4.6 Review

Metabolomics as a powerful tool for diagnostic, pronostic and drug intervention analysis in COVID-19

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Yixian Jing et al.

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Plasma Metabolomic Alterations Induced by COVID-19 Vaccination Reveal Putative Biomarkers Reflecting the Immune Response

Ioanna Dagla et al.

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PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2022)

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The Platelet Lipidome Is Altered in Patients with COVID-19 and Correlates with Platelet Reactivity

Alex R. Schuurman et al.

Summary: This study reveals the profound impact of COVID-19 infection on the lipid composition of human platelets, and identifies associations between platelet lipid composition and reactivity.

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Small-molecule metabolome identifies potential therapeutic targets against COVID-19

Sean Bennet et al.

Summary: Respiratory viruses, including COVID-19, can affect the nasal metabolome, leading to virus-specific changes. This study evaluated the nasopharyngeal metabolome of COVID-19 infected individuals and identified potential therapeutic targets. Machine learning models accurately differentiated viral infections and specifically identified analytes that were significantly changed in COVID-19 patients.

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Urine metabolomics links dysregulation of the tryptophan-kynurenine pathway to inflammation and severity of COVID-19

Joseph P. Dewulf et al.

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Matt Spick et al.

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Francisco C. Ceballos et al.

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Metabolite profile of COVID-19 revealed by UPLC-MS/MS-based widely targeted metabolomics

Jun Liu et al.

Summary: This study evaluated the serum metabolomic profiles of COVID-19 patients using targeted metabolomics. The results showed that metabolites performed well in discriminating COVID-19 patients from CAP patients and healthy controls. Specific dysregulation of certain metabolites was observed in severe COVID-19 patients. This study may enhance our understanding of the pathophysiological mechanisms of COVID-19.

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Metabolomics Markers of COVID-19 Are Dependent on Collection Wave

Holly-May Lewis et al.

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Plasma Oxylipins and Their Precursors Are Strongly Associated with COVID-19 Severity and with Immune Response Markers

Naama Karu et al.

Summary: COVID-19 is characterized by dysregulated immune response, with signaling lipids mediating the inflammatory process. The study found that ICU patients had lower levels of specific lipids compared to ward patients, while recovering ward patients had higher levels. Additionally, ICU patients showed positive correlations between specific lipids and markers of macrophage activation, while recovering ward patients showed negative correlations with inflammation markers. Therefore, COVID-19 may disrupt oxylipin metabolism, hindering the expected shift from immune response to inflammation resolution.

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Peter Liptak et al.

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Integrative metabolomic and proteomic signatures define clinical outcomes in severe COVID-19

Mustafa Buyukozkan et al.

Summary: In this study, large-scale integrative multi-omics analyses were conducted on serum samples from COVID-19 patients to uncover the pathogenic complexities and identify molecular signatures that predict clinical outcomes. A network of protein-metabolite interactions was assembled, revealing cross talk related to immune modulation, energy and nucleotide metabolism, vascular homeostasis, and collagen catabolism. A novel composite outcome measure for COVID-19 disease severity based on metabolomics data was developed and showed high predictive power.

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Multi-Omics Reveals Mechanisms of Partial Modulation of COVID-19 Dysregulation by Glucocorticoid Treatment

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Wenyu Chen et al.

Summary: This study utilized untargeted metabolomics analysis to characterize the metabolic alterations in COVID-19 patients with nucleic acid turning negative. The results showed dysregulation in amino acid metabolism and lipid metabolism, highlighting the need for specific post-treatment care to aid the recovery of COVID-19 patients.

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Metabolomics-based investigation of SARS-CoV-2 vaccination (Sinovac) reveals an immune-dependent metabolite biomarker

Maozhang He et al.

Summary: The study revealed that SARS-CoV-2 vaccination significantly affects the host metabolite levels, with certain metabolites such as L-glutamic acid, GABA, succinic acid, and taurine showing an increasing trend post-vaccination. Additionally, post-vaccination metabolites were mainly associated with butanoate metabolism and glutamate metabolism pathways and demonstrated a high discriminative ability between vaccinated and unvaccinated individuals.

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Urinary lipid profile of patients with coronavirus diseases 2019

Misato Kida et al.

