TY - JOUR A1 - Wang, Yanqun A1 - Li, Jie A1 - Zhang, Lu A1 - Sun, Hai-Xi A1 - Zhang, Zhaoyong A1 - Xu, Jinjin A1 - Xu, Yonghao A1 - Lin, Yu A1 - Zhu, Airu A1 - Luo, Yuxue A1 - Zhou, Haibo A1 - Wu, Yan A1 - Lin, Shanwen A1 - Sun, Yuzhe A1 - Xiao, Fei A1 - Chen, Ruiying A1 - Wen, Liyan A1 - Chen, Wei A1 - Li, Fang A1 - Ou, Rijing A1 - Zhang, Yanjun A1 - Kuo, Tingyou A1 - Li, Yuming A1 - Li, Lingguo A1 - Sun, Jing A1 - Sun, Kun A1 - Zhuang, Zhen A1 - Lu, Haorong A1 - Chen, Zhao A1 - Mai, Guoqiang A1 - Zhuo, Jianfen A1 - Qian, Puyi A1 - Chen, Jiayu A1 - Yang, Huanming A1 - Wang, Jian A1 - Xu, Xun A1 - Zhong, Nanshan A1 - Zhao, Jingxian A1 - Li, Junhua A1 - Zhao, Jincun A1 - Jin, Xin T1 - Plasma cell-free RNA characteristics in COVID-19 patients Y1 - 2022/02/01 JF - Genome Research JO - Genome Research SP - 228 EP - 241 DO - 10.1101/gr.276175.121 VL - 32 IS - 2 UR - http://genome.cshlp.org/content/32/2/228.abstract N2 - The pathogenesis of COVID-19 is still elusive, which impedes disease progression prediction, differential diagnosis, and targeted therapy. Plasma cell-free RNAs (cfRNAs) carry unique information from human tissue and thus could point to resourceful solutions for pathogenesis and host-pathogen interactions. Here, we performed a comparative analysis of cfRNA profiles between COVID-19 patients and healthy donors using serial plasma. Analyses of the cfRNA landscape, potential gene regulatory mechanisms, dynamic changes in tRNA pools upon infection, and microbial communities were performed. A total of 380 cfRNA molecules were up-regulated in all COVID-19 patients, of which seven could serve as potential biomarkers (AUC > 0.85) with great sensitivity and specificity. Antiviral (NFKB1A, IFITM3, and IFI27) and neutrophil activation (S100A8, CD68, and CD63)–related genes exhibited decreased expression levels during treatment in COVID-19 patients, which is in accordance with the dynamically enhanced inflammatory response in COVID-19 patients. Noncoding RNAs, including some microRNAs (let 7 family) and long noncoding RNAs (GJA9-MYCBP) targeting interleukin (IL6/IL6R), were differentially expressed between COVID-19 patients and healthy donors, which accounts for the potential core mechanism of cytokine storm syndromes; the tRNA pools change significantly between the COVID-19 and healthy group, leading to the accumulation of SARS-CoV-2 biased codons, which facilitate SARS-CoV-2 replication. Finally, several pneumonia-related microorganisms were detected in the plasma of COVID-19 patients, raising the possibility of simultaneously monitoring immune response regulation and microbial communities using cfRNA analysis. This study fills the knowledge gap in the plasma cfRNA landscape of COVID-19 patients and offers insight into the potential mechanisms of cfRNAs to explain COVID-19 pathogenesis. ER -