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Updated: Oct 16, 2025

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
SARS-CoV2 Infection Alters Tryptophan Catabolism and Phospholipid Metabolism
Gagandeep Kaur1, Xiangming Ji2, Irfan Rahman1
1Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA.
Abstract:
Coronavirus disease 2019 (COVID-19) has so far infected hundreds of million individuals, with several million deaths worldwide. The lack of understanding of the disease pathophysiology and the host's immune response has resulted in this rapid spread of the disease on a global scale. In this respect, we employed UPLC-MS to compare the metabolites in the serum from COVID-19-positive patients and COVID-19-recovered subjects to determine the metabolic changes responsible for an infection. Our investigations revealed significant increase in the levels of serum phospholipids including sphingomyelins, phosphatidylcholines and arachidonic acid in the serum of COVID-19-positive patients as compared to COVID-19-recovered individuals. We further show increased levels of tryptophan and its metabolites in the serum of COVID-19-positive patients thus emphasizing the role of tryptophan metabolism in the disease pathogenesis of COVID-19. Future studies are required to determine the changes in the lipid and tryptophan metabolism at various stages of COVID-19 disease development, progression and recovery to better understand the host-pathogen interaction and the long-term effects of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) infection in humans.
Insights
COVID-19 patients show altered lipid and tryptophan metabolism compared to recovered individuals. These metabolic changes, particularly increased phospholipids and tryptophan metabolites, may play a role in the disease
Area of Science:
- Metabolomics
- Immunology
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) has caused a global health crisis due to incomplete understanding of its pathophysiology and host immune response.
- Identifying metabolic alterations in COVID-19 patients is crucial for understanding disease mechanisms.
Purpose of the Study:
- To investigate and compare serum metabolic profiles of COVID-19-positive patients and recovered individuals.
- To identify specific metabolic changes associated with COVID-19 infection.
Main Methods:
- Utilized Ultra-Performance Liquid Chromatography-Mass Spectrometry (UPLC-MS) for serum metabolite analysis.
- Compared metabolite levels between COVID-19-positive and COVID-19-recovered cohorts.
Main Results:
- Significantly elevated levels of serum phospholipids (sphingomyelins, phosphatidylcholines) and arachidonic acid were observed in COVID-19 patients.
- Increased levels of tryptophan and its metabolites were detected in COVID-19 patients, suggesting a role in pathogenesis.
Conclusions:
- Lipid and tryptophan metabolism are significantly altered during COVID-19 infection.
- Further research into these metabolic pathways across disease stages is needed to understand host-pathogen interactions and long-term effects of SARS-CoV-2 infection.
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