Summary: This study comprehensively analyzed urinary lipid mediators and their metabolites in COVID-19 patients and found that urinary lipids can reflect the inflammatory status of patients, which may serve as a useful index for managing the disease.

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Dynamic modulations of sphingolipids and glycerophospholipids in COVID-19

Makoto Kurano et al.

Summary: This study investigated the modulations of sphingolipids and glycerophospholipids in COVID-19 patients, revealing their dynamic changes depending on the time course and severity of the disease. Several species of phosphatidylcholine, phosphatidylethanolamine, and sphingomyelin may serve as better biomarkers for predicting severe COVID-19 during the early phase compared to traditional markers such as CRP and D-dimer.

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Profiling of exhaled volatile organics in the screening scenario of a COVID-19 test center

Rasmus Remy et al.

Summary: Breath analysis can provide immediate information on infection mechanisms and host response. This study found that the VOC profiles in exhaled breath differed between COVID-19 patients and healthy individuals or those with other respiratory infections. The downregulation of specific VOCs may be attributed to the suppressive effects of the virus on gut or pulmonary microbial metabolism.

ISCIENCE (2022)

Article Multidisciplinary Sciences

Serum metabolomic abnormalities in survivors of non-severe COVID-19

Fang Li et al.

Summary: This study used metabolomics approaches to investigate the metabolic characteristics of non-severe COVID-19 survivors and found that their serum amino acids, organic acids, purine, fatty acids, and lipid metabolism were still abnormal, but the kynurenine pathway and the level of itaconic acid had returned to normal. These metabolic abnormalities are associated with liver injury, mental health, energy production, and inflammatory responses.

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Development of a multiomics model for identification of predictive biomarkers for COVID-19 severity: a retrospective cohort study

Seul Kee Byeon et al.

Summary: In this retrospective cohort study, biomarkers that reliably predict severe and clinical outcomes of COVID-19 were discovered by analyzing samples from 455 participants. The study found that multiomic molecular signatures in plasma collected before hospital admission could be used to predict disease severity, demonstrating the potential of machine learning approaches in identifying novel clinical signatures.

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Article Cell Biology

Dynamic modulations of urinary sphingolipid and glycerophospholipid levels in COVID-19 and correlations with COVID-19-associated kidney injuries

Makoto Kurano et al.

Summary: This study investigated the urinary modulations of sphingolipids and glycerophospholipids in COVID-19 patients with kidney injuries. The results showed significant changes in the levels of certain compounds in the urine, which may reflect the direct effects of viral infection.

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Metabolic Reprogramming in SARS-CoV-2 Infection Impacts the Outcome of COVID-19 Patients

Laura E. Martinez-Gomez et al.

Summary: This study aimed to characterize the profile of amino acids and acylcarnitines in COVID-19 patients. The findings suggest that metabolic imbalance may affect disease progression in COVID-19 patients, and phenylalanine may serve as a potential metabolic biomarker for evaluating disease severity.

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Article Endocrinology & Metabolism

Saliva metabolomic profile of COVID-19 patients associates with disease severity

Narjes Saheb Sharif-Askari et al.

Summary: This study investigated the utility of saliva and plasma metabolomic profiles as potential parameters for risk stratifying COVID-19 patients. LC-MS/MS-based untargeted metabolomics were used to profile changes in saliva and plasma metabolites of COVID-19 patients, revealing significant differences in metabolites between infected and non-infected individuals. Saliva-specific metabolites could serve as diagnostic and prognostic biomarkers for COVID-19.

METABOLOMICS (2022)

Article Biochemistry & Molecular Biology

Effect of a Functional Phospholipid Metabolome-Protein Association Pathway on the Mechanism of COVID-19 Disease Progression

Mingshan Xue et al.

Summary: This study investigates the clinical practice of phospholipid metabolic pathways in COVID-19 patients. It reveals that phosphatidylinositol and phosphatidylcholine can differentiate patients from healthy controls and predict the severity of the disease.

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Acetylcholine, Fatty Acids, and Lipid Mediators Are Linked to COVID-19 Severity

Malena M. Perez et al.

