后COVID-19患者的生物标志物景观可以建议选择性临床干预
Debora Paris1, Letizia Palomba2, Maria Cristina Albertini2
1Institute of Biomolecular Chemistry, National Research Council, 80078, Pozzuoli (Naples), Italy.
Scientific reports
|December 18, 2023
概括
呼出气凝液 (EBC) 中的生物标志物揭示了COVID-19后综合征患者的不同代谢概况. 这些发现突显了持续的炎症和器官系统失调,指导了有针对性的康复策略.
科学领域:
- 生物化学 生物化学
- 基因组学就是基因组学.
- 肺部病理学 肺部病理学
背景情况:
- COVID-19可以导致持续的症状,称为后COVID-19条件,即使在轻度或中度疾病后.
- 了解COVID-19后的潜在生物机制对于开发有效治疗方法至关重要.
研究的目的:
- 在呼出的呼吸凝凝液 (EBC) 中识别生物标志物,以表征COVID-19后的临床状态.
- 为了将这些生物标志物与后COVID-19患者的临床参数相关联.
主要方法:
- 基于核磁共振 (NMR) 的代谢学被用于分析38名COVID-19后患者和38名健康对照的EBC.
- 预测COVID-19可以调节的微RNAs (miRNAs) 在EBC中得到量化.
- 来自COVID-19后患者的临床数据与代谢发现相关.
主要成果:
- 在COVID-19后的患者和对照人群中观察到不同的代谢表型 ("代谢型").
- 在COVID-19后的患者中,丰富分析确定了特定的miRNA (hsa-miR146a-5p上调;hsa-miR-126-3p和hsa-miR-223-3p下调).
- 代谢数据与临床参数相关,表明持续的炎症,肝脏和血管调节失调以及身体损伤.
结论:
- 多omics数据揭示了与COVID-19后状态相关的关键生物标志物.
- 这些生物标志物表明持续的炎症,肝脏失调,内血管血栓和肺部过程.
- 针对这些过程对于在康复之前管理COVID-19的急性后续症状至关重要.
相关概念视频
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
161
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
161
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
95
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
95


