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Related Concept Videos

Modern Molecular Taxonomy01:29

Modern Molecular Taxonomy

141
Advancements in molecular biology have revolutionized the identification and characterization of bacteria, with multiple methods leveraging DNA sequencing for enhanced precision. As sequencing technologies improve and costs decline, these approaches are increasingly used in clinical, environmental, and evolutionary studies.Multilocus Sequence Typing (MLST) examines several housekeeping genes, essential chromosomal genes encoding cellular functions, to distinguish strains. Approximately...
141

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Related Experiment Video

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A Clinical Metaproteomics Workflow Implemented within Galaxy Bioinformatics Platform to Analyze Host-Microbiome Interactions Underlying Human Disease
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Host-Microbe Multiomic Profiling Predicts Mortality in Sepsis.

Natasha Spottiswoode1, Lucile P Neyton2, Eran Mick1,3

  • 1Department of Medicine, Division of Infectious Diseases.

American Journal of Respiratory and Critical Care Medicine
|August 11, 2025
PubMed
Summary

Understanding sepsis mortality requires considering both host and microbial factors. Integrated host-microbe models show promise for predicting sepsis outcomes in critically ill patients.

Keywords:
host responsemetagenomicsmortalitysepsistranscriptomics

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Area of Science:

  • Critical care medicine
  • Infectious diseases
  • Genomics and transcriptomics

Background:

  • Sepsis is a major cause of death, characterized by a dysregulated host response to infection.
  • Previous sepsis research has largely overlooked the interplay between host and microbial factors, hindering a complete understanding of mortality drivers.

Purpose of the Study:

  • To identify host and microbial factors linked to sepsis mortality.
  • To develop prognostic classifiers for sepsis mortality prediction.

Main Methods:

  • Analysis of transcriptional profiling, proteomics, and metagenomics from whole blood and plasma of 321 critically ill adults.
  • Evaluation of associations between in-hospital mortality and host (gene expression, protein levels) and microbial (metagenomics) data.
  • Development of support vector machine-based prognostic classifiers.

Main Results:

  • Sepsis mortality correlated with increased expression of neutrophil degranulation genes, decreased T cell signaling genes, and elevated interleukin-8.
  • Higher microbial load and bacterial dominance were also associated with mortality.
  • An integrated host-microbe classifier achieved an AUC of 0.79, outperforming the APACHE-III score (AUC 0.69).

Conclusions:

  • Host and microbial factors are crucial in sepsis mortality.
  • An integrated host-microbe approach offers a novel and effective strategy for predicting sepsis mortality in critical illness.