#METABOLOMICS WORKBENCH estancliffe_20210128_125700 DATATRACK_ID:2432 STUDY_ID:ST001853 ANALYSIS_ID:AN003003 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 lipid extract was subjected to LC/MS analysis by using an CH:CHROMATOGRAPHY_SUMMARY Agilent 1290 Infinity II LC-system coupled to an Agilent 6545 Q-TOF mass CH:CHROMATOGRAPHY_SUMMARY spectrometer with a dual Agilent Jet Stream electrospray ionization source. CH:CHROMATOGRAPHY_SUMMARY Lipids were separated on an Acquity UPLC® HSS T3 column (2.1 x 150 mm, 1.8 µm) CH:CHROMATOGRAPHY_SUMMARY including an Acquity UPLC® HSS T3 VanGuard Pre-Column (2.1 x 5mm, 1.8 µm) at a CH:CHROMATOGRAPHY_SUMMARY temperature of 60 C and a flow rate of 250 µLmin-1. The mobile phases CH:CHROMATOGRAPHY_SUMMARY consisted of A: 60% acetonitrile, 40% water, 0.1% formic acid, 10 mM ammonium CH:CHROMATOGRAPHY_SUMMARY formate, 2.5 µM medronic acid, and B: 90% 2-propanol, 10% acetonitrile, 0.1% CH:CHROMATOGRAPHY_SUMMARY formic acid, 10 mM ammonium formate (dissolved in 1 mL water). The following CH:CHROMATOGRAPHY_SUMMARY linear gradient was used: 0-2 min, 30% B; 17 min, 75% B; 20 min, 85%; 23-26 min, CH:CHROMATOGRAPHY_SUMMARY 100% B; 26, 30% B followed by a re-equilibration phase of 5 min. CH:CHROMATOGRAPHY_TYPE Reversed phase CH:INSTRUMENT_NAME Agilent 1290 Infinity II CH:COLUMN_NAME Acquity UPLC® HSS T3 column (2.1 x 150 mm, 1.8 µm) including an Acquity UPLC® CH:COLUMN_NAME HSS T3 VanGuard Pre-Column (2.1 x 5mm, 1.8 µm) #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Agilent 6545 QTOF MS:INSTRUMENT_TYPE QTOF MS:MS_TYPE ESI MS:ION_MODE POSITIVE MS:MS_COMMENTS gas temperature 250 C, drying gas flow 11 L*min-1, nebulizer pressure 35 psi, MS:MS_COMMENTS sheath gas temperature 300 C, sheath gas flow 12 Lmin-1, VCap 3000 V, nozzle MS:MS_COMMENTS voltage 500 V, Fragmentor 160 V, Skimmer 65 V, Oct 1 RF Vpp 750 V, and m/z range MS:MS_COMMENTS 50-1700. Data were acquired under continuous reference mass correction at m/z MS:MS_COMMENTS 121.0509 and 922.0890 in positive ion mode and m/z 119.0363 and 966.0007 in MS:MS_COMMENTS negative ion mode. Polar metabolite identifications were supported by matching MS:MS_COMMENTS the retention time, accurate mass, and MS/MS fragmentation data to our in-house MS:MS_COMMENTS retention time and MS/MS library created from authentic reference standards MS:MS_COMMENTS (Mass Spectrometry Metabolite Library supplied by IROA Technologies, Millipore MS:MS_COMMENTS Sigma, St. Louis, MO, USA) and online MS/MS libraries (Human Metabolome Database MS:MS_COMMENTS (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 Cer_NS d18:1_16:0 254263 338849 148495 269975 358078 247441 182812 248128 276197 576899 275332 216990 362849 276684 229309 188073 209832 211748 237251 228607 390029 361735 347434 170321 341832 259747 238260 322755 286627 251894 399423 390744 197281 254991 257959 170617 415055 273645 260668 248765 207894 239111 294522 392768 358476 488211 266364 174129 316397 196582 210051 176058 408851 297508 250234 289705 LPC 18:2/0:0 578418240 911317248 801721728 1125390080 872803712 1137050624 1111922688 968802304 1119400704 1073702528 891318208 1090295168 1134288000 955946432 833977024 928133312 1078359808 970661184 1078633088 973532864 1175225344 1123546496 1120357376 971301184 1135108992 964439232 907638720 1114620416 996172480 1026803968 1098875776 542429504 832621184 1009140736 966559744 997369280 968036288 996107264 1152047744 1121969280 891428416 1130332032 921211264 937638976 951064384 988608256 1045766912 903860608 985089344 889221248 1013376256 1083412608 1015451968 725445312 917849920 1105954048 LPC 18:0/0:0 597503104 853489216 861625216 825121024 1034325632 