Identification and validation of key biomarkers based on RNA methylation genes in sepsis

Qianqian Zhang1,2, Xiaowei Bao1,2, Mintian Cui3

  • 1Department of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.

Frontiers in Immunology
|September 13, 2023
PubMed
Abstract

Insights

This study reveals RNA methylation genes are involved in sepsis pathogenesis, classifying sepsis into subtypes and identifying five key genes as potential diagnostic biomarkers for sepsis. These findings offer new insights into sepsis endotypes and potential therapeutic targets.

Area of Science:

  • Molecular biology
  • Immunology
  • Genetics

Background:

  • RNA methylation plays a role in immune regulation, but its function in sepsis is not well understood.
  • Investigating RNA methylation-associated genes (RMGs) offers a potential avenue for sepsis classification and diagnosis.

Purpose of the Study:

  • To explore the role of RNA methylation-associated genes (RMGs) in classifying sepsis subtypes.
  • To identify novel diagnostic biomarkers for sepsis based on RMGs.

Main Methods:

  • Utilized gene expression data from the GEO database (GSE57065, GSE65682, GSE95233) for five RMG types (m1A, m5C, m6Am, m7G, Ψ).
  • Employed unsupervised clustering, CIBERSORT, WGCNA, GO, and KEGG analyses to identify sepsis subtypes, immune infiltration, and biological functions.
  • Applied machine learning algorithms (RF, SVM, XGB, GLM) to identify diagnostic RMGs and validated their expression and diagnostic efficacy in septic patients' PBMCs using qRT-PCR and ROC analysis.

Main Results:

  • Sepsis was classified into three distinct subtypes based on RMG expression profiles.
  • Cluster 1 showed high expression of NSUN7 and TRMT6, linked to neutrophil activation and MAPK signaling.
  • Cluster 2 highlighted NSUN3, associated with mRNA stability and amino acid metabolism.
  • Cluster 3 exhibited elevated NSUN5 and NSUN6, involved in ribonucleoprotein complex biogenesis and carbohydrate metabolism.
  • Five RMGs (NSUN7, NOP2, PUS1, PUS3, FTO) were identified as potential diagnostic biomarkers for sepsis, with high AUC values (0.707–0.976).
  • Validation confirmed upregulation of NSUN7, NOP2, PUS1, PUS3 and downregulation of FTO in septic patients.

Conclusions:

  • Dysregulation of RNA methylation genes is implicated in sepsis pathogenesis, aiding in the classification of sepsis endotypes.
  • Five hub RMGs (NSUN7, NOP2, PUS1, PUS3, FTO) demonstrate potential as novel diagnostic biomarkers and therapeutic targets for sepsis.