Predicting nonsense-mediated mRNA decay from splicing events in sepsis using RNA-sequencing data

Jaewook Shin1, Alger M Fredericks1, Brandon E Armstead1

  • 1Division of Surgical Research, Department of Surgery, Rhode Island Hospital/Alpert Medical School of Brown University, Providence, RI, USA.

Life Science Alliance
|September 24, 2025
PubMed

Insights

Alternative splicing (AS) and nonsense-mediated mRNA decay (NMD) are key gene expression regulators. A new NMD pipeline reveals higher NMD rates in sepsis patients, indicating aberrant splicing linked to critical illness and mortality.

Area of Science:

  • Molecular Biology
  • Genetics
  • Computational Biology

Background:

  • Alternative splicing (AS) and nonsense-mediated mRNA decay (NMD) are crucial conserved mechanisms regulating gene expression.
  • Understanding the interplay between AS and NMD is vital for comprehending cellular responses to disease states.

Purpose of the Study:

  • To introduce and validate a novel computational pipeline (NMD pipeline) for analyzing AS events and predicting NMD rates.
  • To investigate the role of AS and NMD in sepsis using whole-blood RNA-sequencing data from critically ill patients.

Main Methods:

  • Development of the NMD pipeline based on AS data from Whippet.
  • Analysis of deep RNA-sequencing data from sepsis patients, control groups, and survival groups.
  • Statistical analysis for differential gene expression (adjusted P < 0.05, |log2 fold change| > 2) and AS (probability ≥0.9, |DeltaPsi| > 0.1).

Main Results:

  • The NMD pipeline demonstrated a higher rate of NMD in sepsis and deceased patient groups compared to control and survived groups.
  • Aberrant splicing, particularly a predominance of non-exon skipping events, was associated with disease severity and mortality in sepsis.
  • The pipeline identified proteins potentially associated with sepsis.

Conclusions:

  • The NMD pipeline is a valuable tool for studying AS-NMD interactions and differential gene expression.
  • Aberrant splicing and elevated NMD rates may be significant indicators of altered physiology in critical illness like sepsis.
  • This approach aids in uncovering disease-associated proteins and understanding disease mechanisms.

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