In-depth serum proteomics atlas of COVID-19 defines a Severity-Resistance Index from a four-protein panel for disease severity and prognosis

He et al., Journal of Translational Medicine, doi:10.1186/s12967-026-08172-4, May 2026
Proteomics and machine learning study of 128 COVID-19 patients (57 mild, 51 severe) and 20 healthy controls, identifying a four-protein serum panel (CCN1, SELENBP1, PLA2G2A, SFTPB) and deriving a Severity-Resistance Index (SRI) for predicting severe COVID-19 and influenza A.
The study highlights the potential for selenium-focused therapeutics by identifying selenium-binding protein 1 (SELENBP1) as a crucial biomarker that is significantly downregulated in patients with severe COVID-19. Authors propose that this marked decrease reflects an underlying selenium insufficiency and elevated oxidative stress, revealing a previously unexplored disruption in selenium-sulfur metabolic homeostasis during severe infection.
He et al., 13 May 2026, China, peer-reviewed, 17 authors, study period January 2023 - May 2025. Contact: ywangssmu@shsmu.edu.cn (corresponding author), lyyuan@sinh.ac.cn, bingsu@sjtu.edu.cn, yingying.chen@shsmu.edu.cn, xujie@shsmu.edu.cn.
Abstract: ## Journal of Translational Medicine Article in Press In-depth serum proteomics atlas of COVID-19 defines a Severity-Resistance Index from a fourprotein panel for disease severity and prognosis Received: 16 September 2025 Accepted: 14 April 2026 Cite this article as: He L., Wei K., Lu J. et al. In-depth serum proteomics atlas of COVID-19 defines a SeverityResistance Index from a four-protein panel for disease severity and prognosis. J Transl Med (2026). https://doi. org/10.1186/s12967-026-08172-4 Liheng He, Kai Wei, Junyao Lu, Dong Wei, Xiaoxiao Meng, Peng Chen, Lingli Zeng, Ping Ji, Lian Zhang, Xinxin Zhang, Ruilan Wang, Jieming Qu, Jie Xu, Yingying Chen, Bing Su, Liyun Yuan & Ying Wang We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply. If this paper is publishing under a Transparent Peer Review model then Peer Review reports will publish with the final article. ARTICLE IN PRESS © The Author(s) 2026. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. In-Depth Serum Proteomics Atlas of COVID-19 Defines a Severity-Resistance Index from a Four-Protein Panel for Disease Severity and Prognosis Liheng He 1,# , Kai Wei 2,8, # , Junyao Lu 3, # , Dong Wei 4, # , Xiaoxiao Meng 5, # , Peng Chen 1 , Lingli Zeng 1 , Ping Ji 1 , Lian Zhang 8 , Xinxin Zhang 4 , Ruilan Wang 5 , Jieming Qu 7 , Jie Xu 3,* , Yingying Chen 1,* , Bing Su 1,* , Liyun Yuan 2,* , Ying Wang 1,6,7,$,* 1 . Shanghai Institute of Immunology, Department of Immunology and Microbiology, Key Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China ARTIC/E IN PRESS 2 . Bio-Med Big Data Center, Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences, Shanghai, 200031, China 3 . Department of Infectious Diseases, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China 4 . Department of Infectious Diseases, Research Laboratory of Clinical Virology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China 5 . Department of Critical Care Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 201620, China 6 . Shanghai Institute of Virology, Shanghai Jiao Tong University..
