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Clinical features and multiomics profiles indicate coagulation and platelet dysfunction in COVID-19 viral sepsis. | LitMetric

Clinical features and multiomics profiles indicate coagulation and platelet dysfunction in COVID-19 viral sepsis.

iScience

Department of Pulmonary and Critical Care Medicine at The Seventh Medical Center, College of Pulmonary and Critical Care Medicine of The Eighth Medical Center, Chinese PLA General Hospital, Beijing 100853, China.

Published: June 2024

AI Article Synopsis

  • - Increased sepsis cases during COVID-19, even without typical bacterial infections, suggest that viruses may also cause sepsis.
  • - A study investigated 45 viral sepsis patients and compared them with 186 non-sepsis COVID-19 patients to uncover molecular mechanisms behind viral sepsis.
  • - Findings revealed distinct changes in coagulation and immune response pathways, with increased fibrinogen and decreased complement proteins, contributing to the risk of secondary infections and severe disease.

Article Abstract

Increased cases of sepsis during COVID-19 in the absence of known bacterial pathogens highlighted role of viruses as causative agents of sepsis. In this study, we investigated clinical, laboratory, proteomic, and metabolomic characteristics of viral sepsis patients ( = 45) and compared them to non-sepsis patients with COVID-19 ( = 186) to identify molecular mechanisms underlying the pathology of viral sepsis in COVID-19. We identified unique metabolomic and proteomic signatures that suggest a substantial perturbation in the coagulation, complement, and platelet activation pathways in viral sepsis. Our proteomic data indicated elevated coagulation pathway protein (fibrinogen), whereas a decrease in many of the complement proteins was observed. These alterations were associated with the functional consequences such as susceptibility to secondary bacterial infections and potentially contributing to both local and systemic disease phenotypes. Our data provide novel aspect of COVID-19 pathology that is centered around presence of sepsis phenotype in COVID-19.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225851PMC
http://dx.doi.org/10.1016/j.isci.2024.110110DOI Listing

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