Altered amino acid profile in patients with SARS-CoV-2 infection.

Altered amino acid profile in patients with SARS-CoV-2 infection.
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DOI:
10.1073/pnas.2101708118
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发表时间:
2021-06-22
影响因子:
11.1
通讯作者:
Morris CR
Morris CR
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Rees CA;Rostad CA;Mantus G;Anderson EJ;Chahroudi A;Jaggi P;Wrammert J;Ochoa JB;Ochoa A;Basu RK;Heilman S;Harris F;Lapp SA;Hussaini L;Vos MB;Brown LA;Morris CR

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血浆精氨酸生物利用度低与内皮功能障碍和免疫失调有关。精氨酸在COVID-19中的作用尚不清楚,但如果含量低,可能会导致细胞损伤。我们的目的是确定成人和儿童COVID-19患者与健康对照者的精氨酸生物利用度。我们假设精氨酸在COVID-19和儿童多系统炎症综合征(MIS-C)患者中的生物利用度较低。我们对三个患者队列进行了前瞻性观察研究;在无症状健康对照、COVID-19住院成人以及入院筛查中发现的COVID-19、MIS-C或无症状严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)感染的住院儿童/青少年中测定精氨酸的生物利用度。使用学生t检验将患者血浆氨基酸平均值与对照组进行比较。在所有三组中评估精氨酸与鸟氨酸的比值(精氨酸酶活性的生物标志物)和总体精氨酸生物利用比(GABR,精氨酸/[鸟氨酸+瓜氨酸])。共纳入80例患者(28例对照,32例成人COVID-19患者和20例儿童COVID-19/MIS-C患者)。与对照组相比,成人和儿童COVID-19/MIS-C患者的平均血浆精氨酸和精氨酸生物利用度比较低。精氨酸在COVID-19患儿和misc患儿中的生物利用度没有差异。与健康成人对照相比,我们队列中患有COVID-19和misc的成人和儿童的精氨酸生物利用度较低。这可能导致COVID-19的免疫失调和内皮功能障碍。在COVID-19或misc患者中,精氨酸与鸟氨酸的比例较低表明精氨酸酶活性升高。精氨酸失调在COVID-19中的作用值得进一步研究。
Low plasma arginine bioavailability has been implicated in endothelial dysfunction and immune dysregulation. The role of arginine in COVID-19 is unknown, but could contribute to cellular damage if low. Our objective was to determine arginine bioavailability in adults and children with COVID-19 vs. healthy controls. We hypothesized that arginine bioavailability would be low in patients with COVID-19 and multisystem inflammatory syndrome in children (MIS-C). We conducted a prospective observational study of three patient cohorts; arginine bioavailability was determined in asymptomatic healthy controls, adults hospitalized with COVID-19, and hospitalized children/adolescents <21 y old with COVID-19, MIS-C, or asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection identified on admission screen. Mean patient plasma amino acids were compared to controls using the Student’s t test. Arginine-to-ornithine ratio, a biomarker of arginase activity, and global arginine bioavailability ratio (GABR, arginine/[ornithine+citrulline]) were assessed in all three groups. A total of 80 patients were included (28 controls, 32 adults with COVID-19, and 20 pediatric patients with COVID-19/MIS-C). Mean plasma arginine and arginine bioavailability ratios were lower among adult and pediatric patients with COVID-19/MIS-C compared to controls. There was no difference between arginine bioavailability in children with COVID-19 vs. MIS-C. Adults and children with COVID-19 and MIS-C in our cohort had low arginine bioavailability compared to healthy adult controls. This may contribute to immune dysregulation and endothelial dysfunction in COVID-19. Low arginine-to-ornithine ratio in patients with COVID-19 or MIS-C suggests an elevation of arginase activity. Further study is merited to explore the role of arginine dysregulation in COVID-19.
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