TY - JOUR
T1 - Multi-omics personalized network analyses highlight progressive disruption of central metabolism associated with COVID-19 severity
AU - Ambikan, Anoop T.
AU - Yang, Hong
AU - Krishnan, Shuba
AU - Svensson Akusjärvi, Sara
AU - Gupta, Soham
AU - Lourda, Magda
AU - Sperk, Maike
AU - Arif, Muhammad
AU - Zhang, Cheng
AU - Nordqvist, Hampus
AU - Ponnan, Sivasankaran Munusamy
AU - Sönnerborg, Anders
AU - Treutiger, Carl Johan
AU - O'Mahony, Liam
AU - Mardinoglu, Adil
AU - Benfeitas, Rui
AU - Neogi, Ujjwal
N1 - Funding Information:
The authors would like to thank Elisabet Storgärd and Ronnie Ask, Study Nurses, Södersjukhuset for their excellent support with patient recruitment and all the clinicians and nurses who are the frontline warriors fighting against COVID-19. The authors acknowledge support from the National Genomics Infrastructure in Genomics Production Stockholm, funded by Science for Life Laboratory, the Knut and Alice Wallenberg Foundation and the Swedish Research Council, and SNIC/Uppsala Multidisciplinary Center for Advanced Computational Science for assistance with massively parallel sequencing and access to the UPPMAX computational infrastructure. We are thankful to the Swedish Metabolomics Centre, Umeå, Sweden, for measuring TCA-cycle intermediates by GC-QQQ-MS and providing the methodology. The study is funded by the Swedish Research Council grants 2021-00993 (U.N.), 2017-01330 (U.N.), 2018-06156 (U.N.), and 2021-03035 (S.G.) and received support from Karolinska Institutet Stiftelser och Fonder grant 2020-01554 (U.N.) and 2020-02153 (S.G.), The Center for Medical Innovation grant CIMED-FoUI-093304 (S.G.), and Åke Wiberg Stiftelse grant M20-0220 (S.G.). Conceptualization, U.N. and R.B.; methodology, A.T.A. H.Y. S.K. S.S.A. M.S. M.A. C.Z. S.M.P. A.M. R.B. and U.N.; investigation, clinical, H.N. C.J.T. and A.S.; investigation, computational and laboratory, A.T.A. H.Y. S.K. S.S.A. S.G. M.S. M.L. M.A. C.Z. A.M. R.B. and U.N.; visualization, A.T.A. H.Y. S.K. S.S.A. M.L. R.B. and U.N.; funding acquisition, S.G. and U.N.; project administration, C.J.T. A.M. R.B. and U.N.; supervision, C.J.T. A.M. R.B. and U.N.; writing—original draft, A.T.A. H.Y. S.K. S.S.A. S.G. and U.N.; writing—review & editing, M.L. M.S. M.A. C.Z. H.N. S.M.P. A.S. C.J.T. L.O.M. A.M. and R.B. The authors declare no competing interests.
Funding Information:
The authors would like to thank Elisabet Storgärd and Ronnie Ask, Study Nurses, Södersjukhuset for their excellent support with patient recruitment and all the clinicians and nurses who are the frontline warriors fighting against COVID-19. The authors acknowledge support from the National Genomics Infrastructure in Genomics Production Stockholm, funded by Science for Life Laboratory , the Knut and Alice Wallenberg Foundation and the Swedish Research Council , and SNIC / Uppsala Multidisciplinary Center for Advanced Computational Science for assistance with massively parallel sequencing and access to the UPPMAX computational infrastructure. We are thankful to the Swedish Metabolomics Centre, Umeå, Sweden, for measuring TCA-cycle intermediates by GC-QQQ-MS and providing the methodology. The study is funded by the Swedish Research Council grants 2021-00993 (U.N.), 2017-01330 (U.N.), 2018-06156 (U.N.), and 2021-03035 (S.G.) and received support from Karolinska Institutet Stiftelser och Fonder grant 2020-01554 (U.N.) and 2020-02153 (S.G.), The Center for Medical Innovation grant CIMED-FoUI-093304 (S.G.), and Åke Wiberg Stiftelse grant M20-0220 (S.G.).
Publisher Copyright:
© 2022 The Authors
PY - 2022/8/17
Y1 - 2022/8/17
N2 - The clinical outcome and disease severity in coronavirus disease 2019 (COVID-19) are heterogeneous, and the progression or fatality of the disease cannot be explained by a single factor like age or comorbidities. In this study, we used system-wide network-based system biology analysis using whole blood RNA sequencing, immunophenotyping by flow cytometry, plasma metabolomics, and single-cell-type metabolomics of monocytes to identify the potential determinants of COVID-19 severity at personalized and group levels. Digital cell quantification and immunophenotyping of the mononuclear phagocytes indicated a substantial role in coordinating the immune cells that mediate COVID-19 severity. Stratum-specific and personalized genome-scale metabolic modeling indicated monocarboxylate transporter family genes (e.g., SLC16A6), nucleoside transporter genes (e.g., SLC29A1), and metabolites such as α-ketoglutarate, succinate, malate, and butyrate could play a crucial role in COVID-19 severity. Metabolic perturbations targeting the central metabolic pathway (TCA cycle) can be an alternate treatment strategy in severe COVID-19.
AB - The clinical outcome and disease severity in coronavirus disease 2019 (COVID-19) are heterogeneous, and the progression or fatality of the disease cannot be explained by a single factor like age or comorbidities. In this study, we used system-wide network-based system biology analysis using whole blood RNA sequencing, immunophenotyping by flow cytometry, plasma metabolomics, and single-cell-type metabolomics of monocytes to identify the potential determinants of COVID-19 severity at personalized and group levels. Digital cell quantification and immunophenotyping of the mononuclear phagocytes indicated a substantial role in coordinating the immune cells that mediate COVID-19 severity. Stratum-specific and personalized genome-scale metabolic modeling indicated monocarboxylate transporter family genes (e.g., SLC16A6), nucleoside transporter genes (e.g., SLC29A1), and metabolites such as α-ketoglutarate, succinate, malate, and butyrate could play a crucial role in COVID-19 severity. Metabolic perturbations targeting the central metabolic pathway (TCA cycle) can be an alternate treatment strategy in severe COVID-19.
KW - COVID-19
KW - personalized genome-scale metabolic model
KW - similarity network fusion
UR - http://www.scopus.com/inward/record.url?scp=85135506746&partnerID=8YFLogxK
U2 - 10.1016/j.cels.2022.06.006
DO - 10.1016/j.cels.2022.06.006
M3 - Article
AN - SCOPUS:85135506746
SN - 2405-4712
VL - 13
SP - 665-681.e4
JO - Cell Systems
JF - Cell Systems
IS - 8
ER -