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

Bibliographic Details
Title: Metabolomic analyses of COVID-19 patients unravel stage-dependent and prognostic biomarkers
Authors: François-Xavier Danlos, Claudia Grajeda-Iglesias, Sylvère Durand, Allan Sauvat, Mathilde Roumier, Delphine Cantin, Emeline Colomba, Julien Rohmer, Fanny Pommeret, Giulia Baciarello, Christophe Willekens, Marc Vasse, Frank Griscelli, Jean-Eudes Fahrner, Anne-Gaëlle Goubet, Agathe Dubuisson, Lisa Derosa, Nitharsshini Nirmalathasan, Delphine Bredel, Séverine Mouraud, Caroline Pradon, Annabelle Stoclin, Flore Rozenberg, Jérôme Duchemin, Georges Jourdi, Syrine Ellouze, Françoise Levavasseur, Laurence Albigès, Jean-Charles Soria, Fabrice Barlesi, Eric Solary, Fabrice André, Frédéric Pène, Félix Ackerman, Luc Mouthon, Laurence Zitvogel, Aurélien Marabelle, Jean-Marie Michot, Michaela Fontenay, Guido Kroemer
Source: Cell Death and Disease, Vol 12, Iss 3, Pp 1-11 (2021)
Publisher Information: Nature Publishing Group, 2021.
Publication Year: 2021
Collection: LCC:Cytology
Subject Terms: Cytology, QH573-671
More Details: Abstract The circulating metabolome provides a snapshot of the physiological state of the organism responding to pathogenic challenges. Here we report alterations in the plasma metabolome reflecting the clinical presentation of COVID-19 patients with mild (ambulatory) diseases, moderate disease (radiologically confirmed pneumonitis, hospitalization and oxygen therapy), and critical disease (in intensive care). This analysis revealed major disease- and stage-associated shifts in the metabolome, meaning that at least 77 metabolites including amino acids, lipids, polyamines and sugars, as well as their derivatives, were altered in critical COVID-19 patient’s plasma as compared to mild COVID-19 patients. Among a uniformly moderate cohort of patients who received tocilizumab, only 10 metabolites were different among individuals with a favorable evolution as compared to those who required transfer into the intensive care unit. The elevation of one single metabolite, anthranilic acid, had a poor prognostic value, correlating with the maintenance of high interleukin-10 and -18 levels. Given that products of the kynurenine pathway including anthranilic acid have immunosuppressive properties, we speculate on the therapeutic utility to inhibit the rate-limiting enzymes of this pathway including indoleamine 2,3-dioxygenase and tryptophan 2,3-dioxygenase.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2041-4889
Relation: https://doaj.org/toc/2041-4889
DOI: 10.1038/s41419-021-03540-y
Access URL: https://doaj.org/article/2468f0e5d87e4c05b3cafd9be053d11e
Accession Number: edsdoj.2468f0e5d87e4c05b3cafd9be053d11e
Database: Directory of Open Access Journals
More Details
ISSN:20414889
DOI:10.1038/s41419-021-03540-y
Published in:Cell Death and Disease
Language:English