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Rapid COVID-19 Prognostic Blood Test for Disease Severity Using Epigenetic Immune System Biomarkers
Adam G Marsh1, G Mark Anderson2, Erich J Izdepski3
1University of Delaware, Center for Bioinformatics and Computational Biology; Genome Profiling, LLC.
Delaware Journal of Public Health
|September 1, 2021
Summary
A new whole-blood epigenetic biomarker (EpiMarker) can predict COVID-19 patients at risk for severe Acute Respiratory Distress Syndrome. This immune system status marker aids in early triage and resource allocation for better patient outcomes.
Area of Science:
- Immunology
- Epigenetics
- Bioinformatics
Background:
- COVID-19 can lead to severe complications like Acute Respiratory Distress Syndrome (ARDS).
- Predicting disease severity is crucial for timely medical intervention and resource management.
- Current methods for assessing COVID-19 severity risk have limitations.
Purpose of the Study:
- To develop a novel whole-blood epigenetic biomarker (EpiMarker) for immune system status.
- To identify individuals with recent COVID-19 diagnosis at risk for severe symptoms, including ARDS.
- To create a diagnostic tool for predicting COVID-19 progression to critical care.
Main Methods:
- Utilized a methyl-sensitive restriction endonuclease approach to analyze DNA methylation profiles.
- Employed a machine-learning computational bioinformatics platform to identify immune system phenotype EpiMarkers.
- Developed a diagnostic network of 20-40 DNA methylation sites with high predictive power for ARDS risk.
Main Results:
- Whole-blood immune system status provides a sensitive indicator of functional pathway regulation.
- DNA methylation profiles reveal immune cell response readiness, offering insights into patient health.
- The identified EpiMarkers can predict the likelihood of COVID-19 progressing to ARDS requiring intensive care.
Conclusions:
- The novel EpiMarker technology enables early identification of patients at risk for severe COVID-19 and ARDS.
- This biomarker facilitates proactive patient triage, optimizing allocation of hospital resources and treatments.
- The EpiMarker assay has potential applications in screening critical personnel and preparing for future pandemics.

