Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review

Sepsis continues to be recognized as a significant global health challenge across all ages and is characterized by a complex pathophysiology. In this scoping review, PRISMA-ScR guidelines were adhered to, and a transcriptomic methodology was adopted, with the protocol registered on the Open Science...

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Main Authors: Asrar Rashid, Feras Al-Obeidat, Hari Krishnan Kanthimathinathan, Govind Benakatti, Wael Hafez, Raghu Ramaiah, Joe Brierley, Benjamin Hanisch, Praveen Khilnani, Christos Koutentis, Berit S. Brusletto, Mohammed Toufiq, Zain Hussain, Harish Vyas, Zainab A Malik, Maike Schumacher, Rayaz A Malik, Shriprasad Deshpande, Nasir Quraishi, Raziya Kadwa, Amrita Sarpal, M. Guftar Shaikh, Javed Sharief, Syed Ahmed Zaki, Rajesh Phatak, Akash Deep, Ahmed Al-Dubai, Amir Hussain
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Informatics in Medicine Unlocked
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352914823002654
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author Asrar Rashid
Feras Al-Obeidat
Hari Krishnan Kanthimathinathan
Govind Benakatti
Wael Hafez
Raghu Ramaiah
Joe Brierley
Benjamin Hanisch
Praveen Khilnani
Christos Koutentis
Berit S. Brusletto
Mohammed Toufiq
Zain Hussain
Harish Vyas
Zainab A Malik
Maike Schumacher
Rayaz A Malik
Shriprasad Deshpande
Nasir Quraishi
Raziya Kadwa
Amrita Sarpal
M. Guftar Shaikh
Javed Sharief
Syed Ahmed Zaki
Rajesh Phatak
Akash Deep
Ahmed Al-Dubai
Amir Hussain
author_facet Asrar Rashid
Feras Al-Obeidat
Hari Krishnan Kanthimathinathan
Govind Benakatti
Wael Hafez
Raghu Ramaiah
Joe Brierley
Benjamin Hanisch
Praveen Khilnani
Christos Koutentis
Berit S. Brusletto
Mohammed Toufiq
Zain Hussain
Harish Vyas
Zainab A Malik
Maike Schumacher
Rayaz A Malik
Shriprasad Deshpande
Nasir Quraishi
Raziya Kadwa
Amrita Sarpal
M. Guftar Shaikh
Javed Sharief
Syed Ahmed Zaki
Rajesh Phatak
Akash Deep
Ahmed Al-Dubai
Amir Hussain
author_sort Asrar Rashid
collection DOAJ
description Sepsis continues to be recognized as a significant global health challenge across all ages and is characterized by a complex pathophysiology. In this scoping review, PRISMA-ScR guidelines were adhered to, and a transcriptomic methodology was adopted, with the protocol registered on the Open Science Framework. We hypothesized that gene expression analysis could provide a foundation for establishing a clinical research framework for sepsis. A comprehensive search of the PubMed database was conducted with a particular focus on original research and systematic reviews of transcriptomic sepsis studies published between 2012 and 2022. Both coding and non-coding gene expression studies have been included in this review. An effort was made to enhance the understanding of sepsis at the mRNA gene expression level by applying a systems biology approach through transcriptomic analysis. Seven crucial components related to sepsis research were addressed in this study: endotyping (n = 64), biomarker (n = 409), definition (n = 0), diagnosis (n = 1098), progression (n = 124), severity (n = 451), and benchmark (n = 62). These components were classified into two groups, with one focusing on Biomarkers and Endotypes and the other oriented towards clinical aspects. Our review of the selected studies revealed a compelling association between gene transcripts and clinical sepsis, reinforcing the proposed research framework. Nevertheless, challenges have arisen from the lack of consensus in the sepsis terminology employed in research studies and the absence of a comprehensive definition of sepsis. There is a gap in the alignment between the notion of sepsis as a clinical phenomenon and that of laboratory indicators. It is potentially responsible for the variable number of patients within each category. Ideally, future studies should incorporate a transcriptomic perspective. The integration of transcriptomic data with clinical endpoints holds significant potential for advancing sepsis research, facilitating a consensus-driven approach, and enabling the precision management of sepsis.
