Flower lose, a cell fitness marker, predicts COVID-19 prognosis
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Flower lose, a cell fitness marker, predicts COVID-19 prognosis. / Yekelchyk, Michail; Madan, Esha; Wilhelm, Jochen; Short, Kirsty R.; Palma, António M.; Liao, Linbu; Camacho, Denise; Nkadori, Everlyne; Winters, Michael T.; Rice, Emily S.; Rolim, Inês; Cruz-Duarte, Raquel; Pelham, Christopher J.; Nagane, Masaki; Gupta, Kartik; Chaudhary, Sahil; Braun, Thomas; Pillappa, Raghavendra; Parker, Mark S.; Menter, Thomas; Matter, Matthias; Haslbauer, Jasmin Dionne; Tolnay, Markus; Galior, Kornelia D.; Matkwoskyj, Kristina A.; McGregor, Stephanie M.; Muller, Laura K.; Rakha, Emad A.; Lopez-Beltran, Antonio; Drapkin, Ronny; Ackermann, Maximilian; Fisher, Paul B.; Grossman, Steven R.; Godwin, Andrew K.; Kulasinghe, Arutha; Martinez, Ivan; Marsh, Clay B.; Tang, Benjamin; Wicha, Max S.; Won, Kyoung Jae; Tzankov, Alexandar; Moreno, Eduardo; Gogna, Rajan.
I: EMBO Molecular Medicine, Bind 13, Nr. 11, e13714, 2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Flower lose, a cell fitness marker, predicts COVID-19 prognosis
AU - Yekelchyk, Michail
AU - Madan, Esha
AU - Wilhelm, Jochen
AU - Short, Kirsty R.
AU - Palma, António M.
AU - Liao, Linbu
AU - Camacho, Denise
AU - Nkadori, Everlyne
AU - Winters, Michael T.
AU - Rice, Emily S.
AU - Rolim, Inês
AU - Cruz-Duarte, Raquel
AU - Pelham, Christopher J.
AU - Nagane, Masaki
AU - Gupta, Kartik
AU - Chaudhary, Sahil
AU - Braun, Thomas
AU - Pillappa, Raghavendra
AU - Parker, Mark S.
AU - Menter, Thomas
AU - Matter, Matthias
AU - Haslbauer, Jasmin Dionne
AU - Tolnay, Markus
AU - Galior, Kornelia D.
AU - Matkwoskyj, Kristina A.
AU - McGregor, Stephanie M.
AU - Muller, Laura K.
AU - Rakha, Emad A.
AU - Lopez-Beltran, Antonio
AU - Drapkin, Ronny
AU - Ackermann, Maximilian
AU - Fisher, Paul B.
AU - Grossman, Steven R.
AU - Godwin, Andrew K.
AU - Kulasinghe, Arutha
AU - Martinez, Ivan
AU - Marsh, Clay B.
AU - Tang, Benjamin
AU - Wicha, Max S.
AU - Won, Kyoung Jae
AU - Tzankov, Alexandar
AU - Moreno, Eduardo
AU - Gogna, Rajan
N1 - Publisher Copyright: © 2021 The Authors. Published under the terms of the CC BY 4.0 license
PY - 2021
Y1 - 2021
N2 - Risk stratification of COVID-19 patients is essential for pandemic management. Changes in the cell fitness marker, hFwe-Lose, can precede the host immune response to infection, potentially making such a biomarker an earlier triage tool. Here, we evaluate whether hFwe-Lose gene expression can outperform conventional methods in predicting outcomes (e.g., death and hospitalization) in COVID-19 patients. We performed a post-mortem examination of infected lung tissue in deceased COVID-19 patients to determine hFwe-Lose’s biological role in acute lung injury. We then performed an observational study (n = 283) to evaluate whether hFwe-Lose expression (in nasopharyngeal samples) could accurately predict hospitalization or death in COVID-19 patients. In COVID-19 patients with acute lung injury, hFwe-Lose is highly expressed in the lower respiratory tract and is co-localized to areas of cell death. In patients presenting in the early phase of COVID-19 illness, hFwe-Lose expression accurately predicts subsequent hospitalization or death with positive predictive values of 87.8–100% and a negative predictive value of 64.1–93.2%. hFwe-Lose outperforms conventional inflammatory biomarkers and patient age and comorbidities, with an area under the receiver operating characteristic curve (AUROC) 0.93–0.97 in predicting hospitalization/death. Specifically, this is significantly higher than the prognostic value of combining biomarkers (serum ferritin, D-dimer, C-reactive protein, and neutrophil–lymphocyte ratio), patient age and comorbidities (AUROC of 0.67–0.92). The cell fitness marker, hFwe-Lose, accurately predicts outcomes in COVID-19 patients. This finding demonstrates how tissue fitness pathways dictate the response to infection and disease and their utility in managing the current COVID-19 pandemic.
AB - Risk stratification of COVID-19 patients is essential for pandemic management. Changes in the cell fitness marker, hFwe-Lose, can precede the host immune response to infection, potentially making such a biomarker an earlier triage tool. Here, we evaluate whether hFwe-Lose gene expression can outperform conventional methods in predicting outcomes (e.g., death and hospitalization) in COVID-19 patients. We performed a post-mortem examination of infected lung tissue in deceased COVID-19 patients to determine hFwe-Lose’s biological role in acute lung injury. We then performed an observational study (n = 283) to evaluate whether hFwe-Lose expression (in nasopharyngeal samples) could accurately predict hospitalization or death in COVID-19 patients. In COVID-19 patients with acute lung injury, hFwe-Lose is highly expressed in the lower respiratory tract and is co-localized to areas of cell death. In patients presenting in the early phase of COVID-19 illness, hFwe-Lose expression accurately predicts subsequent hospitalization or death with positive predictive values of 87.8–100% and a negative predictive value of 64.1–93.2%. hFwe-Lose outperforms conventional inflammatory biomarkers and patient age and comorbidities, with an area under the receiver operating characteristic curve (AUROC) 0.93–0.97 in predicting hospitalization/death. Specifically, this is significantly higher than the prognostic value of combining biomarkers (serum ferritin, D-dimer, C-reactive protein, and neutrophil–lymphocyte ratio), patient age and comorbidities (AUROC of 0.67–0.92). The cell fitness marker, hFwe-Lose, accurately predicts outcomes in COVID-19 patients. This finding demonstrates how tissue fitness pathways dictate the response to infection and disease and their utility in managing the current COVID-19 pandemic.
KW - biomarker
KW - cell fitness
KW - COVID-19
KW - flower
KW - prognosis
U2 - 10.15252/emmm.202013714
DO - 10.15252/emmm.202013714
M3 - Journal article
C2 - 34661368
AN - SCOPUS:85117102080
VL - 13
JO - EMBO Molecular Medicine
JF - EMBO Molecular Medicine
SN - 1757-4676
IS - 11
M1 - e13714
ER -
ID: 282471969