Summary: The study suggests that high levels of lipid and cholinergic mediators are associated with pulmonary and systemic hyperinflammation in severe cases of COVID-19. The use of glucocorticoids is associated with the survival of critical patients and a reduction in ACh levels.

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

L. R. Dillard et al.

Summary: This study investigates the metabolic signatures of non-acute and severe COVID-19 samples and finds that non-acute infection is associated with inhibited inflammatory response, while severe infection is linked to musculoskeletal degeneration and hijacked host metabolism. The findings highlight the metabolic transition from innate immune response to inflammatory and metabolic dysfunction in severe COVID-19.

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Fecal multi-omics analysis reveals diverse molecular alterations of gut ecosystem in COVID-19 patients

Feixiang He et al.

Summary: The gut ecosystem has profound effects on host physiology and health, with COVID-19 causing disruptions in gut proteomes. These disruptions may play a role in the development of symptoms in COVID-19 and highlight the need for ongoing investigation into gut molecular and microbial alterations during the recovery process.

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Progress in understanding COVID-19: insights from the omics approach

Baoxu Lin et al.

Summary: Sequencing the SARS-CoV-2 genome is crucial for controlling the COVID-19 pandemic. Comprehensive analysis of the molecular characteristics of SARS-CoV-2 and changes in COVID-19 patients is important for developing detection assays and treatment strategies. Omics research on COVID-19 offers hope for diagnostic assays, biomarkers, therapeutic drugs, and vaccines.

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Understanding the pathophysiological changes via untargeted metabolomics in COVID-19 patients

Halef O. Dogan et al.

Summary: COVID-19 patients and healthy controls exhibit significant differences in metabolites such as purine, glutamine, leukotriene D4, and glutathione metabolism, suggesting their roles in the pathogenesis of the disease. Targeting these pathways with therapeutic approaches like selective leukotriene D4 receptor antagonists and glutamine supplementation may reduce the severity and mortality of COVID-19.

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Article Biochemical Research Methods

Low Volume in Vitro Diagnostic Proton NMR Spectroscopy of Human Blood Plasma for Lipoprotein and Metabolite Analysis: Application to SARS-CoV-2 Biomarkers

Samantha Lodge et al.

Summary: The study demonstrates that low sample volume H-1 NMR spectroscopic experiments under in vitro diagnostic conditions can effectively recover information from blood plasma with limited availability or high value samples. Lipoprotein measurements using different volumes of NMR tubes showed similar results, with no time penalty for biomarker recovery for SARS-CoV-2.

JOURNAL OF PROTEOME RESEARCH (2021)

Article Biochemical Research Methods

NMR Spectroscopic Windows on the Systemic Effects of SARS-CoV-2 Infection on Plasma Lipoproteins and Metabolites in Relation to Circulating Cytokines

Samantha Lodge et al.

Summary: The study investigated the systemic metabolic effects of SARS-CoV-2 infection by analyzing H-1 NMR spectroscopic data on human blood plasma. The findings revealed that some patients in the respiratory recovery phase, with no detectable virus, still exhibited highly abnormal metabolism, indicating a new role for these technologies in assessing full systemic recovery.

JOURNAL OF PROTEOME RESEARCH (2021)

Review Cell Biology

SARS-CoV-2, ACE2 expression, and systemic organ invasion

Usman M. Ashraf et al.

Summary: The novel coronavirus disease COVID-19 has posed a global challenge by infecting human cells via binding with ACE2, resulting in respiratory illnesses like bronchitis and pneumonia.

PHYSIOLOGICAL GENOMICS (2021)

Article Biochemistry & Molecular Biology

Untargeted Metabolic Profiling of Extracellular Vesicles of SARS-CoV-2-Infected Patients Shows Presence of Potent Anti-Inflammatory Metabolites

Faisal A. Alzahrani et al.

Summary: This study investigated the metabolite content of EVs isolated from the serum of COVID-19 patients, revealing the presence of antivirals, antibiotics, anti-inflammatory metabolites, and decreased levels of coagulation-related metabolites. These findings suggest that EVs may play a crucial role in mediating heightened inflammation during COVID-19 infection, paving the way for the identification of novel metabolites as regulators of inflammatory pathways during viral infections.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Article Biochemistry & Molecular Biology

Severity of COVID-19 Patients Predicted by Serum Sphingolipids Signature

Enrica Torretta et al.

