-19 cases. p53 regulates cellular stress responses. However, the precise interplay and prognostic significance of p53 and vascular endothelial growth factor in the context of COVID-19 pathogenesis and disease progression, particularly concerning mortality outcomes, remain to be fully elucidated. We investigated vascular endothelial growth factor and p53 levels in COVID-19 patients and examined the relationship of these markers with the clinical course and prognosis of the disease. A total of 30 patients with COVID-19 and 30 individuals in the control group were examined. The clinical symptoms, laboratory parameters, and survival status of COVID-19 patients participating in the study were recorded. Vascular endothelial growth factor and p53 levels were analyzed using the ELISA method. A P-value of < 0.05 was considered statistically significant in statistical analyses. p53 levels were significantly higher in COVID-19 patients (859.19 +/- 385.43 ng/L) compared to the control group (727.29 +/- 440.49 ng/L) (P = .04). There was no significant difference in vascular endothelial growth factor levels between the patient (126.52 +/- 75.7 ng/L) and control groups (169.2 +/- 112.3 ng/L) (P = .22). In deceased patients, both p53 and vascular endothelial growth factor levels were significantly higher than in the control group (P < .001, P = .03, respectively). This study supports the prognostic roles of p53 and vascular endothelial growth factor levels in COVID-19 disease.