Evidence map›Paper›PMID 40591166›Full record

ArticleCurrent medical science2025

Immune Dysregulation and Hub Gene Identification in Non-Pulmonary Sepsis-Induced Acute Lung Injury: Insights from Transcriptomic and Experimental Analyses.

Chen Yan, Wen Li, Yang-Ming Cai, Wei-Yi Cai, Nian-Dan Hu, Yang-Yi-Yan Song, Wen-Qiang Li, Zhou Sun, Qing Geng

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Article in Current medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Chen Yan *Department of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, China.ORCID http://orcid.org/0000-0002-1513-1519
Wen Li *Department of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Yang-Ming CaiDepartment of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Wei-Yi CaiDepartment of Trauma Surgery, Xiantao First People's Hospital, Xiantao, 433000, China.
Nian-Dan HuDepartment of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Yang-Yi-Yan SongDepartment of Pharmacy, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Wen-Qiang LiDepartment of Emergency, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Zhou SunChina-Japan Union Hospital, Jilin University, Changchun, 130012, China.
Qing GengDepartment of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, China. gengqingwhu@whu.edu.cn.

Funding

National Natural Science Foundation of China 82300114Natural Science Foundation of Hubei Province 2022CFB671Natural Science Foundation of Hubei Province 2023AFB684
6 · The paper itself

Abstract

objectiveSepsis-induced acute lung injury (ALI) poses a critical challenge in critical care, yet its immunoregulatory mechanisms remain poorly defined. This study aimed to delineate immune dysregulation networks and identify therapeutic targets through multiomics data integration.

methodsTranscriptomic datasets (GSE40180 and GSE165226) were analyzed through a multiphase bioinformatics workflow, including gene set enrichment analysis (GSEA), immune cell deconvolution (CIBERSORT), differential gene expression profiling (|log2FC|> 1.5, P.adj < 0.05), and pathway annotation (GO/KEGG). Protein-protein interaction (PPI) networks were constructed to identify hub genes. Experimental validation was done using a murine cecal ligation and puncture (CLP) model with histopathological lung injury scoring and RT-qPCR-based hub gene verification.

resultsIntegrated analysis revealed 26 consensus biological processes (24 upregulated, 2 downregulated) dominated by innate immune activation. CIBERSORT revealed significant infiltration of M1 macrophages, neutrophils, activated dendritic cells (DCs), and activated natural killer (NK) cells in septic lungs, which was concurrent with Th17/naive CD8+ T-cell dysregulation. Among the 58 differentially expressed genes (DEG), 7 hub genes (Cxcl1, Cxcl2, Ccl3, Cd14, Saa3, Timp1, and Socs3) were significantly correlated with immune cell dynamics. CLP modeling confirmed severe alveolar damage (lung injury score: 8.11 ± 1.17 vs. 1.97 ± 0.29; P < 0.0001) and upregulated hub gene expression (all P < 0.01) in septic lungs, with hub gene expression levels strongly correlated with the lung injury score (Pearson's r > 0.85, P < 0.001).

conclusionInnate adaptive immune crosstalk, particularly dysregulated immune cell infiltration, drives sepsis-induced ALI pathogenesis. The 7 hub genes mechanistically connect immune dyshomeostasis to tissue injury, suggesting novel targets for precision immunomodulation and biomarker development in critical care.

Indexed as

Acute Lung InjurySepsisTranscriptomeAnimalsComputational BiologyDisease Models, AnimalGene Expression ProfilingGene Regulatory NetworksHumansLungMaleMiceMice, Inbred C57BLProtein Interaction MapsAcute lung injuryHub geneImmune cell infiltrationImmune dysregulationNon-pulmonary sepsis

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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.