FIELD: medicine.
SUBSTANCE: invention relates to medical immunology. Disclosed is a method for determining the inhibitory potential of blood for predicting uncontrolled activation of the complement system in COVID-19 by conducting a lysis reaction of erythrocytes of sheep sensitized by rabbit antibodies (EA), human blood serum in conditions of Veronal salt buffer VBS2+ at temperature 37.0±0.5 °C, samples are incubated for 10 minutes, complement-dependent EA lysis reaction is evaluated turbidimetrically by reducing the optical density of the EA suspension at wavelength of 620 nm, a calibration curve of optical density A620 versus EA lysis is plotted to determine the degree of erythrocyte lysis in the test samples. At the same time complement system activity in corresponding EDTA-plasmas is determined, consumption of complement during blood coagulation is calculated as difference of degree of lysis in EDTA-plasma and blood serum, difference of complement activity in serum and EDTA-plasma at the level ±10% characterizes the optimal level of inhibitory potential of blood, higher complement activity of more than 10% in serum compared to EDTA-plasma indicates low functional activity of C1-inhibitor, lower activity of 10% to 45% of complement in blood serum characterizes reduced inhibitory potential mainly due to antithrombin III and very low complement activity in blood serum compared to EDTA-plasma of more than 45% is assessed as a threat of uncontrolled activation of complement, a threat of acute respiratory distress syndrome in COVID-19.
EFFECT: invention provides an assessment of the inhibitory potential of blood for predicting uncontrolled activation of the complement system in COVID-19 in routine studies.
1 cl, 5 dwg, 1 tbl, 3 ex
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Authors
Dates
2024-02-29—Published
2023-05-25—Filed