使用单细胞测序技术探索与脓毒症和全身炎症反应综合征相关的核心基因。

Exploring Core Genes Associated with Sepsis and Systemic Inflammatory Response Syndrome Using Single-Cell Sequencing Technology.

作者信息

Shen YuZhou, Leng LingHan, Hu YingChun

机构信息

Department of Emergency Medicine, the Affiliated Hospital of Southwest Medical University, Lu Zhou, Sichuan, People's Republic of China.

Department of Intensive Care Unit, Chengdu Fifth People's Hospital, Chengdu, Sichuan, People's Republic of China.

出版信息

J Inflamm Res. 2025 Feb 6;18:1815-1838. doi: 10.2147/JIR.S448900. eCollection 2025.

Abstract

PURPOSE

As a crucial aspect of emergency critical medicine, sepsis has been in a difficult stage. As its "preparatory stage", SIRS has attracted the attention of the medical workers all over the world. The frequency of occurrence is on the rise, but there is a lack of certain indicators for the timely detection and recognition of illnesses.

METHODS

By virtue of scRNA-seq, this research has analyzed single-cell transcriptome data from samples taken from groups with septic death and systemic inflammatory response syndrome so as to identify the unique markers and patterns in immune response.

RESULTS

By revealing the status of twelve cell clusters of four major cell types in blood samples through UMAP cell clustering and the differences of major cell populations between the dead and SIRS patients, the results have elucidated the components of different cells and their marker genes in two disease states, and the response mechanism beneficial to disease diagnosis in blood samples.

CONCLUSION

By establishing a theoretical framework centered on cellular and molecular regulation, the study has introduced a novel approach for diagnosing and treating sepsis death group and SIRS patients early, as well as differentiating and preventing these conditions.

摘要

目的

作为急诊重症医学的关键环节,脓毒症一直处于困境阶段。作为其“前期阶段”,全身炎症反应综合征(SIRS)已引起全球医护人员的关注。其发生率呈上升趋势,但缺乏及时检测和识别疾病的某些指标。

方法

本研究借助单细胞RNA测序(scRNA-seq),分析了来自脓毒症死亡组和全身炎症反应综合征组样本的单细胞转录组数据,以识别免疫反应中的独特标志物和模式。

结果

通过UMAP细胞聚类揭示血样中四种主要细胞类型的十二个细胞簇的状态以及死亡患者和SIRS患者主要细胞群体的差异,结果阐明了两种疾病状态下不同细胞的组成及其标记基因,以及血样中有利于疾病诊断的反应机制。

结论

该研究通过建立以细胞和分子调节为中心的理论框架,引入了一种早期诊断和治疗脓毒症死亡组和SIRS患者以及鉴别和预防这些病症的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61a4/11811729/b1614feb827d/JIR-18-1815-g0001.jpg

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