Leveraging metabolic modeling to identify functional metabolic alterations associated with COVID-19 disease severity.

Leveraging metabolic modeling to identify functional metabolic alterations associated with COVID-19 disease severity.
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利用代谢建模来识别与COVID-19疾病严重程度相关的功能性代谢改变。

DOI:
10.1007/s11306-022-01904-9
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发表时间:
2022-07-11
期刊:
影响因子:
3.6
通讯作者:
Papin, J. A.
Papin, J. A.
中科院分区:
医学3区
文献类型:
--
作者:
Dillard, L. R.;Wase, N.;Ramakrishnan, G.;Park, J. J.;Sherman, N. E.;Carpenter, R.;Young, M.;Donlan, A. N.;Petri, W.;Papin, J. A.

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Since the COVID-19 pandemic began in early 2020, SARS-CoV2 has claimed more than six million lives world-wide, with over 510 million cases to date. To reduce healthcare burden, we must investigate how to prevent non-acute disease from progressing to severe infection requiring hospitalization. To achieve this goal, we investigated metabolic signatures of both non-acute (out-patient) and severe (requiring hospitalization) COVID-19 samples by profiling the associated plasma metabolomes of 84 COVID-19 positive University of Virginia hospital patients. We utilized supervised and unsupervised machine learning and metabolic modeling approaches to identify key metabolic drivers that are predictive of COVID-19 disease severity. Using metabolic pathway enrichment analysis, we explored potential metabolic mechanisms that link these markers to disease progression. Enriched metabolites associated with tryptophan in non-acute COVID-19 samples suggest mitigated innate immune system inflammatory response and immunopathology related lung damage prevention. Increased prevalence of histidine- and ketone-related metabolism in severe COVID-19 samples offers potential mechanistic insight to musculoskeletal degeneration-induced muscular weakness and host metabolism that has been hijacked by SARS-CoV2 infection to increase viral replication and invasion. Our findings highlight the metabolic transition from an innate immune response coupled with inflammatory pathway inhibition in non-acute infection to rampant inflammation and associated metabolic systemic dysfunction in severe COVID-19.
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