#METABOLOMICS WORKBENCH estancliffe_20210128_125700 DATATRACK_ID:2432 STUDY_ID:ST001853 ANALYSIS_ID:AN003001 PROJECT_ID:000000 VERSION 1 CREATED_ON June 29, 2021, 1:55 pm #PROJECT PR:PROJECT_TITLE Longitudinal Metabolomics of Human Plasma Reveals Robust Prognostic Markers of PR:PROJECT_TITLE COVID-19 Disease Severity PR:PROJECT_SUMMARY There is an urgent need to identify which COVID-19 patients will develop PR:PROJECT_SUMMARY life-threatening illness so that medical resources can be optimally allocated PR:PROJECT_SUMMARY and rapid treatment can be administered early in the disease course, when PR:PROJECT_SUMMARY clinical management is most effective. To aid in the prognostic classification PR:PROJECT_SUMMARY of disease severity, we perform untargeted metabolomics on plasma from 339 PR:PROJECT_SUMMARY patients, with samples collected at six longitudinal time points. Using the PR:PROJECT_SUMMARY temporal metabolic profiles and machine learning, we build a predictive model of PR:PROJECT_SUMMARY disease severity. We discover that a panel of metabolites measured at the time PR:PROJECT_SUMMARY of study entry successfully determine disease severity. Through analysis of PR:PROJECT_SUMMARY longitudinal samples, we confirm that the majority of these markers are directly PR:PROJECT_SUMMARY related to disease progression and that their levels are restored to baseline PR:PROJECT_SUMMARY upon disease recovery. Finally, we validate that these metabolites are also PR:PROJECT_SUMMARY altered in a hamster model of COVID-19. Our results indicate that metabolic PR:PROJECT_SUMMARY changes associated with COVID-19 severity can be effectively used to stratify PR:PROJECT_SUMMARY patients and inform resource allocation during the pandemic. PR:INSTITUTE Washington University, St. Louis PR:DEPARTMENT Chemistry PR:LABORATORY Patti PR:LAST_NAME Patti PR:FIRST_NAME Gary PR:ADDRESS McMillen Chemistry Laboratory, Washington University 1 Brookings Dr @ Throop PR:ADDRESS Drive, Rm 102, St. Louis, MO 63130-4899 PR:EMAIL gjpattij@wustl.edu PR:PHONE 314-935-3512 #STUDY ST:STUDY_TITLE Longitudinal Metabolomics of Human Plasma Reveals Robust Prognostic Markers of ST:STUDY_TITLE COVID-19 Disease Severity ST:STUDY_SUMMARY There is an urgent need to identify which COVID-19 patients will develop ST:STUDY_SUMMARY life-threatening illness so that medical resources can be optimally allocated ST:STUDY_SUMMARY and rapid treatment can be administered early in the disease course, when ST:STUDY_SUMMARY clinical management is most effective. To aid in the prognostic classification ST:STUDY_SUMMARY of disease severity, we perform untargeted metabolomics on plasma from 339 ST:STUDY_SUMMARY patients, with samples collected at six longitudinal time points. Using the ST:STUDY_SUMMARY temporal metabolic profiles and machine learning, we build a predictive model of ST:STUDY_SUMMARY disease severity. We discover that a panel of metabolites measured at the time ST:STUDY_SUMMARY of study entry successfully determine disease severity. Through analysis of ST:STUDY_SUMMARY longitudinal samples, we confirm that the majority of these markers are directly ST:STUDY_SUMMARY related to disease progression and that their levels are restored to baseline ST:STUDY_SUMMARY upon disease recovery. Finally, we validate that these metabolites are also ST:STUDY_SUMMARY altered in a hamster model of COVID-19. Our results indicate that metabolic ST:STUDY_SUMMARY changes associated with COVID-19 severity can be effectively used to stratify ST:STUDY_SUMMARY patients and inform resource allocation during the pandemic. ST:INSTITUTE Washington University, St. Louis ST:DEPARTMENT Chemistry ST:LABORATORY Patti ST:LAST_NAME Patti ST:FIRST_NAME Gary ST:ADDRESS McMillen Chemistry Laboratory, Washington University 1 Brookings Dr @ Throop ST:ADDRESS Drive, Rm 102, St. Louis, MO 63130-4899 ST:EMAIL gjpattij@wustl.edu ST:NUM_GROUPS 3 ST:TOTAL_SUBJECTS 56 ST:NUM_FEMALES 56 ST:PHONE 314-935-3512 #SUBJECT SU:SUBJECT_TYPE Mammal SU:SUBJECT_SPECIES Mesocricetus auratus #SUBJECT_SAMPLE_FACTORS: SUBJECT(optional)[tab]SAMPLE[tab]FACTORS(NAME:VALUE pairs separated by |)[tab]Raw file names and additional sample data SUBJECT_SAMPLE_FACTORS - P H-433 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-433_polar_pos.mzML,P H-433_polar_neg.mzML,P H-433_lipid_pos.mzML,P H-433_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-457 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-457_polar_pos.mzML,P H-457_polar_neg.mzML,P H-457_lipid_pos.mzML,P H-457_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-458 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-458_polar_pos.mzML,P H-458_polar_neg.mzML,P H-458_lipid_pos.mzML,P H-458_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-459 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-459_polar_pos.mzML,P H-459_polar_neg.mzML,P H-459_lipid_pos.mzML,P H-459_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-460 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-460_polar_pos.mzML,P H-460_polar_neg.mzML,P H-460_lipid_pos.mzML,P H-460_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-461 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-461_polar_pos.mzML,P H-461_polar_neg.mzML,P H-461_lipid_pos.mzML,P H-461_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-462 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-462_polar_pos.mzML,P H-462_polar_neg.mzML,P H-462_lipid_pos.mzML,P H-462_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-463 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-463_polar_pos.mzML,P H-463_polar_neg.mzML,P H-463_lipid_pos.mzML,P H-463_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-464 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-464_polar_pos.mzML,P H-464_polar_neg.mzML,P H-464_lipid_pos.mzML,P H-464_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-466 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-466_polar_pos.mzML,P H-466_polar_neg.mzML,P H-466_lipid_pos.mzML,P H-466_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-467 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-467_polar_pos.mzML,P H-467_polar_neg.mzML,P H-467_lipid_pos.mzML,P H-467_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-468 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-468_polar_pos.mzML,P H-468_polar_neg.mzML,P H-468_lipid_pos.mzML,P H-468_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-469 -1 Group:SARS-CoV-2 | Day post infection:2 RAW_FILE_NAME=P H-469 -1_polar_pos.mzML,P H-469 -1_polar_neg.mzML,P H-469 -1_lipid_pos.mzML,P H-469 -1_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-469 -2 Group:SARS-CoV-2 | Day post infection:4 RAW_FILE_NAME=P H-469 -2 _polar_pos.mzML,P H-469 -2 _polar_neg.mzML,P H-469 -2 _lipid_pos.mzML,P H-469 -2 _lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-470 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-470_polar_pos.mzML,P H-470_polar_neg.mzML,P H-470_lipid_pos.mzML,P H-470_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-471 Group:SARS-CoV-2 | Day post infection:4 RAW_FILE_NAME=P H-471_polar_pos.mzML,P H-471_polar_neg.mzML,P H-471_lipid_pos.mzML,P H-471_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-472 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-472_polar_pos.mzML,P H-472_polar_neg.mzML,P H-472_lipid_pos.mzML,P H-472_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-473 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-473_polar_pos.mzML,P H-473_polar_neg.mzML,P H-473_lipid_pos.mzML,P H-473_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-474 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-474_polar_pos.mzML,P H-474_polar_neg.mzML,P H-474_lipid_pos.mzML,P H-474_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-475 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-475_polar_pos.mzML,P H-475_polar_neg.mzML,P H-475_lipid_pos.mzML,P H-475_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-476 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-476_polar_pos.mzML,P H-476_polar_neg.mzML,P H-476_lipid_pos.mzML,P