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Clinical

Gene expression patterns in blood leukocytes discriminate patients with acute infections - GSE6269 - GPL96

Purpose

Each infectious agent represents a unique combination of pathogen-associated molecular patterns that interact with specific pattern-recognition receptors expressed on immune cells. Therefore, we surmised that the blood immune cells of individuals with different infections might bear discriminative transcriptional signatures. Gene expression profiles were obtained for 131 peripheral blood samples from pediatric patients with acute infections caused by influenza A virus, Gram-negative (Escherichia coli) or Gram-positive (Staphylococcus aureus and Streptococcus pneumoniae) bacteria. Thirty-five genes were identified that best discriminate patients with influenza A virus infection from patients with either E coli or S pneumoniae infection. These genes classified with 95% accuracy (35 of 37 samples) an independent set of patients with either influenza A, E coli, or S pneumoniae infection. A different signature discriminated patients with E coli versus S aureus infections with 85% accuracy (34 of 40). Furthermore, distinctive gene expression patterns were observed in patients presenting with respiratory infections of different etiologies. Thus, microarray analyses of patient peripheral blood leukocytes might assist in the differential diagnosis of infectious diseases.

Hypothesis

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Experimental Design

Entire study included 144 samples. Only 143 are included in this series because the CHP/CEL file was not available for sample PBMC_Healthy_INF295.

Experimental Variables

Blood infection due to Influenza A virus (2021 ICD-10-CM code* = J10)

Escherichia coli (2021 ICD-10-CM code* = B96.20)

Staphylococcus aureus (2021 ICD-10-CM code* = B95.8)

Streptococcus pneumoniae (2021 ICD-10-CM code* = B95.3)

Sepsis (2021 ICD-10-CM code* = A41)

Controls

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Methods

The data were analyzed with Microarray Suite version 5.0 (MAS 5.0) using Affymetrix default analysis settings and global scaling as normalization method. The trimmed mean target intensity of each array was arbitrarily set to 500.

