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September 3, 2026Physiological GenomicsOpen Access

A Novel Immune-Escape Signature and Classifier for Predicting Sepsis Constructed by Integrative Bioinformatics

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Authors

ZHZhu HenglingHZHengbao ZhuDLDongxin LiuChina Academy of Chinese Medical Sciences

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Implication

Bioinformatic analysis identifies a two-gene immune-escape signature in sepsis datasets, highlighting molecular pathways for enhanced clinical diagnosis.

Key Points

  • To identify immune-escape molecular mechanisms in sepsis and develop an accurate diagnostic gene signature using integrative bioinformatics.
  • Analyzed transcriptomic data from the Gene Expression Omnibus, utilizing GSE65682 as the training cohort and GSE95233 as an external validation cohort.
  • Combined differential gene expression analysis with Weighted Gene Co-expression Network Analysis (WGCNA) to identify key feature genes.
  • Constructed a diagnostic classifier evaluated with ROC curves, nomograms, and decision curves, alongside immune cell infiltration profiling and consensus clustering.
  • Screened three feature genes to establish a two-gene diagnostic model consisting of NXT1 and UXS1, both demonstrating high diagnostic performance (AUC > 0.9).
  • Characterized distinct immune cell infiltration landscapes between sepsis cases and controls, mapping associated miRNA and lncRNA competing endogenous RNA networks.
  • Identified two distinct sepsis molecular subtypes that exhibited contrasting immune microenvironmental and transcriptomic characteristics.

Cite This Study

Hengling et al. (2026) studied this question.

synapsesocial.com/papers/6a993586636c6408cfa7dce5https://doi.org/10.1152/physiolgenomics.00328.2025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Investigation of the Molecular Mechanisms Underlying Sepsis Through Integration of Single‐Cell Sequencing and Transcriptome Sequencing2026
  2. 2A modular transcriptomic signature paired with machine learning reveals core immune pathways in sepsis diagnosis2026 · 2 citations
  3. 3Advancing Sepsis Diagnosis and Immunotherapy Machine Learning-Driven Identification of Stable Molecular Biomarkers and Therapeutic Targets2024 · 1 citations
  4. 4Identification and Analysis of Diagnostic and Prognostic Biomarker Genes in Sepsis using Differential Gene Expression and Protein Interaction Networks2024 · 2 citations
  5. 5Identification of key genes as potential diagnostic biomarkers in sepsis by bioinformatics analysis2024 · 9 citations