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新冠康复期患者代谢组学变化的持续性:一项前瞻性观察研究。

Persistence of Metabolomic Changes in Patients during Post-COVID Phase: A Prospective, Observational Study.

作者信息

Liptak Peter, Baranovicova Eva, Rosolanka Robert, Simekova Katarina, Bobcakova Anna, Vysehradsky Robert, Duricek Martin, Dankova Zuzana, Kapinova Andrea, Dvorska Dana, Halasova Erika, Banovcin Peter

机构信息

Clinic of Internal Medicine-Gastroenterology, University Hospital in Martin, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, 036 01 Martin, Slovakia.

Biomedical Centre BioMed, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, Mala Hora 4, 036 01 Martin, Slovakia.

出版信息

Metabolites. 2022 Jul 13;12(7):641. doi: 10.3390/metabo12070641.

Abstract

Several relatively recently published studies have shown changes in plasma metabolites in various viral diseases such as Zika, Dengue, RSV or SARS-CoV-1. The aim of this study was to analyze the metabolome profile of patients during acute COVID-19 approximately one month after the acute infection and to compare these results with healthy (SARS-CoV-2-negative) controls. The metabolome analysis was performed by NMR spectroscopy from the peripheral blood of patients and controls. The blood samples were collected on 3 different occasions (at admission, during hospitalization and on control visit after discharge from the hospital). When comparing sample groups (based on the date of acquisition) to controls, there is an indicative shift in metabolomics features based on the time passed after the first sample was taken towards controls. Based on the random forest algorithm, there is a strong discriminatory predictive value between controls and different sample groups (AUC equals 1 for controls versus samples taken at admission, Mathew correlation coefficient equals 1). Significant metabolomic changes persist in patients more than a month after acute SARS-CoV-2 infection. The random forest algorithm shows very strong discrimination (almost ideal) when comparing metabolite levels of patients in two various stages of disease and during the recovery period compared to SARS-CoV-2-negative controls.

摘要

最近发表的几项研究表明,在寨卡病毒、登革热病毒、呼吸道合胞病毒或非典冠状病毒-1等各种病毒性疾病中,血浆代谢物会发生变化。本研究的目的是分析急性COVID-19患者在急性感染后约一个月的代谢组谱,并将这些结果与健康(SARS-CoV-2阴性)对照进行比较。代谢组分析通过核磁共振波谱法对患者和对照的外周血进行。血样在3个不同时间点采集(入院时、住院期间和出院后复查时)。当将样本组(基于采集日期)与对照进行比较时,基于首次采样后经过的时间与对照相比,代谢组学特征存在指示性变化。基于随机森林算法,对照与不同样本组之间存在很强的判别预测价值(对照与入院时采集的样本相比,AUC等于1,马修相关系数等于1)。急性SARS-CoV-2感染一个多月后,患者体内仍存在显著的代谢组变化。与SARS-CoV-2阴性对照相比,在比较疾病两个不同阶段及恢复期患者的代谢物水平时,随机森林算法显示出很强的区分能力(几乎达到理想状态)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db39/9321209/a347fa3d97d3/metabolites-12-00641-g001.jpg

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