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Comparing plasma and skin imprint metabolic profiles in COVID-19 diagnosis and severity assessment

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Delafiori, Jeany ; Siciliano, Rinaldo Focaccia ; de Oliveira, Arthur Noin ; Nicolau, Jose Carlos ; Sales, Geovana Manzan ; Dalcoquio, Talia Falcao ; Busanello, Estela Natacha Brandt ; Eguti, Adriana ; de Oliveira, Diogo Noin ; Bertolin, Adriadne Justi ; dos Santos, Luiz Augusto ; Salsoso, Rocio ; Marcondes-Braga, Fabiana G. ; Duran, Nelson ; Perroud Jr, Mauricio Wesley ; Sabino, Ester Cerdeira ; Reis, Leonardo Oliveira ; Favaro, Wagner Jose ; Catharino, Rodrigo Ramos
Número total de Autores: 19
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF MOLECULAR MEDICINE-JMM; v. 102, n. 2, p. 13-pg., 2023-11-27.
Resumo

As SARS-CoV-2 continues to produce new variants, the demand for diagnostics and a better understanding of COVID-19 remain key topics in healthcare. Skin manifestations have been widely reported in cases of COVID-19, but the mechanisms and markers of these symptoms are poorly described. In this cross-sectional study, 101 patients (64 COVID-19 positive patients and 37 controls) were enrolled between April and June 2020, during the first wave of COVID-19, in Sao Paulo, Brazil. Enrolled patients had skin imprints sampled non-invasively using silica plates; plasma samples were also collected. Samples were used for untargeted lipidomics/metabolomics through high-resolution mass spectrometry. We identified 558 molecular ions, with lipids comprising most of them. We found 245 plasma ions that were significant for COVID-19 diagnosis, compared to 61 from the skin imprints. Plasma samples outperformed skin imprints in distinguishing patients with COVID-19 from controls, with F1-scores of 91.9% and 84.3%, respectively. Skin imprints were excellent for assessing disease severity, exhibiting an F1-score of 93.5% when discriminating between patient hospitalization and home care statuses. Specifically, oleamide and linoleamide were the most discriminative biomarkers for identifying hospitalized patients through skin imprinting, and palmitic amides and N-acylethanolamine 18:0 were also identified as significant biomarkers. These observations underscore the importance of primary fatty acid amides and N-acylethanolamines in immunomodulatory processes and metabolic disorders. These findings confirm the potential utility of skin imprinting as a valuable non-invasive sampling method for COVID-19 screening; a method that may also be applied in the evaluation of other medical conditions.Key messagesSkin imprints complement plasma in disease metabolomics.The annotated markers have a role in immunomodulation and metabolic diseases.Skin imprints outperformed plasma samples at assessing disease severity.Skin imprints have potential as non-invasive sampling strategy for COVID-19. (AU)

Processo FAPESP: 20/04705-2 - Estudo diagnóstico e prognóstico de infecção por SARS-CoV-2 e Influenza vírus
Beneficiário:José Carlos Nicolau
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 18/10052-1 - Novas Abordagens Terapêuticas para o Câncer de Bexiga Não-Músculo Invasivo (CBNMI): Uso Intravesical do Modificador de Resposta Biológica OncoTherad e Sua Associação com o Plasma Rico em Plaquetas (PRP)
Beneficiário:Wagner José Fávaro
Modalidade de apoio: Auxílio à Pesquisa - Regular
Processo FAPESP: 19/05718-3 - Determinação das alterações metabólicas e do potencial terapêutico do Zika Vírus em células tumorais por espectrometria de massas e inteligência artificial
Beneficiário:Jeany Delafiori
Modalidade de apoio: Bolsas no Brasil - Doutorado Direto