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Introduction Sepsis poses a serious threat to individual life and health. Early and accessible diagnosis and targeted treatment are crucial. This study aims to explore the relationship between microbes, metabolic pathways, and blood test indicators in sepsis patients and develop a machine learning model for clinical diagnosis. Methods Blood samples from sepsis patients were sequenced. α-diversity and β-diversity analyses were performed to compare the microbial diversity between the sepsis group and the normal group. Correlation analysis was conducted on microbes, metabolic pathways, and blood test indicators. In addition, a model was developed based on medical records and radiomic features using machine learning algorithms. Results The results of α-diversity and β-diversity analyses showed that the microbial diversity of sepsis group was significantly higher than that of normal group ( p 0.05). The top 10 microbial abundances in the sepsis and normal groups were Vitis vinifera, Mycobacterium canettii, Solanum pennellii, Ralstonia insidiosa, Ananas comosus, Moraxella osloensis, Escherichia coli, Staphylococcus hominis, Camelina sativa , and Cutibacterium acnes . The enriched metabolic pathways mainly included Protein families: genetic information processing, Translation, Protein families: signaling and cellular processes, and Unclassified: genetic information processing. The correlation analysis revealed a significant positive correlation ( p 0.05) between IL-6 and Membrane transport. Metabolism of other amino acids showed a significant positive correlation ( p 0.05) with Cutibacterium acnes, Ralstonia insidiosa, Moraxella osloensis , and Staphylococcus hominis . Ananas comosus showed a significant positive correlation ( p 0.05) with Poorly characterized and Unclassified: metabolism. Blood test-related indicators showed a significant negative correlation ( p 0.05) with microorganisms. Logistic regression (LR) was used as the optimal model in six machine learning models based on medical records and radiomic features. The nomogram, calibration curves, and AUC values demonstrated that LR performed best for prediction. Discussion This study provides insights into the relationship between microbes, metabolic pathways, and blood test indicators in sepsis. The developed machine learning model shows potential for aiding in clinical diagnosis. However, further research is needed to validate and improve the model.
Hu et al. (Fri,) studied this question.