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Infrared spectroscopy as a predictive tool for the severity of COVID-19 using patient's saliva: A strategy to avoid hyperinflammation

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Author(s):
Borges, Roger ; Bandeira, Carla C. S. ; Zerbinati, Rodrigo M. ; Palmieri, Michelle ; Schwab, Gabriela ; Braz-Silva, Paulo Henrique ; Lindoso, Jose A. L. ; Martinho, Herculano
Total Authors: 8
Document type: Journal article
Source: SPECTROCHIMICA ACTA PART A-MOLECULAR AND BIOMOLECULAR SPECTROSCOPY; v. 317, p. 8-pg., 2024-05-07.
Abstract

Discriminate the severity level of COVID-19 disease is still a challenge. Here we investigate the capability of micro -infrared absorption spectroscopy (micro-FTIR) to probe COVID-19 severity level and predict hyperinflammation, correlating the assigned vibrational data to relevant biomolecules related to the immune system. Saliva of 184 patients was analysed by ELISA assay (Hepcidin) and micro-FTIR. Vibrational bands related to IgM and IgA can discriminate healthy from Severe individuals (sensitivity >= 0.749, specificity >= 0.945) and are less effective in discriminating Mild or Moderate individuals from the Severe group (sensitivity >= 0.628, specificity >= 0.867). Analysis of the second derivative of spectra probed increased levels of IL -6 in the saliva a key additional information for the degree of severity prediction. Because the model discriminates all the groups regarding the Severe group, it predicts an intense state of inflammation based on FTIR analysis. It is a powerful tool for predicting hyperinflammation conditions related to SARS-CoV-2 infection and may be an ally in implementing drugs or therapeutic approaches to manage COVID-19 in the Severe stage in healthcare facilities. (AU)

FAPESP's process: 21/07490-0 - Salivary biomarkers of COVID-19 and other viral respiratory infections
Grantee:Paulo Henrique Braz da Silva
Support Opportunities: Regular Research Grants
FAPESP's process: 22/02107-6 - The University of São Paulo twin panel: research on twins' behavior, health, and well-being
Grantee:Emma Otta
Support Opportunities: Research Projects - Thematic Grants