Long Covid-Fever

Fever (HP:0001945)

Body temperature elevated above the normal range.

Synonyms:    Fever, Hyperthermia, Pyrexia

Comment:    Fever has been defined as a state of elevated core temperature, which is often, but not necessarily, part of the defensive responses of multicellular organisms (host) to the invasion of live (microorganisms) or inanimate matter recognized as pathogenic or alien by the host. The febrile response (of which fever is a component) is a complex physiologic reaction to disease, involving a cytokine-mediated rise in core temperature, generation of acute phase reactants, and activation of numerous physiologic, endocrinologic, and immunologic systems. The rise in temperature during fever is to be distinguished from that occurring during episodes of hyperthermia. Unlike fever, hyperthermia involves an unregulated rise in body temperature in which pyrogenic cytokines are not directly involved and against which standard antipyretics are ineffective. It represents a failure of thermoregulatory homeostasis, in which there is uncontrolled heat production, inadequate heat dissipation, or defective hypothalamic thermoregulation.

Pubmed References:    PMID:9759682

Cross References:    MSH:D005334, SNOMEDCT_US:386661006, SNOMEDCT_US:50177009, UMLS:C0015967

KEGG Pathway

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1Primary immunodeficiency4.712e-121.838e-10604.7615772.67
2B cell receptor signaling pathway0.0000075240.0001467109.411290.72
3Hematopoietic cell lineage0.000013770.000155688.81994.11
4T cell receptor signaling pathway0.000015960.000155684.39932.17
5PD-L1 expression and PD-1 checkpoint pathway in cancer0.00086090.00512357.19403.64

GO: Biological Process

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1positive thymic T cell selection (GO:0045059)0.0000022480.000079971665.5821661.60
2lymphocyte differentiation (GO:0030098)9.479e-132.360e-10382.9210601.05
3B cell receptor signaling pathway (GO:0050853)1.451e-97.224e-8443.569026.96
4B cell differentiation (GO:0030183)5.558e-116.920e-9355.968405.46
5V(D)J recombination (GO:0033151)0.000012350.0003842555.036273.06

GO: Molecular Function

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1phospholipase binding (GO:0043274)0.0069790.06082170.74847.70
2endodeoxyribonuclease activity (GO:0004520)0.0099570.06082116.79538.34
3phosphatidylinositol-3,5-bisphosphate binding (GO:0080025)0.011940.0608296.46427.12
4phosphatidylinositol-3,4-bisphosphate binding (GO:0043325)0.012930.0608288.73385.85
5protein tyrosine kinase activity (GO:0004713)0.0012640.0480346.90312.97

GO: Cellular Component

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1T cell receptor complex (GO:0042101)1.975e-83.358e-7951.4816879.14
2alpha-beta T cell receptor complex (GO:0042105)0.0000033710.000028661249.1315739.23
3early phagosome (GO:0032009)0.0059850.01978201.811032.95
4pericentric heterochromatin (GO:0005721)0.0069790.01978170.74847.70
5clathrin-coated endocytic vesicle (GO:0045334)0.00078570.00445259.96428.66

Hub genes predicted as biomarkers & predicted FDA approved drugs

Hub Genes (ranked)FDA-Approved Drugs
CTLA4IPILIMUMAB, ABATACEPT
CD3EMUROMMONAB-CD3, CATUMAXOMAB, BLINATUMOMAB
CD79A
IKZF1LENALIDOMIDE
CD79BPOLATUZUMAB VEDOTIN
RAG1
RAG2
CD3DMUROMMONAB-CD3, CATUMAXOMAB, BLINATUMOMAB
SYKFOSTAMATINIB
KITNILOTINIB, IMATINIB