Profiling the dysregulated immune response in sepsis: overcoming challenges to achieve the goal of precision medicine

S Cajander, M Kox, BP Scicluna… - The Lancet …, 2024 - thelancet.com
Sepsis is characterised by a dysregulated host immune response to infection. Despite
recognition of its significance, immune status monitoring is not implemented in clinical …

Sepsis and septic shock

RS Hotchkiss, LL Moldawer, SM Opal… - Nature reviews Disease …, 2016 - nature.com
For more than two decades, sepsis was defined as a microbial infection that produces fever
(or hypothermia), tachycardia, tachypnoea and blood leukocyte changes. Sepsis is now …

An immune-cell signature of bacterial sepsis

M Reyes, MR Filbin, RP Bhattacharyya, K Billman… - Nature medicine, 2020 - nature.com
Dysregulation of the immune response to bacterial infection can lead to sepsis, a condition
with high mortality. Multiple whole-blood gene-expression studies have defined sepsis …

Classification of patients with sepsis according to blood genomic endotype: a prospective cohort study

BP Scicluna, LA Van Vught, AH Zwinderman… - The Lancet …, 2017 - thelancet.com
Background Host responses during sepsis are highly heterogeneous, which hampers the
identification of patients at high risk of mortality and their selection for targeted therapies. In …

Development and validation of novel sepsis subphenotypes using trajectories of vital signs

SV Bhavani, M Semler, ET Qian, PA Verhoef… - Intensive Care …, 2022 - Springer
Purpose Sepsis is a heterogeneous syndrome and identification of sub-phenotypes is
essential. This study used trajectories of vital signs to develop and validate sub-phenotypes …

Genome-wide expression for diagnosis of pulmonary tuberculosis: a multicohort analysis

TE Sweeney, L Braviak, CM Tato… - The Lancet Respiratory …, 2016 - thelancet.com
Background Active pulmonary tuberculosis is difficult to diagnose and treatment response is
difficult to effectively monitor. A WHO consensus statement has called for new non-sputum …

Unsupervised analysis of transcriptomics in bacterial sepsis across multiple datasets reveals three robust clusters

TE Sweeney, TD Azad, M Donato… - Critical care …, 2018 - journals.lww.com
Objectives: To find and validate generalizable sepsis subtypes using data-driven clustering.
Design: We used advanced informatics techniques to pool data from 14 bacterial sepsis …

Metagenomics for neurological infections—expanding our imagination

PS Ramachandran, MR Wilson - Nature Reviews Neurology, 2020 - nature.com
Over the past two decades, the diagnosis rate for patients with encephalitis has remained
poor despite advances in pathogen-specific testing such as PCR and antigen assays …

Antibiotic failure: Beyond antimicrobial resistance

C de la Fuente-Nunez, A Cesaro… - Drug Resistance Updates, 2023 - Elsevier
Despite significant progress in antibiotic discovery, millions of lives are lost annually to
infections. Surprisingly, the failure of antimicrobial treatments to effectively eliminate …

The clinical challenge of sepsis identification and monitoring

JL Vincent - PLoS medicine, 2016 - journals.plos.org
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