Deciphering the molecular mechanism of post-acute sequelae of COVID-19 through comorbidity network analysis
Bibliographic record
Abstract
The post-acute sequelae of COVID-19 (PASC) poses a significant health challenge in the post-pandemic world. However, the underlying biological mechanisms of PASC remain intricate and elusive. Network-based methods can leverage electronic health record data and biological knowledge to investigate the impact of COVID-19 on PASC and uncover the underlying biological mechanisms. This study analyzed territory-wide longitudinal electronic health records (from January 1, 2020 to August 31, 2022) of 50 296 COVID-19 patients and a healthy non-exposed group of 100 592 individuals to determine the impact of COVID-19 on disease progression, provide molecular insights, and identify associated biomarkers. We constructed a comorbidity network and performed disease-protein mapping and protein-protein interaction network analysis to reveal the impact of COVID-19 on disease trajectories. Results showed disparities in prevalent disease comorbidity patterns, with certain patterns exhibiting a more pronounced influence by COVID-19. Overlapping proteins elucidate the biological mechanisms of COVID-19's impact on each comorbidity pattern, and essential proteins can be identified based on their weights. Our findings can help clarify the biological mechanisms of COVID-19, discover intervention methods, and decode the molecular basis of comorbidity associations, while also yielding potential biomarkers and corresponding treatments for specific disease progression patterns.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".