Metabolic reprogramming of endothelial-related pathways in COVID-19 patients treated with hyperbaric oxygen therapy: a randomized clinical trial. | Canada Hyperbarics Skip to main content
RCT Scientific reports 2026

Metabolic reprogramming of endothelial-related pathways in COVID-19 patients treated with hyperbaric oxygen therapy: a randomized clinical trial.

Jermakow N, Brodaczewska K, Kot J, Urbanowicz K, Turyn J, Smoleński RT, et al. — Scientific reports, 2026

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers conducted a randomised clinical trial to characterize metabolic changes in COVID-19 patients undergoing hyperbaric oxygen therapy (HBOT).

What They Found

Among 28 hospitalized COVID-19 patients (14 HBOT, 14 standard care), HBOT induced significant changes in metabolites related to arginine/NO metabolism, creatine turnover, phospholipid remodeling, and pterin derivatives (q < 0.05). Pathway analysis highlighted the urea cycle, glycerophospholipid remodeling, niacin metabolism, and folate/pterin pathways, with HBOT patients showing enhanced metabolic network connectivity (31 vs. 10 edges; P < 0.05).

What This Means for Canadian Patients

This study suggests that hyperbaric oxygen therapy may induce systemic metabolic adaptations in COVID-19 patients, potentially influencing vascular and inflammatory regulation. However, further research is needed to determine if these metabolic changes translate into improved clinical outcomes or specific therapeutic benefits for Canadian patients.

Canadian Relevance

This study has no direct Canadian connection as it was not conducted in Canada, nor did it involve Canadian researchers or participants.

Study Limitations

A limitation of this study is its small sample size of 28 patients, which may limit the generalizability of the findings.

This plain-language summary is generated with AI assistance and checked against the source abstract before publication. See our editorial policy.

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Study Details

Study Type RCT
Category COVID-19 / Long COVID
Source Pubmed
PubMed ID 41851311
Year Published 2026
Journal Scientific reports

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This study relates to Long COVID. Read the full clinical overview, the evidence base, and Canadian treatment access for this condition.

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last reviewed: April 2, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology