Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity

<h3>Introduction</h3><p dir="ltr">Increased COVID-19 disease severity is higher among patients with type 2 diabetes mellitus and hypertension. However, the metabolic pathways underlying this association are not fully characterized. This study aims to identify the metaboli...

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Main Author: Mohamed A. Elrayess (7956179) (author)
Other Authors: Farhan S. Cyprian (11924492) (author), Abdallah M. Abdallah (8277564) (author), Mohamed M. Emara (9913215) (author), Ilhame Diboun (3522413) (author), Najeha Anwardeen (11924495) (author), Sven Schuchardt (9681428) (author), Hadi M. Yassine (4675846) (author)
Published: 2022
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_version_ 1864513518656552960
author Mohamed A. Elrayess (7956179)
author2 Farhan S. Cyprian (11924492)
Abdallah M. Abdallah (8277564)
Mohamed M. Emara (9913215)
Ilhame Diboun (3522413)
Najeha Anwardeen (11924495)
Sven Schuchardt (9681428)
Hadi M. Yassine (4675846)
author2_role author
author
author
author
author
author
author
author_facet Mohamed A. Elrayess (7956179)
Farhan S. Cyprian (11924492)
Abdallah M. Abdallah (8277564)
Mohamed M. Emara (9913215)
Ilhame Diboun (3522413)
Najeha Anwardeen (11924495)
Sven Schuchardt (9681428)
Hadi M. Yassine (4675846)
author_role author
dc.creator.none.fl_str_mv Mohamed A. Elrayess (7956179)
Farhan S. Cyprian (11924492)
Abdallah M. Abdallah (8277564)
Mohamed M. Emara (9913215)
Ilhame Diboun (3522413)
Najeha Anwardeen (11924495)
Sven Schuchardt (9681428)
Hadi M. Yassine (4675846)
dc.date.none.fl_str_mv 2022-01-10T03:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fmed.2021.788687
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Metabolic_Signatures_of_Type_2_Diabetes_Mellitus_and_Hypertension_in_COVID-19_Patients_With_Different_Disease_Severity/25663827
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
COVID-19
diabetes mellitus
hypertension
triacylglycerols
palmitic acid
docosapentaenoic acid
docosahexaenoic acid
oleic acid
dc.title.none.fl_str_mv Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Introduction</h3><p dir="ltr">Increased COVID-19 disease severity is higher among patients with type 2 diabetes mellitus and hypertension. However, the metabolic pathways underlying this association are not fully characterized. This study aims to identify the metabolic signature associated with increased COVID-19 severity in patients with diabetes mellitus and hypertension.</p><p><br></p><h3>Methods</h3><p dir="ltr">One hundred and fifteen COVID-19 patients were divided based on disease severity, diabetes status, and hypertension status. Targeted metabolomics of serum samples from all patients was performed using tandem mass spectrometry followed by multivariate and univariate models.</p><p><br></p><h3>Results</h3><p dir="ltr">Reduced levels of various triacylglycerols were observed with increased disease severity in the diabetic patients, including those containing palmitic (C16:0), docosapentaenoic (C22:5, DPA), and docosahexaenoic (C22:6, DHA) acids (FDR < 0.01). Functional enrichment analysis revealed triacylglycerols as the pathway exhibiting the most significant changes in severe COVID-19 in diabetic patients (FDR = 7.1 × 10<sup>−27</sup>). Similarly, reduced levels of various triacylglycerols were also observed in hypertensive patients corresponding with increased disease severity, including those containing palmitic, oleic (C18:1), and docosahexaenoic acids. Functional enrichment analysis revealed long-chain polyunsaturated fatty acids (n-3 and n-6) as the pathway exhibiting the most significant changes with increased disease severity in hypertensive patients (FDR = 0.07).</p><p><br></p><h3>Conclusions</h3><p dir="ltr">Reduced levels of triacylglycerols containing specific long-chain unsaturated, monounsaturated, and polyunsaturated fatty acids are associated with increased COVID-19 severity in diabetic and hypertensive patients, offering potential novel diagnostic and therapeutic targets.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fmed.2021.788687" target="_blank">https://dx.doi.org/10.3389/fmed.2021.788687</a></p>