Summary: This study found that the imbalance of sphingolipid and glycosphingolipid metabolism in COVID-19 patients is related to disease severity, potentially leading to lipid raft remodeling, inducing cell apoptosis and immune escape.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Article Medicine, General & Internal

Metabolomics of exhaled breath in critically ill COVID-19 patients: A pilot study

Stanislas Grassin-Delyle et al.

Summary: This study characterized the exhaled breath from mechanically ventilated adults with COVID-19 using real-time proton transfer reaction time-of-flight mass spectrometry. The analysis was able to differentiate between COVID-19 and non-COVID-19 ARDS with high accuracy. Characteristic volatile compounds were identified in the exhaled breath of COVID-19 patients, showing potential for early diagnosis.

EBIOMEDICINE (2021)

Article Chemistry, Analytical

Diffusion and Relaxation Edited Proton NMR Spectroscopy of Plasma Reveals a High-Fidelity Supramolecular Biomarker Signature of SARS-CoV-2 Infection

Samantha Lodge et al.

Summary: Nuclear magnetic resonance spectroscopy-based plasma phenotyping using DIRE technique successfully revealed diagnostic molecular signatures of SARS-CoV-2 infection in plasma. Comparison of plasma samples from different groups showed differences in concentrations of specific metabolites in SARS-CoV-2 positive patients, suggesting potential molecular markers for COVID-19 diagnosis.

ANALYTICAL CHEMISTRY (2021)

Article Biochemistry & Molecular Biology

Lipidomic alteration of plasma in cured COVID-19 patients using ultra high-performance liquid chromatography with high-resolution mass spectrometry

Yunpeng Bai et al.

Summary: This study used a lipidomic strategy to analyze plasma lipids in cured COVID-19 patients of different ages and symptoms, finding more significant lipidomic changes in patients with severe symptoms or elderly patients. Some of these lipids may have essential biological functions, providing valuable information for potential therapeutic targets of COVID-19.

BIOSCIENCE REPORTS (2021)

Article Cell Biology

Metabolomic analyses of COVID-19 patients unravel stage-dependent and prognostic biomarkers

Francois-Xavier Danlos et al.

Summary: The circulating metabolome provides insights into how the organism responds to pathogenic challenges. Alterations in the plasma metabolome of COVID-19 patients varied based on the severity of the disease, with major changes observed in critical patients compared to mild cases. Understanding these metabolic shifts could potentially help in identifying therapeutic targets for COVID-19.

CELL DEATH & DISEASE (2021)

Article Multidisciplinary Sciences

Dysregulation of lipid metabolism and pathological inflammation in patients with COVID-19

Marianna Caterino et al.

Summary: This study utilized targeted lipidomic analysis coupled with proinflammatory cytokines and alarmins measurement to investigate the serum of COVID-19 patients with different severity degrees. The study measured serum IL-26, a cytokine involved in the IL-17 pathway, TSLP, and adiponectin, and correlated them with lipid profiles of COVID-19 patients, providing important insights for the classification of the disease and the identification of therapeutic targets.

SCIENTIFIC REPORTS (2021)

Article Multidisciplinary Sciences

Link between serum lipid signature and prognostic factors in COVID-19 patients

Michele Dei Cas et al.

Summary: The serum lipidome of COVID-19 patients shows significant and unique dyslipidemia related to factors such as inflammation, hypoxia, coagulation state, kidney function, and age, indicating reduced defense against oxidative stress. A particular lipidome signature was identified in patients with different outcomes after 7 days, with an increase in specific lipid species like ceramides and sulfatides, potentially serving as biomarkers for disease progression and severity.

SCIENTIFIC REPORTS (2021)

Article Chemistry, Analytical

The faecal metabolome in COVID-19 patients is altered and associated with clinical features and gut microbes

Longxian Lv et al.

Summary: COVID-19 patients' faecal metabolome is enriched with important nutrients and harmful metabolites, with certain metabolites significantly correlated with altered serum metabolites and gut microbes; discharged patients' faecal metabolites showed no difference in some components compared to healthy controls, but significant differences were observed in others, reflecting potential malnutrition and intestinal inflammation.