H-476_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-477 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-477_polar_pos.mzML,P H-477_polar_neg.mzML,P H-477_lipid_pos.mzML,P H-477_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-478 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-478_polar_pos.mzML,P H-478_polar_neg.mzML,P H-478_lipid_pos.mzML,P H-478_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-479 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-479_polar_pos.mzML,P H-479_polar_neg.mzML,P H-479_lipid_pos.mzML,P H-479_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-480 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-480_polar_pos.mzML,P H-480_polar_neg.mzML,P H-480_lipid_pos.mzML,P H-480_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-481 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-481_polar_pos.mzML,P H-481_polar_neg.mzML,P H-481_lipid_pos.mzML,P H-481_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-482 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-482_polar_pos.mzML,P H-482_polar_neg.mzML,P H-482_lipid_pos.mzML,P H-482_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-483 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-483_polar_pos.mzML,P H-483_polar_neg.mzML,P H-483_lipid_pos.mzML,P H-483_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-484 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-484_polar_pos.mzML,P H-484_polar_neg.mzML,P H-484_lipid_pos.mzML,P H-484_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-485 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-485_polar_pos.mzML,P H-485_polar_neg.mzML,P H-485_lipid_pos.mzML,P H-485_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-486 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-486_polar_pos.mzML,P H-486_polar_neg.mzML,P H-486_lipid_pos.mzML,P H-486_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-487 Group:SARS-CoV-2 | Day post infection:4 RAW_FILE_NAME=P H-487_polar_pos.mzML,P H-487_polar_neg.mzML,P H-487_lipid_pos.mzML,P H-487_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-488 Group:SARS-CoV-2 | Day post infection:4 RAW_FILE_NAME=P H-488_polar_pos.mzML,P H-488_polar_neg.mzML,P H-488_lipid_pos.mzML,P H-488_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-489 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-489_polar_pos.mzML,P H-489_polar_neg.mzML,P H-489_lipid_pos.mzML,P H-489_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-490 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-490_polar_pos.mzML,P H-490_polar_neg.mzML,P H-490_lipid_pos.mzML,P H-490_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-491 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-491_polar_pos.mzML,P H-491_polar_neg.mzML,P H-491_lipid_pos.mzML,P H-491_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-492 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-492_polar_pos.mzML,P H-492_polar_neg.mzML,P H-492_lipid_pos.mzML,P H-492_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-495 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-495_polar_pos.mzML,P H-495_polar_neg.mzML,P H-495_lipid_pos.mzML,P H-495_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-496 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-496_polar_pos.mzML,P H-496_polar_neg.mzML,P H-496_lipid_pos.mzML,P H-496_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-497 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-497_polar_pos.mzML,P H-497_polar_neg.mzML,P H-497_lipid_pos.mzML,P H-497_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-498 Group:Influenza | Day post infection:4 RAW_FILE_NAME=P H-498_polar_pos.mzML,P H-498_polar_neg.mzML,P H-498_lipid_pos.mzML,P H-498_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-499 Group:Influenza | Day post infection:14 RAW_FILE_NAME=P H-499_polar_pos.mzML,P H-499_polar_neg.mzML,P H-499_lipid_pos.mzML,P H-499_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-501 Group:Mock | Day post infection:14 RAW_FILE_NAME=P H-501_polar_pos.mzML,P H-501_polar_neg.mzML,P H-501_lipid_pos.mzML,P