Additional Information

https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE6269

Microarray
Affymetrix HG-U133A
97 Samples Loaded: 97
Human (Homo sapiens)
PBMC
Blood infection due to Influenza A virus, Escherichia coli, Staphylococcus aureus, Streptococcus pneumoniae
RNeasy mini
Sample Set Spreadsheet
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Samples Preview
Sample ID !Sample Title Gender Illness race treatment
GSM173178 PBMC_S.aureus_MSSA_INF005 M Osteomyelitis Hispanic Cefazolin
GSM173179 PBMC_S.pneumoniae_INF009 M Abscess Caucasian Cefazolin
GSM173180 PBMC_E.coli_INF012 M Bacteremia Black Ceftriaxone
GSM173181 PBMC_E.coli_INF013 F UTI Caucasian Ceftriaxone
GSM173182 PBMC_S.aureus_MRSA_INF024 M Osteomyelitis Black Vancomycin/Rifampin
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sampleset4000198_sampleannotations (1).csv
Sample Set Spreadsheet
sampleset4000198_sampleannotations.csv
Sample Set Spreadsheet
sampleset4000198_sampleannotations.csv
Sample Set Spreadsheet
sampleset4000198_sampleannotations.csv
Sample Set Spreadsheet
sampleset4000198_sampleannotations_v1.csv
Sample Set Spreadsheet
Raw Signal
Raw Signal
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Sample ID !Sample Title Gender Illness Race Treatment Grouping Pathogen Illness V1 Age V1 (months)
GSM173178
PBMC_S.aureus_MSSA_INF005
M
Osteomyelitis
Hispanic
Cefazolin
S. aureus
S. aureus, MSSA
Non Bacteremia
120
GSM173179
PBMC_S.pneumoniae_INF009
M
Abscess
Caucasian
Cefazolin
S. pneumoniae
S. pneumoniae
Non Bacteremia
4
GSM173180
PBMC_E.coli_INF012
M
Bacteremia
Black
Ceftriaxone
E. coli
E. coli
Bacteremia
5
GSM173181
PBMC_E.coli_INF013
F
UTI
Caucasian
Ceftriaxone
E. coli
E. coli
Non Bacteremia
5
GSM173182
PBMC_S.aureus_MRSA_INF024
M
Osteomyelitis
Black
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Non Bacteremia
36
GSM173183
PBMC_S.pneumoniae_INF025
M
Meningitis
Hispanic
Ampicillin/Ceftriaxone
S. pneumoniae
S. pneumoniae
Non Bacteremia
2
GSM173184
PBMC_S.aureus_MRSA_INF030
M
Bacteremia
Black
Vancomycin
S. aureus
S. aureus, MRSA
Bacteremia
180
GSM173185
PBMC_E.coli_INF031
F
UTI
Hispanic
Gentamicin
E. coli
E. coli
Non Bacteremia
3
GSM173186
PBMC_E.coli_INF034
F
Pyelonephritis
Caucasian
Gentamicin
E. coli
E. coli
Non Bacteremia
192
GSM173187
PBMC_S.aureus_MSSA_INF040
M
Osteomyelitis/bacteremia
Caucasian
Cefazolin
S. aureus
S. aureus, MSSA
Bacteremia
144
GSM173188
PBMC_S.pneumoniae_INF041
F
Pneumonia/Empyema
Caucasian
Ceftriaxone
S. pneumoniae
S. pneumoniae
Non Bacteremia
23
GSM173189
PBMC_S.aureus_MRSA_INF043
M
Hip abscess/bacteremia
Black
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
84
GSM173190
PBMC_E.coli_INF048
M
UTI
Caucasian
Ampicillin/ceftriaxone
E. coli
E. coli
Non Bacteremia
2
GSM173191
PBMC_InfluenzaA_INF055
M
Resp distress
Hispanic
Cefuroxime
Influenza
Influenza A
Non Bacteremia
11
GSM173192
PBMC_E.coli_INF057
F
UTI/bacteremia
Black
Gentamicin
E. coli
E. coli
Bacteremia
3
GSM173193
PBMC_S.aureus_MRSA_INF062
M
Osteomyelitis
Caucasian
Clindamycin
S. aureus
S. aureus, MRSA
Non Bacteremia
24
GSM173194
PBMC_S.pneumoniae_INF064
F
Meningitis/Bacteremia
Caucasian
Vancomycin/Ceftriaxone
S. pneumoniae
S. pneumoniae
Bacteremia
10
GSM173195
PBMC_S.aureus_MRSA_INF066
F
Pneumonia
Black
Vancomycin/Gentamicin
S. aureus
S. aureus, MRSA
Non Bacteremia
3
GSM173196
PBMC_S.aureus_MRSA_INF067
F
Osteomyelitis/bacteremia
Caucasian
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
84
GSM173197
PBMC_S.aureus_MSSA_INF069
M
Lung abscess
Hispanic
Vancomycin/Cefazolin
S. aureus
S. aureus, MSSA
Non Bacteremia
9
GSM173198
PBMC_S.aureus_MRSA_INF070
F
Abscess
Caucasian
Vancomycin
S. aureus
S. aureus, MRSA
Non Bacteremia
15
GSM173199
PBMC_E.coli_INF074
F
UTI/bacteremia
Hispanic
Ceftriaxone
E. coli
E. coli
Bacteremia
4
GSM173200
PBMC_E.coli_INF082
M
UTI
Hispanic
Ampicillin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
2
GSM173201
PBMC_S.aureus_MSSA_INF084
F
Abcess
Black
Cefazolin
S. aureus
S. aureus, MSSA
Non Bacteremia
216
GSM173202
PBMC_E.coli_INF086
M
UTI
Hispanic
Ceftriaxone
E. coli
E. coli
Non Bacteremia
3
GSM173203
PBMC_InfluenzaA_INF087
F
Fever
Caucasian
Cefuroxime
Influenza
Influenza A
Non Bacteremia
19
GSM173204
PBMC_S.aureus_MRSA_INF088
M
Osteomyelitis/bacteremia
Hispanic
Vancomycin
S. aureus
S. aureus, MRSA
Bacteremia
11
GSM173205
PBMC_S.aureus_MRSA_INF089
F
Abcess
Black
Clindamycin
S. aureus
S. aureus, MRSA
Non Bacteremia
4
GSM173206
PBMC_S.aureus_MSSA_INF090
M
Septic arthiritis/bacteremia
Black
Oxacillin
S. aureus
S. aureus, MSSA
Bacteremia
8
GSM173207
PBMC_InfluenzaA_INF092
F
Fever
Hispanic
Ampicillin/Ceftriaxone
Influenza
Influenza A
Non Bacteremia
1
GSM173208
PBMC_InfluenzaA_INF095
M
Fever
Hispanic
None
Influenza
Influenza A
Non Bacteremia
48
GSM173209
PBMC_S.pneumoniae_INF096
M
Pneumonia/Empyema
Hispanic
Ceftriaxone/Azithromycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
16
GSM173211
PBMC_InfluenzaA_INF101
M
Fever
Hispanic
Cefuroxime/Oseltamivir
Influenza
Influenza A
Non Bacteremia
4
GSM173212
PBMC_InfluenzaA_INF104
M
Fever
Hispanic
Ceftriaxone
Influenza
Influenza A
Non Bacteremia
17
GSM173213
PBMC_InfluenzaA_INF105
F
Fever
Hispanic
Ceftriaxone/Acyclovir/Oseltamivir
Influenza
Influenza A
Non Bacteremia
48
GSM173214
PBMC_InfluenzaA_INF107
M
Fever
Asian
Ampicillin/Ceftriaxone
Influenza
Influenza A
Non Bacteremia
1.5
GSM173215
PBMC_InfluenzaA_INF108
M
Fever
Hispanic
Ceftriaxone
Influenza
Influenza A
Non Bacteremia
5
GSM173216
PBMC_InfluenzaA_INF112
M
Fever
Hispanic
Ampicillin/Gentamicin
Influenza
Influenza A
Non Bacteremia
1
GSM173217
PBMC_S.pneumoniae_INF113
F
Septic arthritis
Hispanic
Ceftriaxone/Clindamycin
S. pneumoniae
S. pneumoniae
Bacteremia
7
GSM173218
PBMC_InfluenzaA_INF114
F
Fever
Black
Cefuroxime/Oseltamivir
Influenza
Influenza A
Non Bacteremia
18
GSM173219
PBMC_InfluenzaA_INF115
M
Seizures
Caucasian
Amoxicillin
Influenza
Influenza A
Non Bacteremia
20
GSM173220
PBMC_InfluenzaA_INF116
M
Fever
Caucasian
Cefuroxime/Clindamycin
Influenza
Influenza A
Non Bacteremia
24
GSM173221
PBMC_InfluenzaA_INF117
F
Fever
Caucasian
None
Influenza
Influenza A
Non Bacteremia
288
GSM173222
PBMC_E.coli_INF118
M
UTI
Caucasian
Gentamicin/Ampicillin
E. coli
E. coli
Non Bacteremia
1.5
GSM173223
PBMC_E.coli_INF120
M
UTI
Hispanic
Ampicillin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
1.5
GSM173224
PBMC_InfluenzaA_INF128
F
Fever
Hispanic
Cefuroxime
Influenza
Influenza A
Non Bacteremia
11
GSM173225
PBMC_Healthy_INF12N
M
Healthy
Caucasian
 
