Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report

OBJECTIVES:. To investigate the relationship between ICU-acquired weakness (ICUAW) signatures and sepsis-related mortality using gene expression from the blood within 24 hours of sepsis onset. DESIGN:. Observational study using differential gene expression analysis. SETTING:. Publicly available gene...

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Main Authors: Seibi Kobara, PT, MPH, Milad G. Rad, MS, Jocelyn R. Grunwell, PhD, Craig M. Coopersmith, MD, Rishikesan Kamaleswaran, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2022-12-01
Series:Critical Care Explorations
Online Access:http://journals.lww.com/10.1097/CCE.0000000000000818
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author Seibi Kobara, PT, MPH
Milad G. Rad, MS
Jocelyn R. Grunwell, PhD
Craig M. Coopersmith, MD
Rishikesan Kamaleswaran, PhD
author_facet Seibi Kobara, PT, MPH
Milad G. Rad, MS
Jocelyn R. Grunwell, PhD
Craig M. Coopersmith, MD
Rishikesan Kamaleswaran, PhD
author_sort Seibi Kobara, PT, MPH
collection DOAJ
description OBJECTIVES:. To investigate the relationship between ICU-acquired weakness (ICUAW) signatures and sepsis-related mortality using gene expression from the blood within 24 hours of sepsis onset. DESIGN:. Observational study using differential gene expression analysis. SETTING:. Publicly available gene expression profile GSE54514, single-center medical and surgical ICU. PATIENTS:. Patients with primary bacteremia- and respiratory-triggered sepsis including 8 nonsurvivors and 13 survivors who were 18 years old and older and admitted to ICU. MEASUREMENTS AND MAIN RESULTS:. Among validated 526 ICUAW gene signatures, differential gene expression analysis controlling for age identified 38 significantly expressed genes between nonsurvivors and survivors. Functional enrichment analysis of differentially expressed ICUAW genes identified impaired cadherin binding, sarcomere formation, and energy metabolism among nonsurvivors. CONCLUSIONS:. Our findings demonstrated a biological association between sepsis-related mortality and ICUAW signatures in the early phase of sepsis. Defects in energy metabolism and muscle fiber formation were associated with sepsis-related mortality.
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spelling doaj.art-ab0be90444a148118be938804681eae92022-12-26T06:01:07ZengWolters KluwerCritical Care Explorations2639-80282022-12-01412e081810.1097/CCE.0000000000000818202212000-00018Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief ReportSeibi Kobara, PT, MPH0Milad G. Rad, MS1Jocelyn R. Grunwell, PhD2Craig M. Coopersmith, MD3Rishikesan Kamaleswaran, PhD41 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.3 Department of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.4 Department of Pediatrics, Division of Critical Care, Emory University School of Medicine, Atlanta, GA.6 Department of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA.2 Department of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA.OBJECTIVES:. To investigate the relationship between ICU-acquired weakness (ICUAW) signatures and sepsis-related mortality using gene expression from the blood within 24 hours of sepsis onset. DESIGN:. Observational study using differential gene expression analysis. SETTING:. Publicly available gene expression profile GSE54514, single-center medical and surgical ICU. PATIENTS:. Patients with primary bacteremia- and respiratory-triggered sepsis including 8 nonsurvivors and 13 survivors who were 18 years old and older and admitted to ICU. MEASUREMENTS AND MAIN RESULTS:. Among validated 526 ICUAW gene signatures, differential gene expression analysis controlling for age identified 38 significantly expressed genes between nonsurvivors and survivors. Functional enrichment analysis of differentially expressed ICUAW genes identified impaired cadherin binding, sarcomere formation, and energy metabolism among nonsurvivors. CONCLUSIONS:. Our findings demonstrated a biological association between sepsis-related mortality and ICUAW signatures in the early phase of sepsis. Defects in energy metabolism and muscle fiber formation were associated with sepsis-related mortality.http://journals.lww.com/10.1097/CCE.0000000000000818
spellingShingle Seibi Kobara, PT, MPH
Milad G. Rad, MS
Jocelyn R. Grunwell, PhD
Craig M. Coopersmith, MD
Rishikesan Kamaleswaran, PhD
Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
Critical Care Explorations
title Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
title_full Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
title_fullStr Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
title_full_unstemmed Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
title_short Bioenergetic Crisis in ICU-Acquired Weakness Gene Signatures Was Associated With Sepsis-Related Mortality: A Brief Report
title_sort bioenergetic crisis in icu acquired weakness gene signatures was associated with sepsis related mortality a brief report
url http://journals.lww.com/10.1097/CCE.0000000000000818
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