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Krebs Von Den Lungen-6 (KL-6) As a Clinical Marker for Severe COVID-19: A Systematic Review and Meta-analyses

Overview
Journal Virology
Specialty Microbiology
Date 2021 Dec 13
PMID 34896901
Citations 18
Authors
Affiliations
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Abstract

Background: Krebs von den Lungen-6 (KL-6) is a molecule that is predominantly expressed by damaged alveolar type II cells, and has been proposed as a marker of COVID-19 and the severity of the disease. Here, we performed a meta-analysis to determine whether KL-6 could be used as a prognostic factor for severe COVID-19.

Methods: PubMed, Cochrane and Google Scholar were searched until April 20, 2021, and 7 studies were included. KL-6 was considered as the outcome and pooled in meta-analyses.

Results: All included studies compared KL-6 in severe and non-severe patients. Serum KL-6 was higher in severe COVID-19 patients compared to non-severe (n = 6; SMD = 1.25; 95% CI: 0.99-1.5; P < 0.001) and healthy controls (n = 4; SMD = 3.07; 95% CI: 1.36-4.8; P < 0.001).

Conclusion: This data collection revealed the potential clinical significance of KL-6 as a non-expensive predictive biomarker in severe COVID-19 and for the categorization of COVID-19 clinical severity.

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References
1.
Zhong D, Wu C, Bai J, Hu C, Xu D, Wang Q . Comparative diagnostic efficacy of serum Krebs von den Lungen-6 and surfactant D for connective tissue disease-associated interstitial lung diseases: A meta-analysis. Medicine (Baltimore). 2020; 99(16):e19695. PMC: 7220682. DOI: 10.1097/MD.0000000000019695. View

2.
Wu H, Kuzmenko A, Wan S, Schaffer L, Weiss A, Fisher J . Surfactant proteins A and D inhibit the growth of Gram-negative bacteria by increasing membrane permeability. J Clin Invest. 2003; 111(10):1589-602. PMC: 155045. DOI: 10.1172/JCI16889. View

3.
Peng D, Luo Y, Huang L, Liao F, Liu Y, Tang P . Correlation of Krebs von den Lungen-6 and fibronectin with pulmonary fibrosis in coronavirus disease 2019. Clin Chim Acta. 2021; 517:48-53. PMC: 7898973. DOI: 10.1016/j.cca.2021.02.012. View

4.
Shukla M, Rose J, Ray R, Lathrop K, Ray A, Ray P . Hepatocyte growth factor inhibits epithelial to myofibroblast transition in lung cells via Smad7. Am J Respir Cell Mol Biol. 2008; 40(6):643-53. PMC: 2689916. DOI: 10.1165/rcmb.2008-0217OC. View

5.
Ponti G, Maccaferri M, Ruini C, Tomasi A, Ozben T . Biomarkers associated with COVID-19 disease progression. Crit Rev Clin Lab Sci. 2020; 57(6):389-399. PMC: 7284147. DOI: 10.1080/10408363.2020.1770685. View