Long COVID – Pulmonary-Ground-glass opacification

Ground-glass opacification (HP:0025179)

On chest radiographs, ground-glass opacity appears as an area of hazy increased lung opacity, usually extensive, within which margins of pulmonary vessels may be indistinct. On CT scans, it appears as hazy increased opacity of lung, with preservation of bronchial and vascular margins. It is caused by partial filling of airspaces, interstitial thickening (due to fluid, cells, and/or fibrosis), partial collapse of alveoli, increased capillary blood volume, or a combination of these, the common factor being the partial displacement of air. Ground-glass opacity is less opaque than consolidation, in which bronchovascular margins are obscured.

Synonyms:    GGO, Ground glass opacities, Ground-glass opacification on pulmonary HRCT

Comment:    Ground-glass opacification is a non-specific sign and can be observed with many conditions including infection, chronic interstitial disease and acute alveolar disease. See Figure 2 of Hansell DM, et al., Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246:697-722.

Pubmed References:    PMID:18195376 , PMID:23247773

KEGG Pathway

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1ABC transporters0.020070.118556.67221.48
2Arrhythmogenic right ventricular cardiomyopathy0.034130.118532.75110.63
3RNA degradation0.035000.118531.91106.98
4TGF-beta signaling pathway0.041520.118526.7485.09
5Fluid shear stress and atherosclerosis0.060850.118517.9850.34

GO: Biological Process

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1positive regulation of chromosome organization (GO:2001252)0.000018840.002717439.084776.89
2establishment of protein localization to telomere (GO:0070200)0.0022480.02312624.593808.55
3positive regulation of cardioblast differentiation (GO:0051891)0.0022480.02312624.593808.55
4lung morphogenesis (GO:0060425)0.0022480.02312624.593808.55
5tricuspid valve development (GO:0003175)0.0022480.02312624.593808.55

GO: Molecular Function

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1intronic transcription regulatory region sequence-specific DNA binding (GO:0001161)0.0022480.01537624.593808.55
2phosphatidylcholine flippase activity (GO:0140345)0.0022480.01537624.593808.55
3phosphatidylcholine transfer activity (GO:0120019)0.0022480.01537624.593808.55
4cell adhesive protein binding involved in bundle of His cell-Purkinje myocyte communication (GO:0086083)0.0022480.01537624.593808.55
5RNA-directed DNA polymerase activity (GO:0003964)0.0026970.01537499.652955.69

GO: Cellular Component

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1alveolar lamellar body (GO:0097208)0.0026970.03580499.652955.69
2transferase complex, transferring phosphorus-containing groups (GO:0061695)0.0040430.03580312.231720.62
3spanning component of plasma membrane (GO:0044214)0.0058360.03580208.111070.48
4lamellar body (GO:0042599)0.0058360.03580208.111070.48
5spanning component of membrane (GO:0089717)0.0089660.04355131.39619.44

Hub genes as predicted biomarkers & FDA approved drugs

Hub Genes (ranked)FDA-Approved Drugs
TERTOMACETAXINE MEPESUCCINATE
RTEL1
OBFC1ATENOLOL
ABCA3
DHX36
NKX2-1
DSPENALAPRIL
STON1
BMPR2