Evidence map›Paper›PMID 37612691›Full record

ArticleRespiratory research2023

Accumulation of oxysterols in the erythrocytes of COVID-19 patients as a biomarker for case severity.

Alaa Khedr, Maan T Khayat, Ahdab N Khayyat, Hany Z Asfour, Rahmah A Alsilmi, Ahmed K Kammoun

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
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

6 authors at 1 institution in 1 country.

Alaa KhedrDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, King Abdulaziz University, P.O. Box 80260, 21589, Jeddah, Saudi Arabia. akhedr@kau.edu.sa.
Maan T KhayatDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, King Abdulaziz University, P.O. Box 80260, 21589, Jeddah, Saudi Arabia.
Ahdab N KhayyatDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, King Abdulaziz University, P.O. Box 80260, 21589, Jeddah, Saudi Arabia.
Hany Z AsfourDepartment of Microbiology and Medical Parasitology, Faculty of Medicine, King Abdulaziz University, P.O. Box 80200, 21589, Jeddah, Saudi Arabia.
Rahmah A AlsilmiDepartment of Internal Medicine, Faculty of Medicine, King Abdulaziz University Hospital, King Abdulaziz University, P.O. Box 80200, 21589, Jeddah, Saudi Arabia.
Ahmed K KammounDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, King Abdulaziz University, P.O. Box 80260, 21589, Jeddah, Saudi Arabia.
King Abdulaziz University · SA

Funding

King Abdulaziz University IFPRC-212-166-2020
6 · The paper itself

Abstract

backgroundDue to the high risk of COVID-19 patients developing thrombosis in the circulating blood, atherosclerosis, and myocardial infarction, it is necessary to study the lipidome of erythrocytes. Specifically, we examined the pathogenic oxysterols and acylcarnitines in the erythrocyte homogenate of COVID-19 patients. These molecules can damage cells and contribute to the development of these diseases.

methodsThis study included 30 patients and 30 healthy volunteers. The erythrocyte homogenate extract was analyzed using linear ion trap mass spectrometry combined with high-performance liquid chromatography. The concentrations of oxysterols and acylcarnitines in erythrocyte homogenates of healthy individuals and COVID-19 patients were measured. Elevated levels of toxic biomarkers in red blood cells could initiate oxidative stress, leading to a process known as Eryptosis.

resultsIn COVID-19 patients, the levels of five oxysterols and six acylcarnitines in erythrocyte homogenates were significantly higher than those in healthy individuals, with a p-value of less than 0.05. The mean total concentration of oxysterols in the red blood cells of COVID-19 patients was 23.36 ± 13.47 μg/mL, while in healthy volunteers, the mean total concentration was 4.92 ± 1.61 μg/mL. The 7-ketocholesterol and 4-cholestenone levels were five and ten times higher, respectively, in COVID-19 patients than in healthy individuals. The concentration of acylcarnitines in the red blood cell homogenate of COVID-19 patients was 2 to 4 times higher than that of healthy volunteers on average. This finding suggests that these toxic biomarkers may cause the red blood cell death seen in COVID-19 patients.

conclusionsThe abnormally high levels of oxysterols and acylcarnitines found in the erythrocytes of COVID-19 patients were associated with the severity of the cases, complications, and the substantial risk of thrombosis. The concentration of oxysterols in the erythrocyte homogenate could serve as a diagnostic biomarker for COVID-19 case severity.

Indexed as

COVID-19OxysterolsBiomarkersErythrocytesGas Chromatography-Mass SpectrometryHumansBiomarkersOxysterols4-Cholestenone7-KetocholesterolAcylcarnitinesCOVID-19ErythrocytesIon-trap-mass spectrometryOxysterolsThrombosis

Identifiers

PMID37612691
PMCPMC10464166
OpenAlexW4386095621

What OpenQuestion holds

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LicenceCC BY
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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.