DOI record: { "DOI": "10.1186/s12967-026-08172-4", "ISSN": [ "1479-5876" ], "URL": "http://dx.doi.org/10.1186/s12967-026-08172-4", "alternative-id": [ "8172" ], "assertion": [ { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Received", "name": "received", "order": 1, "value": "16 September 2025" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Accepted", "name": "accepted", "order": 2, "value": "14 April 2026" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "First Online", "name": "first_online", "order": 3, "value": "13 May 2026" }, { "group": { "label": "Declarations", "name": "EthicsHeading" }, "name": "Ethics", "order": 1 }, { "group": { "label": "Ethics approval and consent to participate", "name": "EthicsHeading" }, "name": "Ethics", "order": 2, "value": "The study was approved by the Medical Ethics Committee of Ruijin Hospital (Ruijin Hospital Ethics Committee 2024–58) and Shanghai General Hospital (Shanghai General Hospital Ethics Committee 2024–076). Informed consent was waived by the ethics committees as the use of remnant serum samples posed no additional risks to enrolled patients. All the procedures were conducted in accordance with the Declaration of Helsinki." }, { "group": { "label": "Consent for publication", "name": "EthicsHeading" }, "name": "Ethics", "order": 3, "value": "Not applicable." }, { "group": { "label": "Competing interests", "name": "EthicsHeading" }, "name": "Ethics", "order": 4, "value": "The authors declare that they have no competing interests." } ], "author": [ { "affiliation": [], "family": "He", "given": "Liheng", "sequence": "first" }, { "affiliation": [], "family": "Wei", "given": "Kai", "sequence": "additional" }, { "affiliation": [], "family": "Lu", "given": "Junyao", "sequence": "additional" }, { "affiliation": [], "family": "Wei", "given": "Dong", "sequence": "additional" }, { "affiliation": [], "family": "Meng", "given": "Xiaoxiao", "sequence": "additional" }, { "affiliation": [], "family": "Chen", "given": "Peng", "sequence": "additional" }, { "affiliation": [], "family": "Zeng", "given": "Lingli", "sequence": "additional" }, { "affiliation": [], "family": "Ji", "given": "Ping", "sequence": "additional" }, { "affiliation": [], "family": "Zhang", "given": "Lian", "sequence": "additional" }, { "affiliation": [], "family": "Zhang", "given": "Xinxin", "sequence": "additional" }, { "affiliation": [], "family": "Wang", "given": "Ruilan", "sequence": "additional" }, { "affiliation": [], "family": "Qu", "given": "Jieming", "sequence": "additional" }, { "affiliation": [], "family": "Xu", "given": "Jie", "sequence": "additional" }, { "affiliation": [], "family": "Chen", "given": "Yingying", "sequence": "additional" }, { "affiliation": [], "family": "Su", "given": "Bing", "sequence": "additional" }, { "affiliation": [], "family": "Yuan", "given": "Liyun", "sequence": "additional" }, { "affiliation": [], "family": "Wang", "given": "Ying", "sequence": "additional" } ], "container-title": "Journal of Translational Medicine", "container-title-short": "J Transl Med", "content-domain": { "crossmark-restriction": false, "domain": [ "link.springer.com" ] }, "created": { "date-parts": [ [ 2026, 5, 13 ] ], "date-time": "2026-05-13T02:06:04Z", "timestamp": 1778637964000 }, "deposited": { "date-parts": [ [ 2026, 5, 13 ] ], "date-time": "2026-05-13T02:06:05Z", "timestamp": 1778637965000 }, "indexed": { "date-parts": [ [ 2026, 5, 13 ] ], "date-time": "2026-05-13T02:13:33Z", "timestamp": 1778638413722, "version": "3.51.4" }, "is-referenced-by-count": 0, "issued": { "date-parts": [ [ 2026, 5, 13 ] ] }, "language": "en", "license": [ { "URL": "https://creativecommons.org/licenses/by-nc-nd/4.0", "content-version": "tdm", "delay-in-days": 0, "start": { "date-parts": [ [ 2026, 5, 13 ] ], "date-time": "2026-05-13T00:00:00Z", "timestamp": 1778630400000 } }, { "URL": "https://creativecommons.org/licenses/by-nc-nd/4.0", "content-version": "am", "delay-in-days": 0, "start": { "date-parts": [ [ 2026, 5, 13 ] ], "date-time": "2026-05-13T00:00:00Z", "timestamp": 1778630400000 } } ], "link": [ { "URL": "https://link.springer.com/article/10.1186/s12967-026-08172-4", "content-type": "text/html", "content-version": "vor", "intended-application": "text-mining" } ], "member": "297", "original-title": [], "prefix": "10.1186", "published": { "date-parts": [ [ 2026, 5, 13 ] ] }, "published-online": { "date-parts": [ [ 2026, 5, 13 ] ] }, "publisher": "Springer Science and Business Media LLC", "reference-count": 0, "references-count": 0, "relation": {}, "resource": { "primary": { "URL": "https://link.springer.com/10.1186/s12967-026-08172-4" } }, "score": 1, "short-title": [], "source": "Crossref", "subject": [], "subtitle": [], "title": "In-depth serum proteomics atlas of COVID-19 defines a Severity-Resistance Index from a four-protein panel for disease severity and prognosis", "type": "journal-article", "update-policy": "https://doi.org/10.1007/springer_crossmark_policy" }
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