The Plasmatic Aldosterone and C-Reactive Protein Levels, and the Severity of Covid-19: The Dyhor-19 Study.
Identifieur interne : 000457 ( Main/Exploration ); précédent : 000456; suivant : 000458The Plasmatic Aldosterone and C-Reactive Protein Levels, and the Severity of Covid-19: The Dyhor-19 Study.
Auteurs : Orianne Villard [France] ; David Morquin [France] ; Nicolas Molinari [France] ; Isabelle Raingeard [France] ; Nicolas Nagot [France] ; Jean-Paul Cristol [France] ; Boris Jung [France] ; Camille Roubille [France] ; Vincent Foulongne [France] ; Pierre Fesler [France] ; Sylvain Lamure [France] ; Patrice Taourel [France] ; Amadou Konate [France] ; Alexandre Thibault Jacques Maria [France] ; Alain Makinson [France] ; Ivan Bertchansky [France] ; Romaric Larcher [France] ; Kada Klouche [France] ; Vincent Le Moing [France] ; Eric Renard [France] ; Philippe Guilpain [France]Source :
- Journal of clinical medicine [ 2077-0383 ] ; 2020.
Abstract
BACKGROUND
The new coronavirus SARS-CoV-2, responsible for the Covid-19 pandemic, uses the angiotensin converting enzyme type 2 (ACE2), a physiological inhibitor of the renin angiotensin aldosterone system (RAAS), as a cellular receptor to infect cells. Since the RAAS can induce and modulate pro-inflammatory responses, it could play a key role in the pathophysiology of Covid-19. Thus, we aimed to determine the levels of plasma renin and aldosterone as indicators of RAAS activation in a series of consecutively admitted patients for Covid-19 in our clinic.
METHODS
Plasma renin and aldosterone levels were measured, among the miscellaneous investigations needed for Covid-19 management, early after admission in our clinic. Disease severity was assessed using a seven-category ordinal scale. Primary outcome of interest was the severity of patients' clinical courses.
RESULTS
Forty-four patients were included. At inclusion, 12 patients had mild clinical status, 25 moderate clinical status and 7 severe clinical status. In univariate analyses, aldosterone and C-reactive protein (CRP) levels at inclusion were significantly higher in patients with severe clinical course as compared to those with mild or moderate course (
CONCLUSIONS
Both plasmatic aldosterone and CRP levels at inclusion are associated with the clinical course of Covid-19. Our findings may open new perspectives in the understanding of the possible role of RAAS for Covid-19 outcome.
DOI: 10.3390/jcm9072315
PubMed: 32708205
PubMed Central: PMC7408691
Affiliations:
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<author><name sortKey="Konate, Amadou" sort="Konate, Amadou" uniqKey="Konate A" first="Amadou" last="Konate">Amadou Konate</name>
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<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
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<author><name sortKey="Maria, Alexandre Thibault Jacques" sort="Maria, Alexandre Thibault Jacques" uniqKey="Maria A" first="Alexandre Thibault Jacques" last="Maria">Alexandre Thibault Jacques Maria</name>
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<author><name sortKey="Bertchansky, Ivan" sort="Bertchansky, Ivan" uniqKey="Bertchansky I" first="Ivan" last="Bertchansky">Ivan Bertchansky</name>
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<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
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<wicri:regionArea>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
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<author><name sortKey="Larcher, Romaric" sort="Larcher, Romaric" uniqKey="Larcher R" first="Romaric" last="Larcher">Romaric Larcher</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Klouche, Kada" sort="Klouche, Kada" uniqKey="Klouche K" first="Kada" last="Klouche">Kada Klouche</name>
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<country xml:lang="fr">France</country>
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<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
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<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Le Moing, Vincent" sort="Le Moing, Vincent" uniqKey="Le Moing V" first="Vincent" last="Le Moing">Vincent Le Moing</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
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<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Renard, Eric" sort="Renard, Eric" uniqKey="Renard E" first="Eric" last="Renard">Eric Renard</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Guilpain, Philippe" sort="Guilpain, Philippe" uniqKey="Guilpain P" first="Philippe" last="Guilpain">Philippe Guilpain</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
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</affiliation>
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</titleStmt>
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<date when="2020">2020</date>
<idno type="RBID">pubmed:32708205</idno>
<idno type="pmid">32708205</idno>
<idno type="doi">10.3390/jcm9072315</idno>
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<idno type="wicri:Area/Main/Exploration">000850</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">The Plasmatic Aldosterone and C-Reactive Protein Levels, and the Severity of Covid-19: The Dyhor-19 Study.</title>