H-501_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-502 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-502_polar_pos.mzML,P H-502_polar_neg.mzML,P H-502_lipid_pos.mzML,P H-502_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-504 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-504_polar_pos.mzML,P H-504_polar_neg.mzML,P H-504_lipid_pos.mzML,P H-504_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-505 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-505_polar_pos.mzML,P H-505_polar_neg.mzML,P H-505_lipid_pos.mzML,P H-505_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-506 Group:Influenza | Day post infection:2 RAW_FILE_NAME=P H-506_polar_pos.mzML,P H-506_polar_neg.mzML,P H-506_lipid_pos.mzML,P H-506_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-507 Group:Mock | Day post infection:4 RAW_FILE_NAME=P H-507_polar_pos.mzML,P H-507_polar_neg.mzML,P H-507_lipid_pos.mzML,P H-507_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-509 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-509_polar_pos.mzML,P H-509_polar_neg.mzML,P H-509_lipid_pos.mzML,P H-509_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-510 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-510_polar_pos.mzML,P H-510_polar_neg.mzML,P H-510_lipid_pos.mzML,P H-510_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-511 Group:SARS-CoV-2 | Day post infection:14 RAW_FILE_NAME=P H-511_polar_pos.mzML,P H-511_polar_neg.mzML,P H-511_lipid_pos.mzML,P H-511_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-512 Group:SARS-CoV-2 | Day post infection:6 RAW_FILE_NAME=P H-512_polar_pos.mzML,P H-512_polar_neg.mzML,P H-512_lipid_pos.mzML,P H-512_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-513 Group:SARS-CoV-2 | Day post infection:2 RAW_FILE_NAME=P H-513_polar_pos.mzML,P H-513_polar_neg.mzML,P H-513_lipid_pos.mzML,P H-513_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-514 Group:SARS-CoV-2 | Day post infection:4 RAW_FILE_NAME=P H-514_polar_pos.mzML,P H-514_polar_neg.mzML,P H-514_lipid_pos.mzML,P H-514_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-515 Group:Influenza | Day post infection:6 RAW_FILE_NAME=P H-515_polar_pos.mzML,P H-515_polar_neg.mzML,P H-515_lipid_pos.mzML,P H-515_lipid_neg.mzML SUBJECT_SAMPLE_FACTORS - P H-516 Group:SARS-CoV-2 | Day post infection:2 RAW_FILE_NAME=P H-516_polar_pos.mzML,P H-516_polar_neg.mzML,P H-516_lipid_pos.mzML,P H-516_lipid_neg.mzML #COLLECTION CO:COLLECTION_SUMMARY Outbred female LVG golden Syrian hamsters (6-8 weeks of age) were obtained from CO:COLLECTION_SUMMARY Charles River Laboratories (Kingston, NY). The hamsters were anesthetized by CO:COLLECTION_SUMMARY intraperitoneal injection of a mixture of ketamine and xylazine prior to CO:COLLECTION_SUMMARY intranasal inoculation with 0.1 mL of 1e5 plaque-forming units (PFU) of CO:COLLECTION_SUMMARY SARS-CoV-2 (WA-1) or H1N1 influenza A virus (A/California/04/2009). On day 2, 4, CO:COLLECTION_SUMMARY 6, and 14 after infection, 3-6 anesthetized hamsters per infection group were CO:COLLECTION_SUMMARY euthanized by exsanguination followed by intracardiac injection of veterinary CO:COLLECTION_SUMMARY euthanasia solution (SleepAway; Fort Dodge). Plasma samples were treated by CO:COLLECTION_SUMMARY exposure to germicidal UV-C light. CO:SAMPLE_TYPE Blood (plasma) #TREATMENT TR:TREATMENT_SUMMARY The hamsters were anesthetized by intraperitoneal injection of a mixture of TR:TREATMENT_SUMMARY ketamine and xylazine prior to intranasal inoculation with 0.1 mL of 1e5 TR:TREATMENT_SUMMARY plaque-forming units (PFU) of SARS-CoV-2 (WA-1) or H1N1 influenza A virus TR:TREATMENT_SUMMARY (A/California/04/2009). #SAMPLEPREP SP:SAMPLEPREP_SUMMARY Hamster plasma samples were diluted 1:4 with methanol (v/v), vortexed for 30 SP:SAMPLEPREP_SUMMARY seconds, and incubated at -20 C for 2 hours. Samples were centrifuged for 10 SP:SAMPLEPREP_SUMMARY minutes at 13,500 x g at 4°C and supernatant was transferred to a new SP:SAMPLEPREP_SUMMARY centrifuge tube, concentrated, and stored at -80 C until