ANALYTICA CHIMICA ACTA (2021)

Article Microbiology

Longitudinal Metabolomics Reveals Ornithine Cycle Dysregulation Correlates With Inflammation and Coagulation in COVID-19 Severe Patients

Tao Li et al.

Summary: Studies on the metabolome of COVID-19 patients have revealed metabolic disorders and potential diagnostic markers during disease progression. Longitudinal changes in the serum metabolome of COVID-19 patients show that most metabolites did not recover before discharge. Dysregulation of the ornithine cycle significantly correlates with inflammation and coagulation in severe patients, potentially contributing to the pathogenicity of COVID-19.

FRONTIERS IN MICROBIOLOGY (2021)

Article Gastroenterology & Hepatology

Alterations in the human oral and gut microbiomes and lipidomics in COVID-19

Zhigang Ren et al.

Summary: This study characterized the oral microbiome in patients with COVID-19, showing decreased microbial diversity and changes in specific bacteria. The study also identified potential biomarkers for diagnosing COVID-19 with high accuracy across different regions and successfully distinguished recovered patients from active patients based on lipid profiles.
Article Biochemistry & Molecular Biology

Metabolic Signatures Associated with Severity in Hospitalized COVID-19 Patients

Judith Marin-Corral et al.

Summary: Analysis of metabolic pathways in COVID-19 patients revealed associations with disease severity. Factors such as obesity, respiratory rate, and blood pressure were linked to severity, while changes in ceramide metabolism and tryptophan degradation correlated with inflammation. The metabolomic profile could potentially aid in stratifying disease severity and guiding clinical decisions.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Review Immunology

Harnessing the Potential of Multiomics Studies for Precision Medicine in Infectious Disease

Rebecca A. Ward et al.

Summary: The field of infectious diseases needs to shift towards a precision approach to infection prevention, targeting high-risk patients and deploying specific preventative measures, while integrating machine learning and omics technologies to improve prediction accuracy.

OPEN FORUM INFECTIOUS DISEASES (2021)

Article Biochemistry & Molecular Biology

Metabolomics Diagnosis of COVID-19 from Exhaled Breath Condensate

Elettra Barberis et al.

Summary: Researchers used metabolomics analysis of exhaled breath condensate to discover potential biomarkers for noninvasive diagnosis and monitoring of COVID-19. They found that fatty acids in EBC can differentiate COVID-19 patients and may have a protective effect, suggesting their potential use as a preventive strategy against the infection.

METABOLITES (2021)

Article Biochemical Research Methods

Incomplete Systemic Recovery and Metabolic Phenoreversion in Post-Acute-Phase Nonhospitalized COVID-19 Patients: Implications for Assessment of Post-Acute COVID-19 Syndrome

Elaine Holmes et al.

Summary: The multivariate metabotyping approach was used to assess functional recovery of nonhospitalized COVID-19 patients. It revealed that some patients experienced persistent symptoms after acute infection, suggesting potential biochemical sequelae of Post-Acute COVID-19 Syndrome.

JOURNAL OF PROTEOME RESEARCH (2021)

Article Endocrinology & Metabolism

The serum metabolome of COVID-19 patients is distinctive and predictive

Ding Shi et al.

Summary: The serum metabolome of COVID-19 patients is distinctive and can be used for investigating pathogenesis, determining a diagnosis, predicting severe cases, and improving treatment. Specific metabolites were found to distinguish COVID-19 patients from healthy controls and predict disease progression, with some being recovered after discharge.

METABOLISM-CLINICAL AND EXPERIMENTAL (2021)

Article Multidisciplinary Sciences

Metabolomics analysis reveals a modified amino acid metabolism that correlates with altered oxygen homeostasis in COVID-19 patients

Jose C. Paez-Franco et al.

Summary: Using gas chromatography coupled to mass spectrometry, we identified significant changes in serum metabolites associated with severe and mild COVID-19 patients, particularly in altered amino acid catabolism. The study found that three alpha-hydroxyl acids of amino acid origin increased with disease severity, correlating with changes in oxygen saturation levels and clinical markers of lung damage. The conversion of alpha-keto acids to alpha-hydroxyl acids is suggested to play a role in maintaining NAD recycling in patients with altered oxygen levels during SARS-CoV-2 infection, highlighting the potential importance of amino acid supplementation.

SCIENTIFIC REPORTS (2021)

Article Biology

Metabolic biomarker profiling for identification of susceptibility to severe pneumonia and COVID-19 in the general population

Heli Julkunen et al.

Summary: Metabolic biomarkers are associated with susceptibility to severe COVID-19 and pneumonia, with both short-term and long-term risks being equally significant. Elevated levels of metabolic biomarkers may indicate higher risk of developing severe pneumonia within the first few years after measurement. These findings suggest that metabolic biomarker profiling could be a valuable tool in identifying individuals at high risk for severe infections.
Article Cardiac & Cardiovascular Systems

A molecular signature for the metabolic syndrome by urine metabolomics

Chiara Bruzzone et al.

Summary: Metabolic syndrome (MetS) is a complex condition without a clear medical definition. This study used NMR metabolomics to analyze urine samples from a European cohort, revealing a unique molecular signature of MetS. The results showed that MetS progression is associated with specific changes in the urine metabolome, which can be used to identify individuals with MetS and provide insight into the transitional states between healthy individuals and MetS patients.

CARDIOVASCULAR DIABETOLOGY (2021)

Article Biochemical Research Methods

Integrative Modeling of Plasma Metabolic and Lipoprotein Biomarkers of SARS-CoV-2 Infection in Spanish and Australian COVID-19 Patient Cohorts

Reika Masuda et al.

Summary: This study utilized NMR technology to analyze plasma lipoprotein and metabolite profiles of COVID-19 patients in Spain and Australia, revealing high similarity in lipoproteins but minor differences in metabolites between the two cohorts. Significant infection-related reductions in specific lipoprotein subfractions associated with negative regulation of blood coagulation and fibrinolysis were observed, demonstrating the potential of NMR-based technologies in identifying biomarkers for COVID-19.

JOURNAL OF PROTEOME RESEARCH (2021)

Article Biochemistry & Molecular Biology

Kynurenic acid may underlie sex-specific immune responses to COVID-19

Yuping Cai et al.

Summary: This study reveals a specific link between the serum metabolomes and immune responses in male COVID-19 patients, with the metabolite kynurenic acid (KA) playing a key role in influencing clinical outcomes and immune responses in a sex-specific manner.

SCIENCE SIGNALING (2021)

Article Multidisciplinary Sciences

The trans-omics landscape of COVID-19

Peng Wu et al.

Summary: The authors conducted blood sampling and multi-omics analysis on COVID-19 patients of various disease severities, reporting a trans-omics landscape of COVID-19. The study found differences in characteristics between patients with different disease severities, suggesting potential clues for pathophysiology and therapeutic strategies of COVID-19.

NATURE COMMUNICATIONS (2021)

Article Multidisciplinary Sciences

Targeted metabolomics identifies high performing diagnostic and prognostic biomarkers for COVID-19

Yamile Lopez-Hernandez et al.

Summary: Research using targeted metabolomics identified potential biomarkers for predicting the course of COVID-19, with panels including specific metabolites showing promising results in distinguishing different patient groups. If further studies confirm the diagnostic value of these plasma biomarkers, they could be used in clinical practice.

SCIENTIFIC REPORTS (2021)

Article Multidisciplinary Sciences

Understanding protection from SARS-CoV-2 using metabolomics

Elettra Barberis et al.

Summary: This study identified a metabolic phenotype that may protect individuals from SARS-CoV-2 infection, with circulating monolaurin potentially playing a defensive role. Additionally, individuals with higher levels of cholesterol are at a greater risk of developing COVID-19. Metabolomics can aid in personalized medicine development and support public healthcare strategies.

SCIENTIFIC REPORTS (2021)

Article Multidisciplinary Sciences

Alterations of lipid metabolism provide serologic biomarkers for the detection of asymptomatic versus symptomatic COVID-19 patients

Alhaji H. Janneh et al.

Summary: Changes in sphingolipids are closely related to the development of COVID-19, with reduced levels of sphingosine potentially serving as a sensitive biomarker for the early identification of symptomatic and asymptomatic COVID-19 patients.