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spelling doaj.art-cc44dde4c7e94c67b131c70e3cb338e02024-01-23T04:15:44ZengElsevierInformatics in Medicine Unlocked2352-91482024-01-0144101419Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping reviewAsrar Rashid0Feras Al-Obeidat1Hari Krishnan Kanthimathinathan2Govind Benakatti3Wael Hafez4Raghu Ramaiah5Joe Brierley6Benjamin Hanisch7Praveen Khilnani8Christos Koutentis9Berit S. Brusletto10Mohammed Toufiq11Zain Hussain12Harish Vyas13Zainab A Malik14Maike Schumacher15Rayaz A Malik16Shriprasad Deshpande17Nasir Quraishi18Raziya Kadwa19Amrita Sarpal20M. Guftar Shaikh21Javed Sharief22Syed Ahmed Zaki23Rajesh Phatak24Akash Deep25Ahmed Al-Dubai26Amir Hussain27School of Computing, Edinburgh Napier University, UK; NMC Royal Hospital, Abu Dhabi, United Arab Emirates; Corresponding author. Edinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh EH11 4BN, UK.College of Technological Innovation, Zayed University, Abu Dhabi, United Arab EmiratesBirmingham Children's Hospital, Birmingham, UKYas Clinic, Abu Dhabi, United Arab EmiratesInternal Medicine Department, The National Research Centre, Cairo, Egypt; NMC Royal Hospital, Abu Dhabi, United Arab EmiratesUniversity of Leicester NHS Trust, UKGreat Ormond Street Children's Hospital, London, UKChildren's National Hospital, Washington, DC, USAMedanta Gururam, Delhi, IndiaDepartment of Anesthesiology, SUNY Downstate Medical Center, USAThe Blood Cell Research Group, Department of Medical Biochemistry, Oslo University Hospital, Ullevål, NorwayThe Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USAEdinburgh Medical School, University go Edinburgh, Edinburgh, UKNottingham University, Nottingham, UKCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab EmiratesSheikh Khalifa Medical City, United Arab EmiratesInstitute of Cardiovascular Science, University of Manchester. Manchester, UK; Weill Cornell Medicine-Qatar, Doha, QatarChildren's National Hospital, Washington, DC, USACentre for Spinal Studies & Surgery, Queen's Medical Centre, The University of Nottingham, Nottingham, UKNMC Royal Hospital, Abu Dhabi, United Arab EmiratesWeill Cornell Medicine-Qatar, Doha, Qatar; Sidra Medicine, Doha, QatarDepartment of Endocrinology, Royal Hospital for Children, Glasgow, UKNMC Royal Hospital, Abu Dhabi, United Arab EmiratesAll India Institute of Medical Sciences, Bibinagar, Hyderabad, IndiaPediatric Intensive Care, Burjeel Hospital, Najda, Abu Dhabi, United Arab EmiratesPediatric Intensive Care Unit, King's College Hospital, London, UKSchool of Computing, Edinburgh Napier University, UKSchool of Computing, Edinburgh Napier University, UKSepsis continues to be recognized as a significant global health challenge across all ages and is characterized by a complex pathophysiology. In this scoping review, PRISMA-ScR guidelines were adhered to, and a transcriptomic methodology was adopted, with the protocol registered on the Open Science Framework. We hypothesized that gene expression analysis could provide a foundation for establishing a clinical research framework for sepsis. A comprehensive search of the PubMed database was conducted with a particular focus on original research and systematic reviews of transcriptomic sepsis studies published between 2012 and 2022. Both coding and non-coding gene expression studies have been included in this review. An effort was made to enhance the understanding of sepsis at the mRNA gene expression level by applying a systems biology approach through transcriptomic analysis. Seven crucial components related to sepsis research were addressed in this study: endotyping (n = 64), biomarker (n = 409), definition (n = 0), diagnosis (n = 1098), progression (n = 124), severity (n = 451), and benchmark (n = 62). These components were classified into two groups, with one focusing on Biomarkers and Endotypes and the other oriented towards clinical aspects. Our review of the selected studies revealed a compelling association between gene transcripts and clinical sepsis, reinforcing the proposed research framework. Nevertheless, challenges have arisen from the lack of consensus in the sepsis terminology employed in research studies and the absence of a comprehensive definition of sepsis. There is a gap in the alignment between the notion of sepsis as a clinical phenomenon and that of laboratory indicators. It is potentially responsible for the variable number of patients within each category. Ideally, future studies should incorporate a transcriptomic perspective. The integration of transcriptomic data with clinical endpoints holds significant potential for advancing sepsis research, facilitating a consensus-driven approach, and enabling the precision management of sepsis.http://www.sciencedirect.com/science/article/pii/S2352914823002654SepsisTranscriptomicsOmicSepsis definitionBiomarkEndotype
spellingShingle Asrar Rashid
Feras Al-Obeidat
Hari Krishnan Kanthimathinathan
Govind Benakatti
Wael Hafez
Raghu Ramaiah
Joe Brierley
Benjamin Hanisch
Praveen Khilnani
Christos Koutentis
Berit S. Brusletto
Mohammed Toufiq
Zain Hussain
Harish Vyas
Zainab A Malik
Maike Schumacher
Rayaz A Malik
Shriprasad Deshpande
Nasir Quraishi
Raziya Kadwa
Amrita Sarpal
M. Guftar Shaikh
Javed Sharief
Syed Ahmed Zaki
Rajesh Phatak
Akash Deep
Ahmed Al-Dubai
Amir Hussain
Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
Informatics in Medicine Unlocked
Sepsis
Transcriptomics
Omic
Sepsis definition
Biomark
Endotype
title Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
title_full Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
title_fullStr Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
title_full_unstemmed Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
title_short Advancing sepsis clinical research: harnessing transcriptomics for an omics-based strategy - a comprehensive scoping review
title_sort advancing sepsis clinical research harnessing transcriptomics for an omics based strategy a comprehensive scoping review
topic Sepsis
Transcriptomics
Omic
Sepsis definition
Biomark
Endotype
url http://www.sciencedirect.com/science/article/pii/S2352914823002654
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