Metabolic alterations in urine among the patients with severe fever with thrombocytopenia syndrome

© 2024. The Author(s)..

BACKGROUND: The pathogenesis of severe fever with thrombocytopenia syndrome (SFTS) remained unclear. We aimed to profile the metabolic alterations in urine of SFTS patients and provide new evidence for its pathogenesis.

METHODS: A case-control study was conducted in the 154th hospital in China. Totally 88 cases and 22 controls aged ≥ 18 years were enrolled. The cases were selected from laboratory-confirmed SFTS patients. The controls were selected among SFTSV-negative population. Those with diabetes, cancer, hepatitis and other sexually transmitted diseases were excluded in both groups. Fatal cases and survival cases were 1:1 matched. Inter-group differential metabolites and pathways were obtained, and the inter-group discrimination ability was evaluated.

RESULTS: Tryptophan metabolism and phenylalanine metabolism were the top one important metabolism pathway in differentiating the control and case groups, and the survival and fatal groups, respectively. The significant increase of differential metabolites in tryptophan metabolism, including 5-hydroxyindoleacetate (5-HIAA), L-kynurenine (KYN), 5-hydroxy-L-tryptophan (5-HTP), 3-hydroxyanthranilic acid (3-HAA), and the increase of phenylpyruvic acid and decrease of hippuric acid in phenylalanine metabolism indicated the potential metabolic alterations in SFTSV infection. The increase of 5-HIAA, KYN, 5-HTP, phenylpyruvic acid and hippuric acid were involved in the fatal progress of SFTS patients.

CONCLUSIONS: Tryptophan metabolism and phenylalanine metabolism might be involved in the pathogenesis of SFTSV infection. These findings provided new evidence for the pathogenesis and treatment of SFTS.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Virology journal - 21(2024), 1 vom: 08. Jan., Seite 11

Sprache:

Englisch

Beteiligte Personen:

Zhang, Shan-Shan [VerfasserIn]
Yang, Xin [VerfasserIn]
Zhang, Wan-Xue [VerfasserIn]
Zhou, Yiguo [VerfasserIn]
Wei, Ting-Ting [VerfasserIn]
Cui, Ning [VerfasserIn]
Du, Juan [VerfasserIn]
Liu, Wei [VerfasserIn]
Lu, Qing-Bin [VerfasserIn]

Links:

Volltext

Themen:

47E5O17Y3R
5-Hydroxytryptophan
54-16-0
8DUH1N11BX
C1LJO185Q9
Hippuric acid
Hydroxyindoleacetic Acid
Journal Article
Phenylalanine
Phenylpyruvic acid
Severe fever with thrombocytopenia syndrome; Urine; Metabolomics; Fatal; Pathogenesis
TE0865N2ET
Tryptophan
X7CO62M413

Anmerkungen:

Date Completed 10.01.2024

Date Revised 11.01.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12985-024-02285-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366820036