SCIENTIFIC REPORTS (2021)

Review Genetics & Heredity

Metabolomics in the Diagnosis and Prognosis of COVID-19

Mohammad Rubayet Hasan et al.

Summary: The COVID-19 pandemic has driven the development of rapid and inexpensive diagnostic tools, including alternative methods based on SARS-CoV-2 RNA and proteins, as well as metabolomics approaches. These new technologies can help in early detection and control of cases, while also making progress in the discovery of prognostic markers for the disease.

FRONTIERS IN GENETICS (2021)

Article Cell Biology

Biological and Clinical Factors Contributing to the Metabolic Heterogeneity of Hospitalized Patients with and without COVID-19

Angelo D'Alessandro et al.

Summary: This large study analyzed metabolic features of COVID-19 patients and found significant changes in amino acid and fatty acid/acylcarnitine metabolism as relevant markers of disease severity, progression, and prognosis. Machine learning models achieved around 78% prediction accuracy when trained with metabolomics and clinical data from half of the patient cohort, providing a foundation for further research and data sharing opportunities.
Article Biochemistry & Molecular Biology

Diagnostic Potential of the Plasma Lipidome in Infectious Disease: Application to Acute SARS-CoV-2 Infection

Nicola Gray et al.

Summary: Using lipid profiling and multivariate modeling, a refined panel of discriminant features from different lipid subclasses was developed to effectively differentiate between SARS-CoV-2 infection, healthy controls, and non-SARS-CoV-2 respiratory infections. The analysis showed strong predictive power and potential for facilitating accurate diagnosis and clinical management of the virus.

METABOLITES (2021)

Article Multidisciplinary Sciences

Distinct lipid metabolic dysregulation in asymptomatic COVID-19

Yanhong Hao et al.

Summary: By performing comprehensive lipidomic characterization of serum samples from asymptomatic COVID-19 patients and healthy controls, a panel of key lipids that could accurately identify asymptomatic patients was screened out, revealing unique lipid metabolic dysregulation.

ISCIENCE (2021)

Article Multidisciplinary Sciences

Towards risk stratification and prediction of disease severity and mortality in COVID-19: Next generation metabolomics for the measurement of host response to COVID-19 infection

Paulo D'Amora et al.

Summary: This study investigated the association between host metabolic signatures and COVID-19 infection, finding that changes in specific metabolite concentrations could serve as predictors of disease severity and mortality. By analyzing metabolic profiles, individuals at higher risk of developing severe complications from COVID-19 infection could be identified, aiding in prognosis, risk stratification, and clinical management. Metabolic factors measured through plasma-based biochemical signatures may play a crucial role in determining the severity of Covid-19 and its implications for patient outcomes.

PLOS ONE (2021)

Article Critical Care Medicine

Metabolomic diferences between COVID-19 and H1N1 influenza induced ARDS

Jose Angel Lorente et al.

Summary: This study compared the metabolic alterations induced by COVID-19 and Influenza A pneumonia (IAP) in ARDS patients, finding that these two conditions lead to different regulation of metabolic pathways. COVID-19 patients experience a significant energy supply deficit, while IAP patients exhibit more marked inflammatory and oxidative stress responses. The findings suggest a potential biomarker for diagnosing, prognosticating, and managing ARDS patients with different etiologies.

CRITICAL CARE (2021)

Article Multidisciplinary Sciences

Inferring a causal relationship between ceramide levels and COVID-19 respiratory distress

Mehran M. Khodadoust

Summary: The study suggests a causal relationship between plasma ceramide concentration and respiratory distress symptoms in COVID-19 patients, with ceramide class lipids exhibiting a significant increase in infected patients. Specific subclasses of ceramides were shown to be greatly increased in plasma samples with respiratory distress, highlighting the potential value of monitoring plasma ceramide concentration for assessing the effects of therapies on COVID-19 respiratory distress patients.

SCIENTIFIC REPORTS (2021)

Article Cell Biology

Longitudinal metabolomics of human plasma reveals prognostic markers of COVID-19 disease severity

Miriam Sindelar et al.