reconstitution. Hamster SP:SAMPLEPREP_SUMMARY plasma was thawed on ice. A 50 µL aliquot was transferred onto the SP:SAMPLEPREP_SUMMARY solid-phase-extraction (SPE)-system CAPTIVA-EMR Lipid 96-wellplate (Agilent SP:SAMPLEPREP_SUMMARY Technologies) before addition of 250 µL of acetonitrile containing 1% formic SP:SAMPLEPREP_SUMMARY acid (v/v) and 10 µM internal standard (consisting of uniformly 13C and 15N SP:SAMPLEPREP_SUMMARY labeled amino acids from Cambridge Isotope Laboratories, Inc). The samples were SP:SAMPLEPREP_SUMMARY mixed for 1 min at 360 rpm on an orbital shaker at room temperature prior to a SP:SAMPLEPREP_SUMMARY 10 min incubation period at 4 C. Afterwards, 200 µL 80% acetonitrile in SP:SAMPLEPREP_SUMMARY water (v/v) were added to the samples. The samples were mixed on an orbital SP:SAMPLEPREP_SUMMARY shaker (360 rpm) for an additional 10 min at room temperature. The samples were SP:SAMPLEPREP_SUMMARY then eluted into a 96-deepwell collection plate by centrifugation (10 min, 57 x SP:SAMPLEPREP_SUMMARY g, 4 C followed by 2 min, 1000 x g, 4 C). Polar eluates were stored at -80 C SP:SAMPLEPREP_SUMMARY until the day of LC/MS analysis. The SPE-plates were then washed twice with 500 SP:SAMPLEPREP_SUMMARY µL 80% acetonitrile in water (v/v). Lipids still bound to the SPE-material were SP:SAMPLEPREP_SUMMARY then released into a second elution plate, in two elution steps applying 2x 500 SP:SAMPLEPREP_SUMMARY µL 1:1 methyl tert-butyl ether:methanol (v/v) onto the SPE cartridge and SP:SAMPLEPREP_SUMMARY centrifuging for 2 min at 1000 g and 4 C. The combined eluates were dried under SP:SAMPLEPREP_SUMMARY a stream of nitrogen (Biotage SPE Dry Evaporation System) at room temperature SP:SAMPLEPREP_SUMMARY and reconstituted with 100 µL 1:1 2-propanol:methanol (v/v) prior to LC/MS SP:SAMPLEPREP_SUMMARY analysis. #CHROMATOGRAPHY CH:CHROMATOGRAPHY_SUMMARY An aliquot of 2 µL of polar metabolite extract was subjected to LC/MS analysis CH:CHROMATOGRAPHY_SUMMARY by using an Agilent 1290 Infinity II liquid-chromatography (LC) system coupled CH:CHROMATOGRAPHY_SUMMARY to an Agilent 6540 Quadrupole-Time-of-Flight (Q-TOF) mass spectrometer with a CH:CHROMATOGRAPHY_SUMMARY dual Agilent Jet Stream electrospray ionization source. Polar metabolites were CH:CHROMATOGRAPHY_SUMMARY separated on a SeQuant® ZIC®-pHILIC column (100 x 2.1 mm, 5 µm, polymer, CH:CHROMATOGRAPHY_SUMMARY Merck-Millipore) including a ZIC®-pHILIC guard column (2.1 mm x 20 mm, 5 µm). CH:CHROMATOGRAPHY_SUMMARY The column compartment temperature was maintained at 40 C and the flow rate CH:CHROMATOGRAPHY_SUMMARY was set to 250 µLmin-1. The mobile phases consisted of A: 95% water, 5% CH:CHROMATOGRAPHY_SUMMARY acetonitrile, 20 mM ammonium bicarbonate, 0.1% ammonium hydroxide solution (25% CH:CHROMATOGRAPHY_SUMMARY ammonia in water), 2.5 µM medronic acid, and B: 95% acetonitrile, 5% water, 2.5 CH:CHROMATOGRAPHY_SUMMARY µM medronic acid. The following linear gradient was applied: 0 to 1 min, 90% B; CH:CHROMATOGRAPHY_SUMMARY 12 min, 35% B; 12.5 to 14.5 min, 25% B; 15 min, 90% B followed by a CH:CHROMATOGRAPHY_SUMMARY re-equilibration phase of 4 min at 400 µLmin-1 and 2 min at 250 µLmin-1. CH:CHROMATOGRAPHY_TYPE HILIC CH:INSTRUMENT_NAME Agilent 1290 Infinity II CH:COLUMN_NAME SeQuant® ZIC®-pHILIC column (100 x 2.1 mm, 5 µm, polymer, Merck-Millipore) CH:COLUMN_NAME including a ZIC®-pHILIC guard column (2.1 mm x 20 mm, 5 µm) #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Agilent 6540 QTOF MS:INSTRUMENT_TYPE QTOF MS:MS_TYPE ESI MS:ION_MODE POSITIVE MS:MS_COMMENTS gas temperature 200 C, drying gas flow 10 Lmin-1, nebulizer pressure 44 psi, MS:MS_COMMENTS sheath gas temperature 300 C, sheath gas flow 12 Lmin-1, VCap 3000 V, nozzle MS:MS_COMMENTS voltage 2000 V, Fragmentor 100 V, Skimmer 65 V, Oct 1 RF Vpp 750 V, and m/z MS:MS_COMMENTS range 50-1700. Data were acquired under continuous reference mass correction at MS:MS_COMMENTS m/z 121.0509 and 922.0890 for positive ion mode and m/z 119.0363 and 966.0007 MS:MS_COMMENTS for negative ion