失调的蛋白酶体活性和类固醇激素生物合成与急性COVID-19患者的死亡率有关
Fengjiao Liu1,2, Huqin Yang1, Tingyu Yang2
1Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, 8 Workers Stadium South Road, Chaoyang District, Beijing, China.
Journal of translational medicine
|July 4, 2024
概括
研究人员开发了一个机器学习面板,使用C反应性蛋白和蛋白酶活性等生物标志物来预测COVID-19患者的死亡率. 该系统可在住院后对高风险患者进行早期检测.
科学领域:
- 发现生物标志物的发现.
- 系统生物学 系统生物学
- 传染病研究传染病研究.
背景情况:
- 在全球范围内,COVID-19住院患者给医疗保健系统带来了压力.
- 准确预测死亡率对于患者管理至关重要.
- 需要可靠的急性阶段状态检测和预后.
研究的目的:
- 为了确定急性阶段的生物标志物来预测COVID-19死亡率.
- 应用系统生物学方法来发现生物标志物.
- 开发早期死亡风险评估的预测模型.
主要方法:
- 从COVID-19患者 (幸存者和非幸存者),其他传染病患者和健康对照组收集了247个血样本.
- 利用了系统生物学,酶相关的免疫吸收试验和代谢分析.
- 开发了一个机器学习面板,其中包括四种蛋白质 (CRP,PSMA1,PSMA7,PSMB1) 和一种代谢物 (乌罗皮松).
主要成果:
- 急性COVID-19阶段显示免疫力受抑制,类固醇激素生物合成减少,炎症升高和蛋白质酶激活.
- 过度的蛋白质酶活性是非幸存者的关键特征.
- 机器学习小组在住院第一天准确预测了死亡率 (AUC:0.976).
结论:
- 蛋白质酶活性是急性COVID-19预后不佳的重要指标.
- 开发的机器学习面板为早期死亡率预测提供了一种新有效的方法.
- 这种方法可以帮助高风险的COVID-19患者及时进行临床干预.
相关概念视频
The Proteasome
827
Eukaryotic cells can degrade proteins through several pathways. One of the most important among these is the ubiquitin-proteasome pathway. It helps the cell eliminate the misfolded, damaged, or unwarranted cytoplasmic proteins in a highly specific manner.
In this pathway, the target proteins are first tagged with small proteins called ubiquitin. This involves participation of a series of enzymes including— E1 (ubiquitin-activating enzyme), E2 (ubiquitin-conjugating enzyme), and E3...
In this pathway, the target proteins are first tagged with small proteins called ubiquitin. This involves participation of a series of enzymes including— E1 (ubiquitin-activating enzyme), E2 (ubiquitin-conjugating enzyme), and E3...
827
Regulation of the Unfolded Protein Response
2.4K
Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
2.4K
Overview of Protein Metabolism
977
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
977
Major Hormones and Their Functions
366
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
366
The Unfolded Protein Response
4.5K
The ER is the hub of protein synthesis in a cell. It has robust systems to quality control protein folding and also for degradation of terminally misfolded proteins. Under normal conditions, a small proportion of misfolded proteins that cannot be salvaged need to be transported to the cytoplasm by the ER-associated degradation or ERAD pathways. However, if the ERAD cannot handle the misfolded proteins, the cell activates the unfolded protein response or UPR to adjust the protein folding...
4.5K
mTOR Signaling and Cancer Progression
3.8K
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
The mTOR pathway or the...
3.8K


