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Updated: Jun 6, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Genome-wide association study of paediatric bacteraemia and sepsis
Dylan Lawless1, Flavia Aurelia Hodel2, Christian W Thorball2
1Department of Intensive Care and Neonatology, and Children's Research Center, University Children's Hospital Zürich, University of Zürich, Zurich, Switzerland.
Insights
Genetic factors may influence a child's risk of developing sepsis, a serious infection. Our study identified a specific gene locus associated with increased susceptibility in children, highlighting potential genetic modulators in sepsis development.
Area of Science:
- Pediatric critical care medicine
- Genetics and genomics
- Infectious diseases
Background:
- Sepsis is a life-threatening condition characterized by organ dysfunction due to a dysregulated host response to infection.
- Pediatric sepsis poses a significant global health challenge, yet its underlying genetic and pathophysiological mechanisms are not fully understood.
- Identifying genetic predispositions is crucial for understanding sepsis etiology and developing targeted interventions.
Purpose of the Study:
- To investigate the role of genome-wide genetic polymorphisms in pediatric sepsis susceptibility.
- To explore associations between genetic variations and sepsis disease characteristics in children.
- To identify specific genetic loci that may modulate the risk of developing sepsis.
Main Methods:
- Genome-wide association studies (GWAS) were performed on samples from the Swiss Pediatric Sepsis Study cohort.
- Analyses included within-cohort assessments and a case-control study with 510 sepsis cases and 994 controls.
- Polymorphisms were tested for association with sepsis susceptibility and, in cases, with disease characteristics.
Main Results:
- No significant genome-wide associations were detected in the within-cohort analysis for host, microbiological, or outcome features.
- A case-control analysis revealed one locus significantly associated with sepsis susceptibility.
- This associated locus encompasses the CTNNAL1 and ELP1 genes, suggesting their potential role in sepsis risk.
Conclusions:
- The findings suggest that genetic factors play a role in determining susceptibility to sepsis in children.
- The identified gene locus (CTNNAL1 and ELP1) represents a potential target for further research into the genetic underpinnings of pediatric sepsis.
- Further investigation is warranted to elucidate the functional mechanisms by which these genes influence sepsis development.
Background:
Sepsis is defined as a dysregulated host response to infection leading to organ dysfunction. It represents a major global health concern, particularly in childhood. The underlying pathophysiological and genetic mechanisms remain insufficiently understood.
Methods:
Using samples and clinical data from 650 children enrolled in the Swiss Pediatric Sepsis Study, a national multicentre cohort for culture-proven bacterial sepsis, we conducted within-cohort analyses and a separate case-control analysis in 510 cases and 994 controls, testing genome-wide polymorphisms for association with sepsis susceptibility and, in cases only, with disease characteristics.
Findings:
In the within-cohort analysis, no significant genome-wide associations were found when assessing host, microbiological, and outcome features. In the case-control analysis, we identified one locus significantly associated with sepsis susceptibility, encompassing the CTNNAL1 and ELP1 genes.
Interpretation:
Our results suggest contribution of genetic modulators to susceptibility for sepsis in children.
Funding:
The Swiss Pediatric Sepsis Study received funding from the Swiss National Science Foundation (342730_153158/1 and 320030_201060/1), the Swiss Society of Intensive Care, the Bangerter Foundation, the Vinetum and Borer Foundation, the Foundation for the Health of Children and Adolescents, and the Sanofi-Aventis Suisse. LJS was supported by the NOMIS and the Thomas and Doris Ammann Foundation.
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