Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS

Abstract Background Acute respiratory distress syndrome (ARDS), a life-threatening condition during critical illness, is a common complication of COVID-19. It can originate from various disease etiologies, including severe infections, major injury, or inhalation of irritants. ARDS poses substantial...

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Main Authors: Richa Batra, Rie Uni, Oleh M. Akchurin, Sergio Alvarez-Mulett, Luis G. Gómez-Escobar, Edwin Patino, Katherine L. Hoffman, Will Simmons, William Whalen, Kelsey Chetnik, Mustafa Buyukozkan, Elisa Benedetti, Karsten Suhre, Edward Schenck, Soo Jung Cho, Augustine M. K. Choi, Frank Schmidt, Mary E. Choi, Jan Krumsiek
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Molecular Medicine
Subjects:
Online Access:https://doi.org/10.1186/s10020-023-00609-6
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author Richa Batra
Rie Uni
Oleh M. Akchurin
Sergio Alvarez-Mulett
Luis G. Gómez-Escobar
Edwin Patino
Katherine L. Hoffman
Will Simmons
William Whalen
Kelsey Chetnik
Mustafa Buyukozkan
Elisa Benedetti
Karsten Suhre
Edward Schenck
Soo Jung Cho
Augustine M. K. Choi
Frank Schmidt
Mary E. Choi
Jan Krumsiek
author_facet Richa Batra
Rie Uni
Oleh M. Akchurin
Sergio Alvarez-Mulett
Luis G. Gómez-Escobar
Edwin Patino
Katherine L. Hoffman
Will Simmons
William Whalen
Kelsey Chetnik
Mustafa Buyukozkan
Elisa Benedetti
Karsten Suhre
Edward Schenck
Soo Jung Cho
Augustine M. K. Choi
Frank Schmidt
Mary E. Choi
Jan Krumsiek
author_sort Richa Batra
collection DOAJ
description Abstract Background Acute respiratory distress syndrome (ARDS), a life-threatening condition during critical illness, is a common complication of COVID-19. It can originate from various disease etiologies, including severe infections, major injury, or inhalation of irritants. ARDS poses substantial clinical challenges due to a lack of etiology-specific therapies, multisystem involvement, and heterogeneous, poor patient outcomes. A molecular comparison of ARDS groups holds the potential to reveal common and distinct mechanisms underlying ARDS pathogenesis. Methods We performed a comparative analysis of urine-based metabolomics and proteomics profiles from COVID-19 ARDS patients (n = 42) and bacterial sepsis-induced ARDS patients (n = 17). To this end, we used two different approaches, first we compared the molecular omics profiles between ARDS groups, and second, we correlated clinical manifestations within each group with the omics profiles. Results The comparison of the two ARDS etiologies identified 150 metabolites and 70 proteins that were differentially abundant between the two groups. Based on these findings, we interrogated the interplay of cell adhesion/extracellular matrix molecules, inflammation, and mitochondrial dysfunction in ARDS pathogenesis through a multi-omic network approach. Moreover, we identified a proteomic signature associated with mortality in COVID-19 ARDS patients, which contained several proteins that had previously been implicated in clinical manifestations frequently linked with ARDS pathogenesis. Conclusion In summary, our results provide evidence for significant molecular differences in ARDS patients from different etiologies and a potential synergy of extracellular matrix molecules, inflammation, and mitochondrial dysfunction in ARDS pathogenesis. The proteomic mortality signature should be further investigated in future studies to develop prediction models for COVID-19 patient outcomes.
