First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation

High-density lipoproteins (HDLs) have multiple endothelioprotective properties. During SARS-CoV-2 infection, HDL-cholesterol (HDL-C) concentration is markedly reduced, and studies have described severe impairment of the functionality of HDL particles. Here, we report a multi-omic investigation of th...

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Main Authors: Sébastien Tanaka, Floran Begue, Bryan Veeren, Alexy Tran-Dinh, Tiphaine Robert, Parvine Tashk, Brice Lortat-Jacob, Dorothée Faille, Luc de Chaisemartin, Nathalie Zappella, Enora Atchade, Laura Kramer, Philippe Montravers, Olivier Meilhac
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/4/754
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author Sébastien Tanaka
Floran Begue
Bryan Veeren
Alexy Tran-Dinh
Tiphaine Robert
Parvine Tashk
Brice Lortat-Jacob
Dorothée Faille
Luc de Chaisemartin
Nathalie Zappella
Enora Atchade
Laura Kramer
Philippe Montravers
Olivier Meilhac
author_facet Sébastien Tanaka
Floran Begue
Bryan Veeren
Alexy Tran-Dinh
Tiphaine Robert
Parvine Tashk
Brice Lortat-Jacob
Dorothée Faille
Luc de Chaisemartin
Nathalie Zappella
Enora Atchade
Laura Kramer
Philippe Montravers
Olivier Meilhac
author_sort Sébastien Tanaka
collection DOAJ
description High-density lipoproteins (HDLs) have multiple endothelioprotective properties. During SARS-CoV-2 infection, HDL-cholesterol (HDL-C) concentration is markedly reduced, and studies have described severe impairment of the functionality of HDL particles. Here, we report a multi-omic investigation of the first administration of recombinant HDL (rHDL) particles in a severe COVID-19 patient in an intensive care unit. Plasma ApoA1 increased and HDL-C decreased after each recombinant HDL injection, suggesting that these particles were functional in terms of reverse cholesterol transport. The proportion of large HDL particles also increased after injection of recombinant HDL. Shotgun proteomics performed on HDLs isolated by ultracentrifugation indicated that ApoA1 was more abundant after injections whereas most of the pro-inflammatory proteins identified were less abundant. Assessment of Serum amyloid A-1, inflammatory markers, and cytokines showed a significant decrease for most of them during recombinant HDL infusion. Our results suggest that recombinant HDL infusion is feasible and a potential therapeutic strategy to be explored in COVID-19 patients.
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spelling doaj.art-0d8ccd6db9b8478a8ec6103693b8cf8d2023-12-01T00:52:51ZengMDPI AGBiomedicines2227-90592022-03-0110475410.3390/biomedicines10040754First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory InvestigationSébastien Tanaka0Floran Begue1Bryan Veeren2Alexy Tran-Dinh3Tiphaine Robert4Parvine Tashk5Brice Lortat-Jacob6Dorothée Faille7Luc de Chaisemartin8Nathalie Zappella9Enora Atchade10Laura Kramer11Philippe Montravers12Olivier Meilhac13AP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceINSERM, UMR 1188 Diabète Athérothombose Réunion Océan Indien (DéTROI), Université de La Réunion, 97400 Saint-Denis, FranceINSERM, UMR 1188 Diabète Athérothombose Réunion Océan Indien (DéTROI), Université de La Réunion, 97400 Saint-Denis, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service de Biochimie, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceInstitut National de la Santé et de la Recherche Médicale (INSERM), Université de Paris, 75006 Paris, FranceAP-HP, Département d’Immunologie, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service de Pharmacie, CHU Bichat-Claude Bernard, 75018 Paris, FranceAP-HP, Service d’Anesthésie-Réanimation, CHU Bichat-Claude Bernard, 75018 Paris, FranceINSERM, UMR 1188 Diabète Athérothombose Réunion Océan Indien (DéTROI), Université de La Réunion, 97400 Saint-Denis, FranceHigh-density lipoproteins (HDLs) have multiple endothelioprotective properties. During SARS-CoV-2 infection, HDL-cholesterol (HDL-C) concentration is markedly reduced, and studies have described severe impairment of the functionality of HDL particles. Here, we report a multi-omic investigation of the first administration of recombinant HDL (rHDL) particles in a severe COVID-19 patient in an intensive care unit. Plasma ApoA1 increased and HDL-C decreased after each recombinant HDL injection, suggesting that these particles were functional in terms of reverse cholesterol transport. The proportion of large HDL particles also increased after injection of recombinant HDL. Shotgun proteomics performed on HDLs isolated by ultracentrifugation indicated that ApoA1 was more abundant after injections whereas most of the pro-inflammatory proteins identified were less abundant. Assessment of Serum amyloid A-1, inflammatory markers, and cytokines showed a significant decrease for most of them during recombinant HDL infusion. Our results suggest that recombinant HDL infusion is feasible and a potential therapeutic strategy to be explored in COVID-19 patients.https://www.mdpi.com/2227-9059/10/4/754COVID-19lipoproteinHDLproteomicsCER-001case-report
spellingShingle Sébastien Tanaka
Floran Begue
Bryan Veeren
Alexy Tran-Dinh
Tiphaine Robert
Parvine Tashk
Brice Lortat-Jacob
Dorothée Faille
Luc de Chaisemartin
Nathalie Zappella
Enora Atchade
Laura Kramer
Philippe Montravers
Olivier Meilhac
First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
Biomedicines
COVID-19
lipoprotein
HDL
proteomics
CER-001
case-report
title First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
title_full First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
title_fullStr First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
title_full_unstemmed First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
title_short First Recombinant High-Density Lipoprotein Particles Administration in a Severe ICU COVID-19 Patient, a Multi-Omics Exploratory Investigation
title_sort first recombinant high density lipoprotein particles administration in a severe icu covid 19 patient a multi omics exploratory investigation
topic COVID-19
lipoprotein
HDL
proteomics
CER-001
case-report
url https://www.mdpi.com/2227-9059/10/4/754
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