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Integrative clinical, genomics and metabolomics data analysis for mainstream precision medicine to investigate COVID-19
  1. Zeeshan Ahmed1,2,
  2. Saman Zeeshan3,
  3. David J Foran3,
  4. Lawrence C Kleinman4,
  5. Fredric E Wondisford2,
  6. XinQi Dong1,2
  1. 1Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey, USA
  2. 2Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
  3. 3Rutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, New Jersey, USA
  4. 4Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
  1. Correspondence to Dr Zeeshan Ahmed, Rutgers Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey 08901, USA; zahmed{at}ifh.rutgers.edu

Abstract

Despite significant scientific and medical discoveries, the genetics of novel infectious diseases like COVID-19 remains far from understanding. SARS-CoV-2 is a single-stranded RNA respiratory virus that causes COVID-19 by binding to the ACE2 receptor in the lung and other organs. Understanding its clinical presentation and metabolomic and genetic profile will lead to the discovery of diagnostic, prognostic and predictive biomarkers, which may lead to more effective medical therapy. It is important to investigate correlations and overlap between reported diagnoses of a patient with COVID-19 in clinical data with identified germline and somatic mutations, and highly expressed genes from genomics data analysis. Timely model clinical, genomics and metabolomics data to find statistical patterns across millions of features to identify underlying biological pathways, modifiable risk factors and actionable information that supports early detection and prevention of COVID-19, and development of new therapies for better patient care. Next, ensuring security reconcile noise, need to build and train machine learning prognostic models to find actionable information that supports early detection and prevention of COVID-19. Based on the myriad data, applying appropriate machine learning algorithms to stratify patients, understand scenarios, optimise decision-making, identify high-risk rare variants (including ACE2, TMPRSS2) and making medically relevant predictions. Innovative and intelligent solutions are required to improve the traditional symptom-driven practice, and allow earlier interventions using predictive diagnostics and tailor better personalised treatments, when confronted with the challenges of pandemic situations.

  • genetic techniques
  • health planning
  • information science
  • integrative medicine
  • public health

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Footnotes

  • Correction notice This article has been corrected since it was published. Funding statement has been updated.

  • Contributors ZA proposed the study and drafted the manuscript. ZA, SZ, DJF, LCK, FEW and XQD participated in writing of the manuscript, and approved the final version for publication. DJF, LCK, FEW and XQD guided the study.

  • Funding This work was supported by the Institute for Health, Health Care Policy and Aging Research, and Robert Wood Johnson Medical School, at Rutgers, The State University of New Jersey. LCK was supported by the grant U3DMC32755-02 from the Health Resources & Services Administration.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.