Summary: Through untargeted metabolomics analysis of plasma from COVID-19 patients, a predictive model of disease severity was established based on metabolic profiles, including metabolites directly related to disease progression that return to baseline levels upon recovery. These metabolites were also validated to be altered in a hamster model of COVID-19.

CELL REPORTS MEDICINE (2021)

Article Endocrinology & Metabolism

A multi-omics investigation of the composition and function of extracellular vesicles along the temporal trajectory of COVID-19

Sin Man Lam et al.

Summary: This study analyzed exosome-enriched extracellular vesicles from patients at different stages of COVID-19, highlighting dysregulated lipid metabolism in the hyperinflammatory phase and distinct metabolic and transcriptional responses triggered by EVs from different temporal phases in recipient cells. The results provide insights into cellular lipid metabolism and inter-tissue crosstalk at different stages of COVID-19 and contribute to understanding metabolic dysregulation in COVID-19.

NATURE METABOLISM (2021)

Article Medicine, General & Internal

Changes to the sebum lipidome upon COVID-19 infection observed via rapid sampling from the skin

Matt Spick et al.

Summary: The study revealed lower lipid levels in COVID-19 positive patients, indicating dyslipidemia. Sebum sampling showed potential for distinguishing between COVID-19 positive and negative patients based on lipidomic analysis.

ECLINICALMEDICINE (2021)

Article Biochemistry & Molecular Biology

Multi-platform omics analysis reveals molecular signature for COVID-19 pathogenesis, prognosis and drug target discovery

Yuming Li et al.

Summary: This study identified potential therapeutic targets and biomarkers for predicting disease severity in COVID-19 patients through multi-platform omics analysis, with validation of predictive power.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2021)

Editorial Material Public, Environmental & Occupational Health

The COVID-19 epidemic

Thirumalaisamy P. Velavan et al.

TROPICAL MEDICINE & INTERNATIONAL HEALTH (2020)

Article Biochemistry & Molecular Biology

Proteomic and Metabolomic Characterization of COVID-19 Patient Sera

Bo Shen et al.

Review Biochemistry & Molecular Biology

The cytokine storm in COVID-19: An overview of the involvement of the chemokine/chemokine-receptor system

Francesca Coperchini et al.

CYTOKINE & GROWTH FACTOR REVIEWS (2020)

Article Biochemistry & Molecular Biology

SARS-CoV-2 entry factors are highly expressed in nasal epithelial cells together with innate immune genes

Waradon Sungnak et al.

NATURE MEDICINE (2020)

Review Medical Laboratory Technology

The COVID-19 pandemic

Marco Ciotti et al.

CRITICAL REVIEWS IN CLINICAL LABORATORY SCIENCES (2020)

Review Biochemical Research Methods

A comprehensive review of COVID-19 characteristics

Hanie Esakandari et al.

BIOLOGICAL PROCEDURES ONLINE (2020)

Letter Hematology

Abnormal concentration of porphyrins in serum from COVID-19 patients

Itxaso San Juan et al.

BRITISH JOURNAL OF HAEMATOLOGY (2020)

Article Multidisciplinary Sciences

SARS-CoV-2 Infection Dysregulates the Metabolomic and Lipidomic Profiles of Serum

Chiara Bruzzone et al.

ISCIENCE (2020)

Article Biochemistry & Molecular Biology

Large-Scale Plasma Analysis Revealed New Mechanisms and Molecules Associated with the Host Response to SARS-CoV-2

Elettra Barberis et al.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2020)

Letter Biochemistry & Molecular Biology

Omics study reveals abnormal alterations of breastmilk proteins and metabolites in puerperant women with COVID-19

Yin Zhao et al.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2020)

Review Respiratory System

What is precision medicine?

Inke R. Koenig et al.

EUROPEAN RESPIRATORY JOURNAL (2017)

Review Health Care Sciences & Services

Infectious Disease Management through Point-of-Care Personalized Medicine Molecular Diagnostic Technologies

Luc Bissonnette et al.

JOURNAL OF PERSONALIZED MEDICINE (2012)

Editorial Material Multidisciplinary Sciences

Systems biology - Metabonomics

Jeremy K. Nicholson et al.

NATURE (2008)