eu_rights_str_mv openAccess
id Manara2_78e039e9bc63f2e40e98b93571866c5e
identifier_str_mv 10.3389/fmed.2021.788687
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25663827
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease SeverityMohamed A. Elrayess (7956179)Farhan S. Cyprian (11924492)Abdallah M. Abdallah (8277564)Mohamed M. Emara (9913215)Ilhame Diboun (3522413)Najeha Anwardeen (11924495)Sven Schuchardt (9681428)Hadi M. Yassine (4675846)Biomedical and clinical sciencesCardiovascular medicine and haematologyCOVID-19diabetes mellitushypertensiontriacylglycerolspalmitic aciddocosapentaenoic aciddocosahexaenoic acidoleic acid<h3>Introduction</h3><p dir="ltr">Increased COVID-19 disease severity is higher among patients with type 2 diabetes mellitus and hypertension. However, the metabolic pathways underlying this association are not fully characterized. This study aims to identify the metabolic signature associated with increased COVID-19 severity in patients with diabetes mellitus and hypertension.</p><p><br></p><h3>Methods</h3><p dir="ltr">One hundred and fifteen COVID-19 patients were divided based on disease severity, diabetes status, and hypertension status. Targeted metabolomics of serum samples from all patients was performed using tandem mass spectrometry followed by multivariate and univariate models.</p><p><br></p><h3>Results</h3><p dir="ltr">Reduced levels of various triacylglycerols were observed with increased disease severity in the diabetic patients, including those containing palmitic (C16:0), docosapentaenoic (C22:5, DPA), and docosahexaenoic (C22:6, DHA) acids (FDR < 0.01). Functional enrichment analysis revealed triacylglycerols as the pathway exhibiting the most significant changes in severe COVID-19 in diabetic patients (FDR = 7.1 × 10<sup>−27</sup>). Similarly, reduced levels of various triacylglycerols were also observed in hypertensive patients corresponding with increased disease severity, including those containing palmitic, oleic (C18:1), and docosahexaenoic acids. Functional enrichment analysis revealed long-chain polyunsaturated fatty acids (n-3 and n-6) as the pathway exhibiting the most significant changes with increased disease severity in hypertensive patients (FDR = 0.07).</p><p><br></p><h3>Conclusions</h3><p dir="ltr">Reduced levels of triacylglycerols containing specific long-chain unsaturated, monounsaturated, and polyunsaturated fatty acids are associated with increased COVID-19 severity in diabetic and hypertensive patients, offering potential novel diagnostic and therapeutic targets.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fmed.2021.788687" target="_blank">https://dx.doi.org/10.3389/fmed.2021.788687</a></p>2022-01-10T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fmed.2021.788687https://figshare.com/articles/journal_contribution/Metabolic_Signatures_of_Type_2_Diabetes_Mellitus_and_Hypertension_in_COVID-19_Patients_With_Different_Disease_Severity/25663827CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/256638272022-01-10T03:00:00Z
spellingShingle Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
Mohamed A. Elrayess (7956179)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
COVID-19
diabetes mellitus
hypertension
triacylglycerols
palmitic acid
docosapentaenoic acid
docosahexaenoic acid
oleic acid
status_str publishedVersion
title Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
title_full Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
title_fullStr Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
title_full_unstemmed Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
title_short Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
title_sort Metabolic Signatures of Type 2 Diabetes Mellitus and Hypertension in COVID-19 Patients With Different Disease Severity
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
COVID-19
diabetes mellitus
hypertension
triacylglycerols
palmitic acid
docosapentaenoic acid
docosahexaenoic acid
oleic acid