<author><name sortKey="Villard, Orianne" sort="Villard, Orianne" uniqKey="Villard O" first="Orianne" last="Villard">Orianne Villard</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Morquin, David" sort="Morquin, David" uniqKey="Morquin D" first="David" last="Morquin">David Morquin</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Molinari, Nicolas" sort="Molinari, Nicolas" uniqKey="Molinari N" first="Nicolas" last="Molinari">Nicolas Molinari</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Raingeard, Isabelle" sort="Raingeard, Isabelle" uniqKey="Raingeard I" first="Isabelle" last="Raingeard">Isabelle Raingeard</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nagot, Nicolas" sort="Nagot, Nicolas" uniqKey="Nagot N" first="Nicolas" last="Nagot">Nicolas Nagot</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cristol, Jean Paul" sort="Cristol, Jean Paul" uniqKey="Cristol J" first="Jean-Paul" last="Cristol">Jean-Paul Cristol</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Laboratory of Biochemistry, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratory of Biochemistry, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jung, Boris" sort="Jung, Boris" uniqKey="Jung B" first="Boris" last="Jung">Boris Jung</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Roubille, Camille" sort="Roubille, Camille" uniqKey="Roubille C" first="Camille" last="Roubille">Camille Roubille</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Foulongne, Vincent" sort="Foulongne, Vincent" uniqKey="Foulongne V" first="Vincent" last="Foulongne">Vincent Foulongne</name>
<affiliation wicri:level="3"><nlm:affiliation>Laboratory of Virology, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Laboratory of Virology, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fesler, Pierre" sort="Fesler, Pierre" uniqKey="Fesler P" first="Pierre" last="Fesler">Pierre Fesler</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lamure, Sylvain" sort="Lamure, Sylvain" uniqKey="Lamure S" first="Sylvain" last="Lamure">Sylvain Lamure</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Taourel, Patrice" sort="Taourel, Patrice" uniqKey="Taourel P" first="Patrice" last="Taourel">Patrice Taourel</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Radiology, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Radiology, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Konate, Amadou" sort="Konate, Amadou" uniqKey="Konate A" first="Amadou" last="Konate">Amadou Konate</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Maria, Alexandre Thibault Jacques" sort="Maria, Alexandre Thibault Jacques" uniqKey="Maria A" first="Alexandre Thibault Jacques" last="Maria">Alexandre Thibault Jacques Maria</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Makinson, Alain" sort="Makinson, Alain" uniqKey="Makinson A" first="Alain" last="Makinson">Alain Makinson</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bertchansky, Ivan" sort="Bertchansky, Ivan" uniqKey="Bertchansky I" first="Ivan" last="Bertchansky">Ivan Bertchansky</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Larcher, Romaric" sort="Larcher, Romaric" uniqKey="Larcher R" first="Romaric" last="Larcher">Romaric Larcher</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Klouche, Kada" sort="Klouche, Kada" uniqKey="Klouche K" first="Kada" last="Klouche">Kada Klouche</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Le Moing, Vincent" sort="Le Moing, Vincent" uniqKey="Le Moing V" first="Vincent" last="Le Moing">Vincent Le Moing</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Renard, Eric" sort="Renard, Eric" uniqKey="Renard E" first="Eric" last="Renard">Eric Renard</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Guilpain, Philippe" sort="Guilpain, Philippe" uniqKey="Guilpain P" first="Philippe" last="Guilpain">Philippe Guilpain</name>
<affiliation wicri:level="3"><nlm:affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier</wicri:regionArea>
<placeName><region type="region" nuts="2">Occitanie (région administrative)</region>
<region type="old region" nuts="2">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of clinical medicine</title>
<idno type="ISSN">2077-0383</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>The new coronavirus SARS-CoV-2, responsible for the Covid-19 pandemic, uses the angiotensin converting enzyme type 2 (ACE2), a physiological inhibitor of the renin angiotensin aldosterone system (RAAS), as a cellular receptor to infect cells. Since the RAAS can induce and modulate pro-inflammatory responses, it could play a key role in the pathophysiology of Covid-19. Thus, we aimed to determine the levels of plasma renin and aldosterone as indicators of RAAS activation in a series of consecutively admitted patients for Covid-19 in our clinic.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Plasma renin and aldosterone levels were measured, among the miscellaneous investigations needed for Covid-19 management, early after admission in our clinic. Disease severity was assessed using a seven-category ordinal scale. Primary outcome of interest was the severity of patients' clinical courses.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Forty-four patients were included. At inclusion, 12 patients had mild clinical status, 25 moderate clinical status and 7 severe clinical status. In univariate analyses, aldosterone and C-reactive protein (CRP) levels at inclusion were significantly higher in patients with severe clinical course as compared to those with mild or moderate course (</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Both plasmatic aldosterone and CRP levels at inclusion are associated with the clinical course of Covid-19. Our findings may open new perspectives in the understanding of the possible role of RAAS for Covid-19 outcome.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32708205</PMID>
<DateRevised><Year>2020</Year>
<Month>08</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2077-0383</ISSN>
<JournalIssue CitedMedium="Print"><Volume>9</Volume>
<Issue>7</Issue>
<PubDate><Year>2020</Year>
<Month>Jul</Month>
<Day>21</Day>
</PubDate>
</JournalIssue>
<Title>Journal of clinical medicine</Title>
<ISOAbbreviation>J Clin Med</ISOAbbreviation>
</Journal>
