ORIGINAL RESEARCH article

Front. Mol. Biosci.

Sec. Metabolomics

Volume 12 - 2025 | doi: 10.3389/fmolb.2025.1607583

This article is part of the Research TopicV Latin American Metabolic Profiling Society (LAMPS) Symposium: 2024View all 3 articles

Comprehensive Clinical and Metabolomics Profiling of COVID-19 Mexican Patients Across Three Epidemiological Waves

Provisionally accepted
David  Alejandro García-LópezDavid Alejandro García-López1Joel  Monárrez-EspinoJoel Monárrez-Espino2Juan  Carlos BorregoJuan Carlos Borrego3Jiamin  ZhengJiamin Zheng4Rupasri  MandalRupasri Mandal4Claudia  Torres-CalzadaClaudia Torres-Calzada4Juan Jose  Oropeza ValdezJuan Jose Oropeza Valdez5Alanne  Tenório NunesAlanne Tenório Nunes6Sergio  Hugo Sánchez RodríguezSergio Hugo Sánchez Rodríguez1Jesús Adrián  LópezJesús Adrián López1Blanca  Estela Calzada RodríguezBlanca Estela Calzada Rodríguez3David  WishartDavid Wishart4Yamile  Lopez HernandezYamile Lopez Hernandez1,4*
  • 1Autonomous University of Zacatecas, Zacatecas, Mexico
  • 2University of Monterrey, San Pedro Garza García, Nuevo León4, Mexico
  • 3Instituto Mexicano del Seguro Social, Zacatecas, Mexico
  • 4University of Alberta, Edmonton, Alberta, Canada
  • 5National Autonomous University of Mexico, México City, México, Mexico
  • 6University of São Paulo, São Paulo, Rio Grande do Sul, Brazil

The final, formatted version of the article will be published soon.

As of mid-2024, COVID-19 has affected over 676 million people worldwide, leading to more than 6.8 million deaths. Numerous studies have documented metabolic changes occurring during both the acute phase of the disease and the recovery phase, which, in some cases, contribute to the development of long COVID syndrome.In this study, we aimed to evaluate clinical, laboratory, and comprehensive metabolomic data from hospitalized COVID-19 patients during the second, third and fourth waves (Alpha, Delta, and Omicron). A targeted, fully quantitative metabolomics assay (TMIC MEGA Assay) was used to measure 529 metabolites and lipids in plasma samples. The metabolomic profiles of these patients were compared according to different and relevant factors impacting COVID-19 outcome, such as age, sex, comorbidities, and vaccination status. Results: Among the 21 classes of compounds evaluated in this study, amino acids and lipids were the most dysregulated when comparing age, sex, comorbidities, vaccination status, and the different epidemiological waves. This is the most comprehensive analysis in Mexico providing absolute quantitative data for 529 metabolites and lipids measured in hospitalized COVID-19 patients, which could be used to monitor their metabolic status and clinical outcomes associated with COVID-19 infection or with long COVID syndrome.

Keywords: COVID-19, biomarkers, Metabolomics, Mass Spectrometry, Metabolome

Received: 07 Apr 2025; Accepted: 21 May 2025.

Copyright: © 2025 García-López, Monárrez-Espino, Borrego, Zheng, Mandal, Torres-Calzada, Oropeza Valdez, Tenório Nunes, Sánchez Rodríguez, López, Calzada Rodríguez, Wishart and Lopez Hernandez. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yamile Lopez Hernandez, Autonomous University of Zacatecas, Zacatecas, Mexico

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.