Respiratory failure & ventilation

Using a targeted metabolomics approach to explore differences in acute respiratory distress syndrome (ARDS) associated with COVID-19 compared to ARDS caused by H1N1 influenza and bacterial pneumonia

Crit CarePublished Mechanistic study

Authors' conclusion

Different metabolic phenotypes characterize ARDS associated with different viral and bacterial infections.

Study context

Population
Patients with ARDS caused by COVID-19, H1N1 influenza or bacterial pneumonia, non-ARDS COVID-19 patients and ICU-ventilated controls
Participants
150 plasma samples
Comparison
COVID-19 ARDS vs H1N1 influenza ARDS vs bacterial pneumonia ARDS, compared with non-ARDS COVID-19 patients and ICU-ventilated controls
Outcome
Plasma metabolic phenotypes
Methodological detailstargeted metabolomics, quantitative LC-MS/MS and DI-MS/MS
  • Targeted metabolomics
  • Quantitative LC-MS/MS and DI-MS/MS

Main finding

As reported in the abstract

  • Distinct metabolic phenotypes between different infectious causes of ARDS
  • C19/A vs H1N1/A: differences in taurine and hypotaurine, pyruvate, TCA cycle metabolites, lysine and glycerophospholipid pathways
  • PNA/A vs C19/A: differences in D-glutamine and D-glutamate, arginine, proline, histidine and pyruvate metabolism
  • C19/A (ICU) vs C19/P (not ICU): differences in phenylalanine, tryptophan, lysine and tyrosine metabolism
  • Significant differences between C19/A, H1N1/A and PNA/A vs ICU-ventilated controls

Original publication

Using a targeted metabolomics approach to explore differences in ARDS associated with COVID-19 compared to ARDS caused by H1N1 influenza and bacterial pneumonia. Crit Care. Published 27 February 2024. doi:10.1186/s13054-024-04843-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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