对冠状病毒病(COVID-19)患者尿液有机酸谱的研究

IF 0.7 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY Clinical laboratory Pub Date : 2024-10-01 DOI:10.7754/Clin.Lab.2024.240319
Cemal Kazezoğlu, Arzu İrvem, Yasemin T Sutaşir, Banu Kirgiz, Büşra Çakiroğlu, Habip Yilmaz, Ali Kocataş
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引用次数: 0

摘要

背景:冠状病毒病2019(COVID-19)是由严重急性呼吸道综合征冠状病毒2(SARS-CoV-2)引起的病毒感染。该病的死亡率和发病率很高,病程中会出现多种临床症状,这表明该病会影响多种代谢途径。我们的研究旨在通过评估 SARS-CoV-2 感染者的尿液有机酸谱,研究 SARS-CoV-2 对代谢的影响。尿液中的代谢物能否指导 COVID-19 的诊断、随访、治疗和预后?研究了 42 例患者,包括 30 例 SARS-CoV-2 RT-PCR 阳性患者和 12 例 SARS-CoV-2 RT-PCR 阴性对照。对鼻咽拭子样本的 SARS-COV-2 RT-PCR 进行了研究。代谢实验室使用 GCMS-QP2010 SE 气相色谱质谱仪(岛津)设备对尿液进行了有机酸谱分析。通过研究每位患者的 117 种有机酸,对尿液有机酸谱进行了评估:3-hydroxysebacic acid、棕榈酸、3-甲基戊二酸、3-甲基戊二酸、乳酸、丙酮酸肟、3-羟基异丁酸和有机酸与对照组相比均有所增加。结论惕甘氨酸已被确定为呼吸链紊乱的潜在生物标志物。COVID-19患者的脂质代谢和丙酮酸途径显著恶化。
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Investigation of Urine Organic Acid Profile in Coronavirus Disease (COVID-19) Patients.

Backgrounds: Coronavirus disease 2019 (COVID-19) is a viral infection caused by severe acute respiratory syn-drome coronavirus 2 (SARS-CoV-2). The high mortality and morbidity rate and its course with a wide variety of clinical symptoms indicate that the disease affects many metabolic pathways. The aim of our study was to investi-gate the metabolic effects of SARS-CoV-2 by evaluating the urinary organic acid profile in patients with SARS-CoV-2 infection. Can metabolites in urine guide the diagnosis, follow-up, treatment, and prognosis of COVID-19?

Methods: Forty-two patients, including 30 SARS-CoV-2 RT-PCR positive patients and 12 SARS-CoV-2 RT-PCR negative controls, were studied. SARS-COV-2 RT-PCR of nasopharyngeal swab samples was studied. Urines were evaluated in the GCMS-QP2010 SE Gas Chromatograph Mass Spectrometer (SHIMADZU) device for organic acid profile in the metabolism laboratory. Urine organic acid profile was evaluated by studying 117 organic acids in each patient.

Results: Tiglylglycine, 2-hydroxybutyric acid, 4-hydroxyphenylpyruvic acid, 3-hydroxypropionic acid, erythro-4,5-dihydroxyhexanoic acid lactone, 2-hydroxyphenylacetic acid, N-acetyltyrosine, 3-phenyllactic acid, 5-hydroxyindolacetic acid, 3-hydroxysebacic acid, palmitic acid, 3-methylglutaconic acid, 3-methylglutaric acid, lactic acid, pyruvic acid-oxime, 3-hydroxysobutyric acid, and organic acids were found to be increased, compared to the control group.

Conclusions: Tiglylglycine has been specifically identified as a potential biomarker of respiratory chain disorders. The deterioration in lipid metabolism and pyruvate pathway in COVID-19 patients was evaluated as remarkable.

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来源期刊
Clinical laboratory
Clinical laboratory 医学-医学实验技术
CiteScore
1.50
自引率
0.00%
发文量
494
审稿时长
3 months
期刊介绍: Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.
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