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PLOS ONEResearch HighlightsOpen Access

Severity-dependent metabolic rewiring in COVID-19 based on untargeted metabolomic profiling of patient plasma

25 Jun 20264 min read0 viewsJournal Feed

GIST (Key Takeaways)

  • by Marta Majewska, Mateusz A. Maździarz, Ewa Lepiarczyk, Aleksandra Lipka, Marta Wiszpolska, Beata Moczulska, Elżbieta Łopieńska-Biernat, Piotr Iwanowicz, Piotr Kocbach, Hilde Galtung, Leszek Gromadziński Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), remains a major global health challenge, characterised by a heterogeneous clinical spectrum.
  • While metabolomic studies have identified disruptions in amino acid, lipid, nucleotide, and energy metabolism during COVID-19, these investigations often lack fine-grained clinical stratification. In this study, we performed untargeted metabolomic profiling of plasma from 25 participants, including five healthy controls and twenty COVID-19 patients classified into four severity groups (COV1–COV4) based on pulmonary involvement and the need for respiratory support.
  • Using ultra-performance liquid chromatography coupled with mass spectrometry (UPLC-MS), 541 metabolites were detected and analysed across all samples. Principal component analysis revealed a progressive metabolic divergence corresponding to disease severity.
  • Monocarboxylic acid dysregulation was predominant in early to moderate cases (COV1–COV3), whereas severe disease (COV4) demonstrated a shift toward pyrimidine metabolism enrichment, consistent with heightened nucleotide turnover driven by viral replication and immune cell proliferation.

Clinical Editorial

Summary

PLOS ONE (Medicine) published a clinical update in Research Highlights on 25 Jun 2026.

The item focuses on Severity-dependent metabolic rewiring in COVID-19 based on untargeted metabolomic profiling of patient plasma.

Review the original article for the full source wording and details.

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