882868032 1159614464 873599232 1089117056 880207744 763800896 934184448 1165932416 1031901504 858973248 830878016 1005041792 888512256 1148513408 1007942080 1152252672 1022445632 1160473600 802190656 995284864 1077072512 933992640 926503360 822235840 719038272 1111214848 898249664 893475968 855351744 891364288 959977664 919765952 831865600 889480512 986933760 893643584 990818944 872441088 992937280 905376960 1152856192 1100822272 955756032 1043870400 811032384 829679808 1052327552 915407744 745802560 828069120 1150666880 LPC 18:1/0:0 365801056 594430016 506042912 915069248 570706624 1028225152 982430016 687404864 958847808 793419520 701412672 867946816 842502144 607129408 486218464 497632800 877117056 751756160 660546432 640029056 1109343744 975792384 761865472 649821120 1031407872 677229824 617308096 936125376 770905984 749040448 1003933056 244921824 446340960 928684544 701693696 763589760 750518464 703308480 953737216 1063614272 644831744 974461760 581005696 747145536 698019904 730570048 836028800 624217920 569749824 574435712 704298304 634251200 708909312 331547136 683869248 872845440 LPC 20:4/0:0 140709952 248640704 286603040 325806976 236002336 314764224 382756480 271392896 313667744 291243072 254385888 330639168 327076896 361985472 197841888 287601856 331287232 305904416 406260064 333552672 413692384 344447872 338342016 238550272 373351744 262157872 323350592 303690752 271071616 267525312 382974432 318110368 241523056 276681280 266693920 295195264 300858016 296800544 327785984 394664864 292348800 377783904 265961840 311895104 279881024 369250144 342359808 300876736 261733056 246410304 263534496 366535232 270502432 181906480 272069984 328309312 LPC 0:0/16:0 219307536 435038784 372533472 495196640 425404672 557875072 534394624 483557920 563380416 522313568 427876800 516675168 494085056 409103744 376360960 376621920 584242880 453636096 489336448 473999488 629655616 507850560 541204352 439380608 573105536 484669568 454087648 552469824 410214720 391129920 510995232 374807456 335657216 542142272 469781632 465370208 454251648 453669024 559949376 518192896 443550720 516039040 459772480 450164256 453980768 477940928 499013664 426785376 438891680 352907584 406271264 419827360 447858656 263299040 418865088 460014592 LPC 16:0/0:0 827090432 1137591424 1047973760 1247890560 1117744640 1304097664 1268717184 1202875136 1307764608 1240885376 1147135104 1253974144 1234143360 1103850752 1049488704 1064127552 1302893312 1176926208 1201161344 1186788736 1395116032 1236240384 1256587008 1141635456 1298271232 1183319808 1162646912 1293089152 1109902592 1106019584 1242665856 1035554048 994320000 1277241216 1199760768 1206704384 1163626880 1169409664 1297134848 1257552768 1149563648 1268695808 1159248512 1164400768 1172723968 1192379776 1215525376 1145636864 1163040768 1044841856 1112999680 1128998272 1160771968 900866432 1138577280 1196272768 LPC 0:0/18:0 108745104 210460528 212340048 193363648 268271456 195124080 333212704 196742496 315035264 211993664 156548768 223495984 370883008 283255904 208670752 192034144 250545680 225308448 321951456 273433664 344960640 262132096 330205344 184720256 246685120 288809536 244201520 220802384 187274336 153483440 303990880 212041008 215053744 185762944 222180496 238936352 221394624 192481952 200455664 250094736 219302256 262658272 208366992 259114528 210193568 316033312 297157664 242866960 286687968 177483920 184679584 287274784 222458176 152495344 181722768 337654272 LPC 16:1/0:0 27396354 41870536 51146616 77802280 60472400 112645104 78151936 73628736 100996280 58163632 74588488 84575920 72545968 51257176 41421988 41245764 107410936 89705616 57752952 50229888 114424344 93813104 70303920 