Identification of serum metabolites enhancing inflammatory responses in COVID-19.
Identification of serum metabolites enhancing inflammatory responses in COVID-19.
复制标题
鉴定增强 COVID-19 炎症反应的血清代谢物。
DOI:
10.1007/s11427-021-2099-7
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发表时间:
2022-10
影响因子:
9.1
通讯作者:
Wang, Zhanxiang
中科院分区:
文献类型:
--
作者:
Zhang, Chen-Song;Zhang, Bingchang;Li, Mengqi;Wei, Xiaoyan;Gong, Kai;Li, Zhiyong;Yao, Xiangyang;Wu, Jianfeng;Zhang, Cixiong;Zhu, Mingxia;Zhang, Lei;Sun, Xiufeng;Zhan, Yi-Hong;Jiang, Zhengye;Zhao, Wenpeng;Zhong, Wei;Zhuang, Xinguo;Zhou, Dawang;Piao, Hai-Long;Lin, Sheng-Cai;Wang, Zhanxiang
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is characterized by a strong production of inflammatory cytokines such as TNF and IL-6, which underlie the severity of the disease. However, the molecular mechanisms responsible for such a strong immune response remains unclear. Here, utilizing targeted tandem mass spectrometry to analyze serum metabolome and lipidome in COVID-19 patients at different temporal stages, we identified that 611 metabolites (of 1,039) were significantly altered in COVID-19 patients. Among them, two metabolites, agmatine and putrescine, were prominently elevated in the serum of patients; and 2-quinolinecarboxylate was changed in a biphasic manner, elevated during early COVID-19 infection but levelled off. When tested in mouse embryonic fibroblasts (MEFs) and macrophages, these 3 metabolites were found to activate the NF-κB pathway that plays a pivotal role in governing cytokine production. Importantly, these metabolites were each able to cause strong increase of TNF and IL-6 levels when administered to wildtype mice, but not in the mice lacking NF-κB. Intriguingly, these metabolites have little effects on the activation of interferon regulatory factors (IRFs) for the production of type I interferons (IFNs) for antiviral defenses. These data suggest that circulating metabolites resulting from COVID-19 infection may act as effectors to elicit the peculiar systemic inflammatory responses, exhibiting severely strong proinflammatory cytokine production with limited induction of the interferons. Our study may provide a rationale for development of drugs to alleviate inflammation in COVID-19 patients. The supporting information is available online at 10.1007/s11427-021-2099-7. The supporting materials are published as submitted, without typesetting or editing. The responsibility for scientific accuracy and content remains entirely with the authors.
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