Clinical Correlations of Transcriptional Profile in Patients Infected With Avian Influenza H7N9 Virus
Avian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%. Transcriptional profiles in peripheral blood reflect host responses and can help to elucidate disease pathogenesis. We correlated serial blood transcriptomic profi...
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Published in | The Journal of infectious diseases Vol. 218; no. 8; pp. 1238 - 1248 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Oxford University Press
08.09.2018
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Abstract | Avian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%. Transcriptional profiles in peripheral blood reflect host responses and can help to elucidate disease pathogenesis.
We correlated serial blood transcriptomic profiles of patients with avian influenza A (H7N9) virus infection and determined the biological significances from the analysis.
We found that specific gene expression profiles in the blood were strongly correlated with the Pao 2/Fio 2 ratio and viral load in the lower respiratory tract. Cell cycle and leukocyte-related immunity were activated at the acute stage of the infection while T-cell functions and various metabolic processes were associated with the recovery phase of the illness. A transition from systemic innate to adaptive immunity was found.
We developed a novel approach for transcriptomic analysis to identify key host responses that were strongly correlated with specific clinical and virologic parameters in patients with H7N9 infection. |
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AbstractList | BackgroundAvian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%. Transcriptional profiles in peripheral blood reflect host responses and can help to elucidate disease pathogenesis. MethodsWe correlated serial blood transcriptomic profiles of patients with avian influenza A (H7N9) virus infection and determined the biological significances from the analysis. ResultsWe found that specific gene expression profiles in the blood were strongly correlated with the Pao 2/Fio 2 ratio and viral load in the lower respiratory tract. Cell cycle and leukocyte-related immunity were activated at the acute stage of the infection while T-cell functions and various metabolic processes were associated with the recovery phase of the illness. A transition from systemic innate to adaptive immunity was found. ConclusionsWe developed a novel approach for transcriptomic analysis to identify key host responses that were strongly correlated with specific clinical and virologic parameters in patients with H7N9 infection. Avian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%. Transcriptional profiles in peripheral blood reflect host responses and can help to elucidate disease pathogenesis. We correlated serial blood transcriptomic profiles of patients with avian influenza A (H7N9) virus infection and determined the biological significances from the analysis. We found that specific gene expression profiles in the blood were strongly correlated with the Pao 2/Fio 2 ratio and viral load in the lower respiratory tract. Cell cycle and leukocyte-related immunity were activated at the acute stage of the infection while T-cell functions and various metabolic processes were associated with the recovery phase of the illness. A transition from systemic innate to adaptive immunity was found. We developed a novel approach for transcriptomic analysis to identify key host responses that were strongly correlated with specific clinical and virologic parameters in patients with H7N9 infection. This study correlated serial blood transcriptomic profiles of patients with avian influenza A (H7N9) virus infection with clinical data of patients. Biologically significant transcriptomic profiles associated with blood oxygenation and viral load in the lower respiratory tract were defined. |
Author | Lee, Horace H Y Li, Yimin Wilson, Ian A Jiang, Wenxin Peiris, Malik Mok, Chris K P Zhong, Nanshan Shen, Lihan Chen, Rongchang Wu, Douglas C Yang, Zifeng Guan, Wenda Wu, Nicholas C |
AuthorAffiliation | 6 Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California 1 State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University 2 Hong Kong University-Pasteur Research Pole, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong 3 Department of Emergency and Critical Care Medicine, Guangdong General Hospital, Guangdong Academy of Medical Sciences 5 Department of Integrative Structural and Computational Biology 7 Institute for Cellular and Molecular Biology, University of Texas at Austin 4 Dongguan People’s Hospital, China |
AuthorAffiliation_xml | – name: 3 Department of Emergency and Critical Care Medicine, Guangdong General Hospital, Guangdong Academy of Medical Sciences – name: 7 Institute for Cellular and Molecular Biology, University of Texas at Austin – name: 4 Dongguan People’s Hospital, China – name: 5 Department of Integrative Structural and Computational Biology – name: 6 Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California – name: 1 State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – name: 2 Hong Kong University-Pasteur Research Pole, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong |
Author_xml | – sequence: 1 givenname: Wenda surname: Guan fullname: Guan, Wenda organization: State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – sequence: 2 givenname: Zifeng surname: Yang fullname: Yang, Zifeng organization: State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – sequence: 3 givenname: Nicholas C surname: Wu fullname: Wu, Nicholas C organization: Department of Integrative Structural and Computational Biology – sequence: 4 givenname: Horace H Y surname: Lee fullname: Lee, Horace H Y organization: Hong Kong University-Pasteur Research Pole, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 5 givenname: Yimin surname: Li fullname: Li, Yimin organization: State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – sequence: 6 givenname: Wenxin surname: Jiang fullname: Jiang, Wenxin organization: Department of Emergency and Critical Care Medicine, Guangdong General Hospital, Guangdong Academy of Medical Sciences – sequence: 7 givenname: Lihan surname: Shen fullname: Shen, Lihan organization: Dongguan People's Hospital, China – sequence: 8 givenname: Douglas C surname: Wu fullname: Wu, Douglas C organization: Institute for Cellular and Molecular Biology, University of Texas at Austin – sequence: 9 givenname: Rongchang surname: Chen fullname: Chen, Rongchang organization: State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – sequence: 10 givenname: Nanshan surname: Zhong fullname: Zhong, Nanshan organization: State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University – sequence: 11 givenname: Ian A surname: Wilson fullname: Wilson, Ian A organization: Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California – sequence: 12 givenname: Malik surname: Peiris fullname: Peiris, Malik organization: Hong Kong University-Pasteur Research Pole, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong – sequence: 13 givenname: Chris K P surname: Mok fullname: Mok, Chris K P organization: Hong Kong University-Pasteur Research Pole, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong |
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CitedBy_id | crossref_primary_10_1038_s41579_021_00542_7 crossref_primary_10_1038_s41467_020_17834_w crossref_primary_10_3390_v16020201 crossref_primary_10_3390_pathogens13010035 crossref_primary_10_4049_jimmunol_1801070 crossref_primary_10_1080_21505594_2023_2223057 crossref_primary_10_3390_vaccines11030593 crossref_primary_10_1007_s00134_019_05582_5 crossref_primary_10_3389_fimmu_2021_741837 crossref_primary_10_3389_fvets_2020_603584 |
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Snippet | Avian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%. Transcriptional... BackgroundAvian influenza A (H7N9) viruses emerged in China in 2013 and caused zoonotic disease associated with a case-fatality ratio of over 30%.... This study correlated serial blood transcriptomic profiles of patients with avian influenza A (H7N9) virus infection with clinical data of patients.... |
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SubjectTerms | Case-Control Studies Gene Expression Regulation, Viral - immunology Humans Immunity, Cellular - genetics Immunity, Cellular - physiology Influenza A Virus, H7N9 Subtype Influenza, Human - metabolism Influenza, Human - virology Leukocytes - metabolism Lung Major and Brief Reports T-Lymphocytes - metabolism Transcriptome Viral Load |
Title | Clinical Correlations of Transcriptional Profile in Patients Infected With Avian Influenza H7N9 Virus |
URI | https://www.ncbi.nlm.nih.gov/pubmed/29846612 https://search.proquest.com/docview/2047260042 https://pubmed.ncbi.nlm.nih.gov/PMC6129114 |
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