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spelling doaj.art-73b7e4f3cafd424db0c9cb48062b9e132023-01-29T12:15:04ZengBMCMolecular Medicine1528-36582023-01-0129111010.1186/s10020-023-00609-6Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDSRicha Batra0Rie Uni1Oleh M. Akchurin2Sergio Alvarez-Mulett3Luis G. Gómez-Escobar4Edwin Patino5Katherine L. Hoffman6Will Simmons7William Whalen8Kelsey Chetnik9Mustafa Buyukozkan10Elisa Benedetti11Karsten Suhre12Edward Schenck13Soo Jung Cho14Augustine M. K. Choi15Frank Schmidt16Mary E. Choi17Jan Krumsiek18Department of Physiology and Biophysics, Institute for Computational Biomedicine, Englander Institute for Precision Medicine, Weill Cornell MedicineDivision of Nephrology and Hypertension, Joan and Sanford I. Weill Department of MedicineDivision of Pediatric Nephrology, Department of Pediatrics, Weill Cornell MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineDivision of Nephrology and Hypertension, Joan and Sanford I. Weill Department of MedicineDivision of Biostatistics, Department of Population Health Sciences, Weill Cornell MedicineDivision of Biostatistics, Department of Population Health Sciences, Weill Cornell MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineDepartment of Physiology and Biophysics, Institute for Computational Biomedicine, Englander Institute for Precision Medicine, Weill Cornell MedicineDepartment of Physiology and Biophysics, Institute for Computational Biomedicine, Englander Institute for Precision Medicine, Weill Cornell MedicineDepartment of Physiology and Biophysics, Institute for Computational Biomedicine, Englander Institute for Precision Medicine, Weill Cornell MedicineBioinformatics Core, Weill Cornell Medicine –Qatar, Qatar FoundationDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell MedicineProteomics Core, Weill Cornell Medicine –Qatar, Qatar FoundationDivision of Nephrology and Hypertension, Joan and Sanford I. Weill Department of MedicineDepartment of Physiology and Biophysics, Institute for Computational Biomedicine, Englander Institute for Precision Medicine, Weill Cornell MedicineAbstract Background Acute respiratory distress syndrome (ARDS), a life-threatening condition during critical illness, is a common complication of COVID-19. It can originate from various disease etiologies, including severe infections, major injury, or inhalation of irritants. ARDS poses substantial clinical challenges due to a lack of etiology-specific therapies, multisystem involvement, and heterogeneous, poor patient outcomes. A molecular comparison of ARDS groups holds the potential to reveal common and distinct mechanisms underlying ARDS pathogenesis. Methods We performed a comparative analysis of urine-based metabolomics and proteomics profiles from COVID-19 ARDS patients (n = 42) and bacterial sepsis-induced ARDS patients (n = 17). To this end, we used two different approaches, first we compared the molecular omics profiles between ARDS groups, and second, we correlated clinical manifestations within each group with the omics profiles. Results The comparison of the two ARDS etiologies identified 150 metabolites and 70 proteins that were differentially abundant between the two groups. Based on these findings, we interrogated the interplay of cell adhesion/extracellular matrix molecules, inflammation, and mitochondrial dysfunction in ARDS pathogenesis through a multi-omic network approach. Moreover, we identified a proteomic signature associated with mortality in COVID-19 ARDS patients, which contained several proteins that had previously been implicated in clinical manifestations frequently linked with ARDS pathogenesis. Conclusion In summary, our results provide evidence for significant molecular differences in ARDS patients from different etiologies and a potential synergy of extracellular matrix molecules, inflammation, and mitochondrial dysfunction in ARDS pathogenesis. The proteomic mortality signature should be further investigated in future studies to develop prediction models for COVID-19 patient outcomes.https://doi.org/10.1186/s10020-023-00609-6COVID-19Acute respiratory distress syndrome (ARDS)Multi-omicMortality signatureNetwork-basedComputational analysis
spellingShingle Richa Batra
Rie Uni
Oleh M. Akchurin
Sergio Alvarez-Mulett
Luis G. Gómez-Escobar
Edwin Patino
Katherine L. Hoffman
Will Simmons
William Whalen
Kelsey Chetnik
Mustafa Buyukozkan
Elisa Benedetti
Karsten Suhre
Edward Schenck
Soo Jung Cho
Augustine M. K. Choi
Frank Schmidt
Mary E. Choi
Jan Krumsiek
Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
Molecular Medicine
COVID-19
Acute respiratory distress syndrome (ARDS)
Multi-omic
Mortality signature
Network-based
Computational analysis
title Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
title_full Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
title_fullStr Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
title_full_unstemmed Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
title_short Urine-based multi-omic comparative analysis of COVID-19 and bacterial sepsis-induced ARDS
title_sort urine based multi omic comparative analysis of covid 19 and bacterial sepsis induced ards
topic COVID-19
Acute respiratory distress syndrome (ARDS)
Multi-omic
Mortality signature
Network-based
Computational analysis
url https://doi.org/10.1186/s10020-023-00609-6
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