66000092 86961480 55799584 60811216 91285256 63447444 52171112 104701440 18788782 44723772 111905000 72761112 57059880 73007704 75464464 80043416 125985992 84402896 91863880 44015760 105191568 58076620 68063056 85087080 63180060 43738196 46841636 44855780 49855736 71635600 25178090 63869216 67937472 LPC 17:0/0:0 37923008 57661236 82023824 59030424 59974948 66944860 82088288 61873060 75325760 65435220 54995400 75400368 83933136 62922640 83990640 63786236 64702004 64945016 96703144 80136272 98360800 62089468 71987928 64344028 56963444 83341384 72369288 50863472 49183352 49516872 65848840 48336868 56178904 55904032 66991116 79050320 54066256 56447632 59203048 57636560 79178632 72519408 70858928 72382432 57167292 69703008 65594516 78097144 67686288 43737856 56559064 87424120 66101244 50081620 62519984 71047888 LPC 20:3/0:0 19776628 41586752 35789336 68395352 39659668 66798436 84017416 39377500 69026312 51141624 45761668 58814888 73627744 62493516 23016058 41055424 75557752 55831788 76664056 58936940 95989096 74383768 70305728 41842416 90888032 36185340 55476344 67189296 49893932 54010964 90770232 16573480 29972712 54508400 44683704 56673728 57395512 52022512 76696720 100295520 44539328 89075592 39799324 54716072 46203580 74041792 73194240 47647796 43561752 41399712 48646452 60870604 46891416 19350550 49947804 65643108 LPC 20:2/0:0 13742236 33540566 20096488 46496928 26868282 43210860 55161452 25611224 47096536 35365988 33320736 34055400 48631724 30925114 19265148 21829172 41972304 30979396 39177740 32503762 61522188 46327412 38290092 25815582 58157372 25926238 30966386 43172100 29193346 34776276 57702484 6126602 19054980 35148760 27952070 37021688 33905592 27880664 50947612 62817492 25999404 57331048 29836380 33585272 22601204 46874912 45621520 30120472 26667098 20447414 31444508 32775092 28753754 12212919 30929044 43481244 LPC 14:0/0:0 11363385 19903580 14398058 22687516 19154584 28388220 36174428 15020375 27693670 24074622 22071994 20122946 20772752 14474736 14225460 13106789 35842236 21653150 26081956 22259858 38670716 28462468 26761686 19797720 36393192 22452422 21092918 26199334 18889862 14505290 28595674 4549388 9496055 30386588 21625898 25331254 18322346 21483008 28355932 32003814 22742158 28467758 17512860 25406554 15875677 21314270 24486806 25817214 10931109 13778306 14636942 15549986 16204788 7994703 23010886 19880106 PC 38:6 17771774 16678404 19271692 22359820 12673147 28281322 24418696 16145294 22826034 18118424 22197302 22045346 4956395 11414523 11983366 10678878 16974996 21736670 10742377 15001309 31553548 24432890 16657365 8345140 19546340 21421886 19955752 20209862 17509756 17860196 30491456 7069394 8522772 18785942 21401044 21432112 15110967 17516290 21079398 28474170 19394438 28895178 14903794 24411258 18072002 21398756 18514580 19339788 6252755 10159738 14642579 19102178 19335750 10062041 16401026 25492798 PC 18:2_22:6 13419641 14080592 24320842 18721814 15380894 18931786 26493088 23084176 23511922 14644991 14639470 23784212 39053684 16873176 16594439 16546222 16220788 23116774 23593226 19786370 25792008 19912450 20373964 20259102 19916084 29222254 25140594 12886388 18953000 15712073 28802012 8970259 10955366 16159997 18159644 18576402 16971742 21942254 15750219 28860044 21296476 25905614 15256595 23679374 22249696 27607222 27100870 22679172 17830408 19295924 15478288 28042352 22840594 11439129 14883133 32390620 MS_METABOLITE_DATA_END #METABOLITES METABOLITES_START metabolite_name Cer_NS d18:1_16:0 LPC 18:2/0:0 LPC 18:0/0:0 LPC 18:1/0:0 LPC 20:4/0:0 LPC 0:0/16:0 LPC 16:0/0:0 LPC 0:0/18:0 LPC 16:1/0:0 LPC 17:0/0:0 LPC 20:3/0:0 LPC 20:2/0:0 LPC 14:0/0:0 PC 38:6 PC 18:2_22:6 METABOLITES_END #END