Bauer, A. ; Pachl, E. ; Hellmuth, J.C.* ; Kneidinger, N. ; Heydarian, M.* ; Frankenberger, M.* ; Stubbe, H.C.* ; Ryffel, B.* ; Petrera, A. ; Hauck, S.M. ; Behr, J.* ; Kaiser, R.* ; Scherer, C.* ; Deng, L. ; Teupser, D.* ; Ahmidi, N.* ; Muenchhoff, M.* ; Schubert, B. ; Hilgendorff, A.
Proteomics reveals antiviral host response and NETosis during acute COVID-19 in high-risk patients.
Biochim. Biophys. Acta-Mol. Basis Dis. 1869:166592 (2022)
SARS-CoV-2 remains an acute threat to human health, endangering hospital capacities worldwide. Previous studies have aimed at informing pathophysiologic understanding and identification of disease indicators for risk assessment, monitoring, and therapeutic guidance. While findings start to emerge in the general population, observations in high-risk patients with complex pre-existing conditions are limited. We addressed the gap of existing knowledge with regard to a differentiated understanding of disease dynamics in SARS-CoV-2 infection while specifically considering disease stage and severity. We biomedically characterized quantitative proteomics in a hospitalized cohort of COVID-19 patients with mild to severe symptoms suffering from different (co)-morbidities in comparison to both healthy individuals and patients with non-COVID related inflammation. Deep clinical phenotyping enabled the identification of individual disease trajectories in COVID-19 patients. By the use of the individualized disease phase assignment, proteome analysis revealed a severity dependent general type-2-centered host response side-by-side with a disease specific antiviral immune reaction in early disease. The identification of phenomena such as neutrophil extracellular trap (NET) formation and a pro-coagulatory response characterizing severe disease was successfully validated in a second cohort. Together with the regulation of proteins related to SARS-CoV-2-specific symptoms identified by proteome screening, we not only confirmed results from previous studies but provide novel information for biomarker and therapy development.
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Publication type
Article: Journal article
Document type
Scientific Article
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Editors
Keywords
Biomarker ; Covid-19 ; High-risk Patients ; Immune Response ; Netosis ; Proteomics; Thrombosis; Package
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Language
english
Publication Year
2022
Prepublished in Year
0
HGF-reported in Year
2022
ISSN (print) / ISBN
0925-4439
e-ISSN
1878-2434
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Volume: 1869,
Issue: 2,
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Article Number: 166592
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Elsevier
Publishing Place
Radarweg 29, 1043 Nx Amsterdam, Netherlands
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Reviewing status
Peer reviewed
POF-Topic(s)
30202 - Environmental Health
30205 - Bioengineering and Digital Health
30203 - Molecular Targets and Therapies
Research field(s)
Lung Research
Enabling and Novel Technologies
Immune Response and Infection
PSP Element(s)
G-552100-001
G-503800-001
G-503800-007
G-501600-001
G-505700-001
G-554300-001
Grants
Helmholtz Association's Initiative and Networking Fund through Helmholtz AI
Stiftung AtemWeg (LSS AIRR)
Research Training Group Targets in Toxicology of the German Science and Research Organization (DFG)
German Center for Lung Research (DZL, German Ministry of Education and Health (BMBF))
Bavarian Ministry for Economic Affairs, Regional Development and Energy
Free State of Bavaria under the Excellence Strategy of the Federal and State Government (LMUexcellent)
Free State of Bavaria under the Excellence Strategy of the Federal and State Government (LMUexcellent) - Bavarian Ministry for Economic Affairs, Regional Development and Energy as part of a project
COMBAT C19IR
Copyright
Erfassungsdatum
2022-12-05