Plasma cell-free DNA promise disease monitoring and tissue injury assessment of COVID-19

Author:

Jin Xin,Wang Yanqun,Xu Jinjin,Li Yimin,Cheng Fanjun,Luo Yuxue,Zhou Haibo,Lin Shanwen,Xiao Fei,Zhang Lu,Lin Yu,Zhang Zhaoyong,Jin Yan,Zheng Fang,Chen Wei,Zhu Airu,Tao Ye,Zhao Jingxian,Kuo Tingyou,Li Yuming,Li Lingguo,Wen Liyan,Ou Rijing,Li Fang,Lin Long,Zhang Yanjun,Sun Jing,Yuan Hao,Zhuang Zhen,Sun Haixi,Chen Zhao,Li Jie,Zhuo Jianfen,Chen Dongsheng,Zhang Shengnan,Sun Yuzhe,Wei Peilan,Yuan Jinwei,Xu Tian,Yang Huanming,Wang Jian,Xu Xun,Zhong Nanshan,Xu Yonghao,Sun Kun,Zhao Jincun

Abstract

AbstractCOVID-19 is a huge threat to global health. Due to the lack of definitive etiological therapeutics currently, effective disease monitoring is of high clinical value for better healthcare and management of the large number of COVID-19 patients. In this study, we recruited 37 COVID-19 patients, collected 176 blood samples upon diagnosis and during treatment, and analyzed cell-free DNA (cfDNA) in these samples. We report gross abnormalities in cfDNA of COVID-19 patients, including elevated GC content, altered molecule size and end motif patterns. More importantly, such cfDNA characteristics reflect patient-specific physiological conditions during treatment. Further analysis on tissue origin tracing of cfDNA reveals frequent tissue injuries in COVID-19 patients, which is supported by clinical diagnoses. Hence, we demonstrate the translational merit of cfDNA as valuable analyte for effective disease monitoring, as well as tissue injury assessment in COVID-19 patients.

Publisher

Cold Spring Harbor Laboratory

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