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10.1038/s41598-021-94171-y

http://scihub22266oqcxt.onion/10.1038/s41598-021-94171-y
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suck abstract from ncbi


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pmid34282210      Sci+Rep 2021 ; 11 (1): 14732
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  • Targeted metabolomics identifies high performing diagnostic and prognostic biomarkers for COVID-19 #MMPMID34282210
  • Lopez-Hernandez Y; Monarrez-Espino J; Oostdam AH; Delgado JEC; Zhang L; Zheng J; Valdez JJO; Mandal R; Gonzalez FLO; Moreno JCB; Trejo-Medinilla FM; Lopez JA; Moreno JAE; Wishart DS
  • Sci Rep 2021[Jul]; 11 (1): 14732 PMID34282210show ga
  • Research exploring the development and outcome of COVID-19 infections has led to the need to find better diagnostic and prognostic biomarkers. This cross-sectional study used targeted metabolomics to identify potential COVID-19 biomarkers that predicted the course of the illness by assessing 110 endogenous plasma metabolites from individuals admitted to a local hospital for diagnosis/treatment. Patients were classified into four groups ( approximately 40 each) according to standard polymerase chain reaction (PCR) COVID-19 testing and disease course: PCR-/controls (i.e., non-COVID controls), PCR+/not-hospitalized, PCR+/hospitalized, and PCR+/intubated. Blood samples were collected within 2 days of admission/PCR testing. Metabolite concentration data, demographic data and clinical data were used to propose biomarkers and develop optimal regression models for the diagnosis and prognosis of COVID-19. The area under the receiver operating characteristic curve (AUC; 95% CI) was used to assess each models' predictive value. A panel that included the kynurenine: tryptophan ratio, lysoPC a C26:0, and pyruvic acid discriminated non-COVID controls from PCR+/not-hospitalized (AUC = 0.947; 95% CI 0.931-0.962). A second panel consisting of C10:2, butyric acid, and pyruvic acid distinguished PCR+/not-hospitalized from PCR+/hospitalized and PCR+/intubated (AUC = 0.975; 95% CI 0.968-0.983). Only lysoPC a C28:0 differentiated PCR+/hospitalized from PCR+/intubated patients (AUC = 0.770; 95% CI 0.736-0.803). If additional studies with targeted metabolomics confirm the diagnostic value of these plasma biomarkers, such panels could eventually be of clinical use in medical practice.
  • |*Metabolomics[MESH]
  • |Adult[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Models, Theoretical[MESH]


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