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Comment
. 2021 Oct;70(10):2015-2017.
doi: 10.1136/gutjnl-2020-323542. Epub 2021 Jan 5.

Serotonin is elevated in COVID-19-associated diarrhoea

Affiliations
Comment

Serotonin is elevated in COVID-19-associated diarrhoea

Seeun Ha et al. Gut. 2021 Oct.
No abstract available

Keywords: COVID-19; diarrhoea; serotonin.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Profiles of plasma 5-HT and 5-HIAA in patients with COVID-19 with different severity and diarrhoea. (A–C) Plasma levels of 5-HT in a group of healthy individuals (n=18) and patients with COVID-19 (n=80) (A), in a group of healthy individuals and patients with COVID-19 with asymptomatic, mild, severe and critical conditions (B), and in a group of healthy individuals and patients with COVID-19 with and without diarrhoea (with diarrhoea n=10, without diarrhoea n=70) (C). (D–F) Plasma levels of 5-HIAA in a group of healthy individuals (n=18) and patients with COVID-19 (n=80) (D), in a group of healthy individuals and patients with COVID-19 with asymptomatic, mild, severe and critical conditions (E), and in a group of healthy individuals and patients with COVID-19 with and without diarrhoea (F). (G and H) Comparison of plasma 5-HIAA to 5-HT ratio in patients with COVID-19 with different severity and in a group of healthy individuals (G) and patients with COVID-19 with and without diarrhoea (H). (I) Correlation matrix of severity, fever, IL-6, 5-HT, 5-HIAA and GI symptoms in patients with COVID-19. Correlation matrix shows the Spearman’s rank correlation among severity (asymptomatic, 1; mild, 2; severe, 3; critical, 4), fever, IL-6, 5-HT and GI symptoms (diarrhoea, abdominal pain, nausea, vomiting and GI bleeding) in patients with COVID-19 (n=80). A correlation number of 1.0 or −1.0 indicates 100% of patients with a positive (blue) or negative (red) correlation. Statistical analysis was performed with two-way analysis of variance. P<0.05 was considered significant (*p<0.05, **p<0.01). 5-HIAA, 5-hydroxyindoleacetic acid; 5-HT, 5-hydroxytryptamine; IL-6, interleukin 6.

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References

    1. Lin L, Jiang X, Zhang Z, et al. Gastrointestinal symptoms of 95 cases with SARS-CoV-2 infection. Gut 2020;69:997–1001. - PubMed
    1. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel Coronavirus–Infected pneumonia in Wuhan, China. JAMA 2020;323:1061–9. - PMC - PubMed
    1. Buscarini E, Manfredi G, Brambilla G, et al. Gi symptoms as early signs of COVID-19 in hospitalised Italian patients. Gut 2020;69:1547–8. - PMC - PubMed
    1. Barbara G, Feinle-Bisset C, Ghoshal UC, et al. The intestinal microenvironment and functional gastrointestinal disorders. Gastroenterology 2016;150:1305–18. - PubMed
    1. Gershon MD, Tack J. The serotonin signaling system: from basic understanding to drug development for functional Gi disorders. Gastroenterology 2007;132:397–414. - PubMed