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10.1016/j.aca.2021.338267

http://scihub22266oqcxt.onion/10.1016/j.aca.2021.338267
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suck abstract from ncbi


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pmid33648648      Anal+Chim+Acta 2021 ; 1152 (ä): 338267
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  • The faecal metabolome in COVID-19 patients is altered and associated with clinical features and gut microbes #MMPMID33648648
  • Lv L; Jiang H; Chen Y; Gu S; Xia J; Zhang H; Lu Y; Yan R; Li L
  • Anal Chim Acta 2021[Apr]; 1152 (ä): 338267 PMID33648648show ga
  • Although SARS-CoV-2 can invade the intestine, though its effect on digestion and absorption is not fully understood. In the present study, 56 COVID-19 patients and 47 age- and sex-matched healthy subjects were divided into a discovery cohort and a validation cohort. Blood, faeces and clinical information were collected from the patients in the hospital and at discharge. The faecal metabolome was analysed using gas chromatography-mass spectrometry, and Spearman's correlation analyses of clinical features, the serum metabolome, and the faecal micro- and mycobiota were conducted. The results showed that, the faeces of COVID-19 patients were enriched with important nutrients that should be metabolized or absorbed, such as sucrose and 2-palmitoyl-glycerol; diet-related components that cannot be synthesized by humans, such as 1,5-anhydroglucitol and D-pinitol; and harmful metabolites, such as oxalate, were also detected. In contrast, purine metabolites such as deoxyinosine and hypoxanthine, low-water-soluble long-chain fatty alcohols/acids such as behenic acid, compounds rarely occurring in nature such as D-allose and D-arabinose, and microbe-related compounds such as 2,4-di-tert-butylphenol were depleted in the faeces of COVID-19 patients. Moreover, these metabolites significantly correlated with altered serum metabolites such as oxalate and gut microbesincluding Ruminococcaceae, Actinomyces, Sphingomonas and Aspergillus. Although levels of several faecal metabolites, such as sucrose, 1,5-anhydroglucitol and D-pinitol, of discharged patients were not different from those of healthy controls (HCs), those of oxalate and 2-palmitoyl-glycerol did differ. Therefore, alterations in the faecal metabolome of COVID-19 patients may reflect malnutrition and intestinal inflammation and warrant greater attention. The results of present study provide new insights into the pathogenesis and treatment of COVID-19.
  • |Adult[MESH]
  • |Bacteria/metabolism[MESH]
  • |COVID-19/*physiopathology[MESH]
  • |Cohort Studies[MESH]
  • |Dysbiosis/*diagnosis/physiopathology[MESH]
  • |Feces/*chemistry/microbiology[MESH]
  • |Female[MESH]
  • |Fungi/metabolism[MESH]
  • |Gas Chromatography-Mass Spectrometry[MESH]
  • |Gastrointestinal Microbiome/*physiology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Metabolome/*physiology[MESH]
  • |Middle Aged[MESH]


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