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Usenko T, Miroshnikova V, Bezrukova A, Basharova K, Landa S, Korobova Z, Liubimova N, Vlasov I, Nikolaev M, Izyumchenko A, Gavrilova E, Shlyk I, Chernitskaya E, Kovalchuk Y, Slominsky P, Totolian A, Polushin Y, Pchelina S. Fraction of plasma exomeres and low-density lipoprotein cholesterol as a predictor of fatal outcome of COVID-19. PLoS One 2023; 18:e0278083. [PMID: 36758022 PMCID: PMC9910704 DOI: 10.1371/journal.pone.0278083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 01/30/2023] [Indexed: 02/10/2023] Open
Abstract
Transcriptomic analysis conducted by us previously revealed upregulation of genes involved in low-density lipoprotein particle receptor (LDLR) activity pathway in lethal COVID-19 caused by SARS-CoV-2 virus (severe acute respiratory syndrome coronavirus 2). Last data suggested the possible role of extracellular vesicles in COVID-19 pathogenesis. The aim of the present study was to retrospectively evaluate parameters of cholesterol metabolism and newly identified EVs, exomeres, as possible predictors of fatal outcome of COVID-19 patients infected by the Alpha and the Delta variants of SARS-CoV-2 virus. Blood from 67 patients with severe COVID-19 were collected at the time of admission to the intensive care unit (ICU) and 7 days after admission to the ICU. After 30 days patients were divided into two subgroups according to outcome-34 non-survivors and 33 survivors. This study demonstrated that plasma low- and high-density lipoprotein cholesterol levels (LDL-C and HDL-C) were decreased in non-survivors compared to controls at the time of admission to the ICU. The conjoint fraction of exomeres and LDL particles measured by dynamic light scattering (DLS) was decreased in non-survivors infected by the Alpha and the Delta variants compared to survivors at the time of admission to the ICU. We first showed that reduction of exomeres fraction may be critical in fatal outcome of COVID-19.
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Affiliation(s)
- Tatiana Usenko
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
- Kurchatov Genome Center—PNPI, Saint-Petersburg, Russia
- * E-mail:
| | - Valentina Miroshnikova
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Anastasia Bezrukova
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
| | - Katerina Basharova
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
| | - Sergey Landa
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Zoia Korobova
- Saint Petersburg Pasteur Institute, Saint-Petersburg, Russia
| | | | - Ivan Vlasov
- Institute of Molecular Genetics, National Research Center "Kurchatov Institute", Moscow, Russia
| | - Mikhael Nikolaev
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Artem Izyumchenko
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
| | - Elena Gavrilova
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Irina Shlyk
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Elena Chernitskaya
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Yurii Kovalchuk
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Petr Slominsky
- Institute of Molecular Genetics, National Research Center "Kurchatov Institute", Moscow, Russia
| | - Areg Totolian
- Saint Petersburg Pasteur Institute, Saint-Petersburg, Russia
| | - Yurii Polushin
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
| | - Sofya Pchelina
- Petersburg Nuclear Physics Institute Named by B.P. Konstantinov of National Research Centre «Kurchatov Institute», Gatchina, Russia
- Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia
- Kurchatov Genome Center—PNPI, Saint-Petersburg, Russia
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