Evidence map›Paper›PMID 35174369›Full record

ArticleGastro hep advances2022

A 'Multiomic' Approach of Saliva Metabolomics, Microbiota, and Serum Biomarkers to Assess the Need of Hospitalization in Coronavirus Disease 2019.

Chiara Pozzi, Riccardo Levi, Daniele Braga, Francesco Carli, Abbass Darwich, Ilaria Spadoni, Bianca Oresta, Carola Conca Dioguardi, Clelia Peano, Leonardo Ubaldi and 13 more

Abstract read
In one paragraph

Article in Gastro hep advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. The role of salivary metabolomics in chronic periodontitis: bridging oral and systemic diseases.Metabolomics : Official journal of the Metabolomic Society · 2025
    Review
  5. LongitudinalViruses · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Chiara PozziIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Riccardo LeviDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Daniele BragaIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Francesco CarliDepartment of Informatics, Università degli Studi di Torino, Torino, Piemonte, Italy.
Abbass DarwichDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Ilaria SpadoniDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Bianca OrestaIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Carola Conca DioguardiInstitute of Genetic and Biomedical Research, UoS of Milan, National Research Council, Rozzano, Milan, Italy.
Clelia PeanoInstitute of Genetic and Biomedical Research, UoS of Milan, National Research Council, Rozzano, Milan, Italy.
Leonardo UbaldiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Giovanni AngelottiIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Barbara BottazziIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Cecilia GarlandaIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Antonio DesaiIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Antonio VozaIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Elena AzzoliniIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Maurizio CecconiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
ICH COVID-19 Task-force
Alberto MantovaniIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Giuseppe PennaIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Riccardo BarbieriDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy.
Letterio S PolitiIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Maria RescignoIRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe SARS-CoV-2 pandemic has overwhelmed the treatment capacity of the health care systems during the highest viral diffusion rate. Patients reaching the emergency department had to be either hospitalized (inpatients) or discharged (outpatients). Still, the decision was taken based on the individual assessment of the actual clinical condition, without specific biomarkers to predict future improvement or deterioration, and discharged patients often returned to the hospital for aggravation of their condition. Here, we have developed a new combined approach of omics to identify factors that could distinguish coronavirus disease 19 (COVID-19) inpatients from outpatients.

methodsSaliva and blood samples were collected over the course of two observational cohort studies. By using machine learning approaches, we compared salivary metabolome of 50 COVID-19 patients with that of 270 healthy individuals having previously been exposed or not to SARS-CoV-2. We then correlated the salivary metabolites that allowed separating COVID-19 inpatients from outpatients with serum biomarkers and salivary microbiota taxa differentially represented in the two groups of patients.

resultsWe identified nine salivary metabolites that allowed assessing the need of hospitalization. When combined with serum biomarkers, just two salivary metabolites (myo-inositol and 2-pyrrolidineacetic acid) and one serum protein, chitinase 3-like-1 (CHI3L1), were sufficient to separate inpatients from outpatients completely and correlated with modulated microbiota taxa. In particular, we found

conclusionThis is a proof of concept that a combined omic analysis can be used to stratify patients independently from COVID-19.

Indexed as

AUC, area under the curveCHI3L1CHI3L1, chitinase 3-like-1CI, confidence intervalCOVID-19COVID-19, coronavirus disease 19DT, decision treeELISA, enzyme-linked immunosorbent assayESI, electrospray ionizationFDR, false discovery rateIgG, immunoglobulin GLR, logistic regressionMetabolomeMicrobiotaPCA, principal component analysisPTX3, pentraxin 3RFE, recursive feature eliminationSVM, support vector machine

Identifiers

PMID35174369
PMCPMC8818445

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.