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Updated: Sep 9, 2025

A Data-Driven Approach to Quantifying Immune States in Sepsis
Published on: February 7, 2025
Time-Course Renal and Pulmonary Injury Analysis and Bioinformatics Screening of Core Pathogenic Genes and Immune Cell
Anwaier Apizi1, Jian Li1, Paiheriding Kamilijiang1
1Department of Intensive Care Unit, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, People's Republic of China.
Sepsis causes progressive lung and kidney damage. Five key genes (CD8A, ITGAM, CXCL8, CCL5, LCK) effectively predict sepsis risk and may aid clinical management.
Area of Science:
- Pathology
- Genomics
- Immunology
Background:
- Sepsis is a life-threatening organ dysfunction caused by dysregulated host response to infection.
- Understanding the molecular mechanisms and genetic factors driving sepsis-induced organ damage is crucial for effective treatment.
Purpose of the Study:
- To evaluate the extent of organ damage in sepsis.
- To identify key genes and pathways involved in sepsis pathogenesis.
- To develop a predictive model for sepsis risk.
Main Methods:
- A cecal ligation and puncture rat model was used to induce sepsis, assessing lung and kidney injury.
- Gene expression data from sepsis patients and controls were analyzed using weighted gene co-expression network analysis.
- Bioinformatics approaches identified sepsis-related pathways, core genes, and immune cell composition differences.
Main Results:
- Sepsis induced progressive lung and kidney damage in rats.
- 505 core sepsis-associated genes were identified, with enrichment in immune-related pathways.
- A five-gene sepsis risk model (CD8A, ITGAM, CXCL8, CCL5, LCK) showed high predictive accuracy.
- Significant differences in immune cell populations, including T cells and dendritic cells, were observed in sepsis.
Conclusions:
- Sepsis severity correlates with increased organ damage over time.
- The identified key genes hold predictive value for assessing sepsis risk.
- Understanding gene-immune cell interactions can improve sepsis clinical management.
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