<ArticleTitle>The Plasmatic Aldosterone and C-Reactive Protein Levels, and the Severity of Covid-19: The Dyhor-19 Study.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">E2315</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.3390/jcm9072315</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The new coronavirus SARS-CoV-2, responsible for the Covid-19 pandemic, uses the angiotensin converting enzyme type 2 (ACE2), a physiological inhibitor of the renin angiotensin aldosterone system (RAAS), as a cellular receptor to infect cells. Since the RAAS can induce and modulate pro-inflammatory responses, it could play a key role in the pathophysiology of Covid-19. Thus, we aimed to determine the levels of plasma renin and aldosterone as indicators of RAAS activation in a series of consecutively admitted patients for Covid-19 in our clinic.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Plasma renin and aldosterone levels were measured, among the miscellaneous investigations needed for Covid-19 management, early after admission in our clinic. Disease severity was assessed using a seven-category ordinal scale. Primary outcome of interest was the severity of patients' clinical courses.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-four patients were included. At inclusion, 12 patients had mild clinical status, 25 moderate clinical status and 7 severe clinical status. In univariate analyses, aldosterone and C-reactive protein (CRP) levels at inclusion were significantly higher in patients with severe clinical course as compared to those with mild or moderate course (<i>p</i>
< 0.01 and <i>p</i>
= 0.03, respectively). In multivariate analyses, only aldosterone and CRP levels remained positively associated with severity. We also observed a positive significant correlation between aldosterone and CRP levels among patients with an aldosterone level greater than 102.5 pmol/L.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Both plasmatic aldosterone and CRP levels at inclusion are associated with the clinical course of Covid-19. Our findings may open new perspectives in the understanding of the possible role of RAAS for Covid-19 outcome.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Villard</LastName>
<ForeName>Orianne</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Morquin</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Molinari</LastName>
<ForeName>Nicolas</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Raingeard</LastName>
<ForeName>Isabelle</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nagot</LastName>
<ForeName>Nicolas</ForeName>
<Initials>N</Initials>
<Identifier Source="ORCID">0000-0002-3493-2821</Identifier>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>IMAG, CNRS, University of Montpellier, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cristol</LastName>
<ForeName>Jean-Paul</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Laboratory of Biochemistry, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jung</LastName>
<ForeName>Boris</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Roubille</LastName>
<ForeName>Camille</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Foulongne</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Laboratory of Virology, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fesler</LastName>
<ForeName>Pierre</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lamure</LastName>
<ForeName>Sylvain</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0001-5980-305X</Identifier>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Taourel</LastName>
<ForeName>Patrice</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Radiology, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Konate</LastName>
<ForeName>Amadou</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maria</LastName>
<ForeName>Alexandre Thibault Jacques</ForeName>
<Initials>ATJ</Initials>
<Identifier Source="ORCID">0000-0002-0868-5804</Identifier>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Makinson</LastName>
<ForeName>Alain</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bertchansky</LastName>
<ForeName>Ivan</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Internal Medicine-'DIAGORA Unit', Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Larcher</LastName>
<ForeName>Romaric</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Klouche</LastName>
<ForeName>Kada</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Intensive Care Medicine, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>PhyMedExp, Université de Montpellier, INSERM, CNRS, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Le Moing</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Infectious and Tropical Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
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<ForeName>Eric</ForeName>
<Initials>E</Initials>
<Identifier Source="ORCID">0000-0002-3407-7263</Identifier>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Endocrinology, Diabetes, Nutrition, and INSERM 1411 Clinical Investigation Centre, Montpellier University Hospital, INSERM, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Guilpain</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Montpellier School of Medicine, University of Montpellier, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Internal Medicine-Multi-Organ Diseases, Local Referral Center for Auto-Immune Diseases, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>IRMB, INSERM U1183, Montpellier University Hospital, 34000 Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>07</Month>
<Day>21</Day>
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<MedlineJournalInfo><Country>Switzerland</Country>
<MedlineTA>J Clin Med</MedlineTA>
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<ISSNLinking>2077-0383</ISSNLinking>
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<Keyword MajorTopicYN="N">endocrine</Keyword>
<Keyword MajorTopicYN="N">inflammation</Keyword>
<Keyword MajorTopicYN="N">renin angiotensin aldosterone system</Keyword>
<Keyword MajorTopicYN="N">severity</Keyword>
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<Day>29</Day>
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<Month>07</Month>
<Day>15</Day>
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<Month>07</Month>
<Day>17</Day>
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<Month>7</Month>
<Day>26</Day>
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<affiliations><list><country><li>France</li>
</country>
<region><li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
</region>
<settlement><li>Montpellier</li>
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