Evidence map›Paper›PMID 35739592›Full record

ArticleHereditas2022

ARG1 as a promising biomarker for sepsis diagnosis and prognosis: evidence from WGCNA and PPI network.

Jing-Xiang Zhang, Wei-Heng Xu, Xin-Hao Xing, Lin-Lin Chen, Qing-Jie Zhao, Yan Wang

Open access · goldAbstract read
In one paragraph

Article in Hereditas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jing-Xiang Zhang *School of Pharmacy, Second Military Medical University, Shanghai, 200433, China.
Wei-Heng Xu *School of Pharmacy, Second Military Medical University, Shanghai, 200433, China.
Xin-Hao XingSchool of Pharmacy, Second Military Medical University, Shanghai, 200433, China.
Lin-Lin ChenSchool of Pharmacy, Second Military Medical University, Shanghai, 200433, China.
Qing-Jie ZhaoSchool of Pharmacy, Second Military Medical University, Shanghai, 200433, China. qjzhao@smmu.edu.cn.
Yan WangSchool of Pharmacy, Second Military Medical University, Shanghai, 200433, China. wangyansmmu@126.com.
Second Military Medical University · CN

Funding

National Natural Science Foundation of China 81772124Shanghai Science and Technology Commission Foundation 20S11902900
6 · The paper itself

Abstract

backgroundSepsis is a life-threatening multi-organ dysfunction caused by the dysregulated host response to infection. Sepsis remains a major global concern with high mortality and morbidity, while management of sepsis patients relies heavily on early recognition and rapid stratification. This study aims to identify the crucial genes and biomarkers for sepsis which could guide clinicians to make rapid diagnosis and prognostication.

methodsPreliminary analysis of multiple global datasets, including 170 samples from patients with sepsis and 110 healthy control samples, revealed common differentially expressed genes (DEGs) in peripheral blood of patients with sepsis. After Gene Oncology (GO) and pathway analysis, the Weighted Gene Correlation Network Analysis (WGCNA) was used to screen for genes most related with clinical diagnosis. Also, the Protein-Protein Interaction Network (PPI Network) was constructed based on the DEGs and the hub genes were found. The results of WGCNA and PPI network were compared and one shared gene was discovered. Then more datasets of 728 experimental samples and 355 control samples were used to prove the diagnostic and prognostic value of this gene. Last, we used real-time PCR to confirm the bioinformatic results.

resultsFour hundred forty-four common differentially expressed genes in the blood of sepsis patients from different ethnicities were identified. Fifteen genes most related with clinical diagnosis were found by WGCNA, and 24 hub genes with most node degrees were identified by PPI network. ARG1 turned out to be the unique overlapped gene. Further analysis using more datasets showed that ARG1 was not only sharply up-regulated in sepsis than in healthy controls, but also significantly high-expressed in septic shock than in non-septic shock, significantly high-expressed in severe or lethal sepsis than in uncomplicated sepsis, and significantly high-expressed in non-responders than in responders upon early treatment. These all demonstrate the performance of ARG1 as a key biomarker. Last, the up-regulation of ARG1 in the blood was confirmed experimentally.

conclusionsWe identified crucial genes that may play significant roles in sepsis by WGCNA and PPI network. ARG1 was the only overlapped gene in both results and could be used to make an accurate diagnosis, discriminate the severity and predict the treatment response of sepsis.

Indexed as

Gene Regulatory NetworksSepsisBiomarkersGene Expression ProfilingHumansProtein Interaction MapsBiomarkersARG1Bioinformatical analysisDifferentially expressed genesSepsisWGCNA

Identifiers

PMID35739592
PMCPMC9219214
OpenAlexW4283314851

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.