mode. Polar metabolite identifications were supported by MS:MS_COMMENTS matching the retention time, accurate mass, and MS/MS fragmentation data to our MS:MS_COMMENTS in-house retention time and MS/MS library created from authentic reference MS:MS_COMMENTS standards (Mass Spectrometry Metabolite Library supplied by IROA Technologies, MS:MS_COMMENTS Millipore Sigma, St. Louis, MO, USA) and online MS/MS libraries (Human MS:MS_COMMENTS Metabolome Database (HMDB, https://hmdb.ca), Mass Bank of North America (MoNA, MS:MS_COMMENTS https://mona.fiehnlab.ucdavis.edu/), and mzCloud (https://mzcloud.org). Lipid MS:MS_COMMENTS iterative MS/MS data were annotated with the Agilent Lipid Annotator software. MS:MS_COMMENTS All data files were then analyzed in Skyline (Version 20.1.0.155) to obtain peak MS:MS_COMMENTS areas. #MS_METABOLITE_DATA MS_METABOLITE_DATA:UNITS Relative Intensity MS_METABOLITE_DATA_START Samples P H-433 P H-457 P H-458 P H-459 P H-460 P H-461 P H-462 P H-463 P H-464 P H-466 P H-467 P H-468 P H-469 -1 P H-469 -2 P H-470 P H-471 P H-472 P H-473 P H-474 P H-475 P H-476 P H-477 P H-478 P H-479 P H-480 P H-481 P H-482 P H-483 P H-484 P H-485 P H-486 P H-487 P H-488 P H-489 P H-490 P H-491 P H-492 P H-495 P H-496 P H-497 P H-498 P H-499 P H-501 P H-502 P H-504 P H-505 P H-506 P H-507 P H-509 P H-510 P H-511 P H-512 P H-513 P H-514 P H-515 P H-516 Factors Group:Influenza | Day post infection:4 Group:Influenza | Day post infection:4 Group:Influenza | Day post infection:4 Group:SARS-CoV-2 | Day post infection:14 Group:Influenza | Day post infection:4 Group:Influenza | Day post infection:6 Group:Influenza | Day post infection:6 Group:SARS-CoV-2 | Day post infection:6 Group:Mock | Day post infection:4 Group:Influenza | Day post infection:4 Group:Influenza | Day post infection:14 Group:SARS-CoV-2 | Day post infection:6 Group:SARS-CoV-2 | Day post infection:2 Group:SARS-CoV-2 | Day post infection:4 Group:Mock | Day post infection:14 Group:SARS-CoV-2 | Day post infection:4 Group:Mock | Day post infection:4 Group:Influenza | Day post infection:14 Group:Influenza | Day post infection:2 Group:Mock | Day post infection:14 Group:Mock | Day post infection:4 Group:Influenza | Day post infection:6 Group:Influenza | Day post infection:2 Group:SARS-CoV-2 | Day post infection:14 Group:Mock | Day post infection:4 Group:Mock | Day post infection:14 Group:Mock | Day post infection:4 Group:Influenza | Day post infection:14 Group:SARS-CoV-2 | Day post infection:14 Group:SARS-CoV-2 | Day post infection:14 Group:Influenza | Day post infection:6 Group:SARS-CoV-2 | Day post infection:4 Group:SARS-CoV-2 | Day post infection:4 Group:Mock | Day post infection:14 Group:Mock | Day post infection:14 Group:Influenza | Day post infection:6 Group:Influenza | Day post infection:2 Group:SARS-CoV-2 | Day post infection:6 Group:Influenza | Day post infection:14 Group:Influenza | Day post infection:14 Group:Influenza | Day post infection:4 Group:Influenza | Day post infection:14 Group:Mock | Day post infection:14 Group:Influenza | Day post infection:2 Group:SARS-CoV-2 | Day post infection:6 Group:Influenza | Day post infection:2 Group:Influenza | Day post infection:2 Group:Mock | Day post infection:4 Group:SARS-CoV-2 | Day post infection:6 Group:SARS-CoV-2 | Day post infection:14 Group:SARS-CoV-2 | Day post infection:14 Group:SARS-CoV-2 | Day post infection:6 Group:SARS-CoV-2 | Day post infection:2 Group:SARS-CoV-2 | Day post infection:4 Group:Influenza | Day post infection:6 Group:SARS-CoV-2 | Day post infection:2 1-Methyladenosine 129968 201495 201083 155339 390358 140509 419072 176878 238032 308269 163809 170782 586683 200759 214682 190591 422414 174060 207941 194851 240053 418939 238593 322142 508282 312534 242036 116349 265152 145763 439080 309240 371790 390501 220979 450745 386527 186233 124442 227018 225565 100035 177615 215001 220112 309960 497434 292544 327112 263290 213774 93612 179217 228939 352018 177092 MS_METABOLITE_DATA_END #METABOLITES METABOLITES_START metabolite_name 1-Methyladenosine METABOLITES_END #END