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Clin Chim Acta. 2022 Jan 07; doi: 10.1016/j.cca.2022.01.003. Epub 2022 Jan 07.

Pattern of serum protein capillary electrophoretogram in SARS- CoV-2 infection.

Clinica chimica acta; international journal of clinical chemistry

Surbhi Garg, Vijay Kumar Singh, Subash Chandra Sonkar, Harshit Kelkar, Shlesh Singh, Sandeep Garg, Mona Arya, Farah Husain, Lal Chandra, Anubhuti Chitkara, Tanmaya Talukdar, Binita Goswami, Bidhan Chandra Koner

Affiliations

  1. Department of Biochemistry, Maulana Azad Medical College (MAMC) & L.N. Hospital, New Delhi, India PIN110 002.
  2. Multidisciplinary Research Unit (MRU), Maulana Azad Medical College, New Delhi, India, PIN 110002.
  3. Department of Medicine, Maulana Azad Medical College & L.N. Hospital, New Delhi, India PIN 110002.
  4. Department of Anesthesia, Maulana Azad Medical College & L.N. Hospital, New Delhi, India PIN 110002.
  5. Department of TB and Chest Diseases, Lady Hardinge Medical College, New Delhi,PIN-110001.
  6. Department of Biochemistry, Maulana Azad Medical College (MAMC) & L.N. Hospital, New Delhi, India PIN110 002; Multidisciplinary Research Unit (MRU), Maulana Azad Medical College, New Delhi, India, PIN 110002.
  7. Department of Biochemistry, Maulana Azad Medical College (MAMC) & L.N. Hospital, New Delhi, India PIN110 002; Multidisciplinary Research Unit (MRU), Maulana Azad Medical College, New Delhi, India, PIN 110002. Electronic address: [email protected].

PMID: 35007527 PMCID: PMC8739368 DOI: 10.1016/j.cca.2022.01.003

Abstract

BACKGROUND AND AIMS: Monoclonal/biclonalgammopathy of unknown significance (MGUS/BGUS) is observed in COVID-19. This study was conducted to determine the changes in serum protein electrophoresis (SPEP) in COVID-19.

MATERIALS AND METHODS: In this descriptive (cross-sectional) study, serum inflammatory markers (CRP, IL-6 and ferritin) were measured and SPEP was carried out by capillary electrophoresis method in 35 controls and 30 moderate & 58 severe COVID-19 cases.

RESULTS: Serum inflammatory markers were increased in COVID-19 cases with severity. M-band(s), β-γ bridging and pre-albumin band(s) on SPEP were observed in 15.5, 11 & 12% of severe cases and 3, 4 & 0% moderate COVID-19 cases respectively. Area under curve (AUC) of α 1 and α 2 bands of SPEP increased significantly in severe COVID-19.

CONCLUSIONS: We conclude that SPEP changes like the appearance of M-band(s) indicating MGUS(BGUS), β- γ bridging indicating the presence of fast-moving immunoglobulins, pre-albumin band indicating the rise in serum transthyretin level and the increase in AUC of α 1 and α 2 bands indicating the rise in positive acute phase reactants occur in COVID-19. The occurrence and magnitude of these changes are higher in severe COVID-19 than that in moderate COVID-19. The diagnostic and prognostic significance of these SPEP changes are worth exploring.

Copyright © 2022. Published by Elsevier B.V.

Keywords: COVID-19; Capillary electrophoresis; Monoclonal gammopathy; Pre-albumin; SARS-CoV-2

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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