Trimethylamine N-oxide as a potential prognostic biomarker for mortality in patients with COVID-19 disease.

Trimethylamine N-oxide as a potential prognostic biomarker for mortality in patients with COVID-19 disease.

Publication date: Feb 05, 2025

Trimethylamine N-oxide (TMAO) is suggested as a biomarker for inflammatory and cardiovascular diseases which are identified as risk factors for severe cases of coronavirus disease 2019 (COVID-19). Our primary aim was to assess prognostic potential of serum TMAO levels in predicting COVID-19-related mortality. The secondary aim was to examine the potential of various biochemical parameters, particularly those associated with inflammation or thrombosis, as predictors of mortality. In this prospective and single-centre study, COVID-19 patients were categorized as death (group 1) or discharged (group 2) based on their in-hospital mortality status. The characteristics of participants were documented, and clinical data, including TMAO, angiotensin-converting enzyme-2 (ACE2), and neutrophil to lymphocyte ratio (NLR), were determined. The association of these independent variables with the COVID-19-related mortality, was assessed by calculation of crude odds ratios (OR) in bivariate and logistic regression analysis. Receiver operation characteristic (ROC) analysis was used for cut-off values. The serum levels of TMAO, ACE2 and NLR were markedly higher in group 1 on the days of hospital admission (p

Concepts Keywords
Coronavirus Biomarker
Death inflammation
Enzyme mortality
Hospital prognosis
Roc SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19
disease MESH cardiovascular diseases
disease MESH inflammation
disease MESH thrombosis
disease MESH death
drug DRUGBANK Saquinavir

Original Article

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