Healthy
None
Healthy
22
GSM173226
PBMC_InfluenzaA_INF132
M
Resp distress
Caucasian
Oxacillin/Tobramycin
Influenza
Influenza A
Non Bacteremia
6
GSM173227
PBMC_E.coli_INF133
M
UTI
Hispanic
Ceftriaxone
E. coli
E. coli
Non Bacteremia
2
GSM173228
PBMC_E.coli_INF139
M
UTI
Hispanic
Ampicillin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
1
GSM173229
PBMC_E.coli_INF148
F
UTI
Hispanic
Ceftriaxone
E. coli
E. coli
Non Bacteremia
96
GSM173230
PBMC_S.aureus_MRSA_INF150
F
Osteomyelitis/bacteremia
Black
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
108
GSM173231
PBMC_E.coli_INF151
M
UTI
Hispanic
Gentamicin/Ampicillin
E. coli
E. coli
Non Bacteremia
1.5
GSM173232
PBMC_E.coli_INF152
M
Bactermia
Black
Ceftriaxone/Gentamicin
E. coli
E. coli
Bacteremia
2.5
GSM173233
PBMC_E.coli_INF154
M
UTI
Hispanic
Ceftriaxone
E. coli
E. coli
Non Bacteremia
2
GSM173234
PBMC_S.pneumoniae_INF155
M
Meningitis
Hispanic
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
3
GSM173235
PBMC_E.coli_INF161
M
UTI
Hispanic
Ampicillin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
1.7
GSM173236
PBMC_E.coli_INF168
F
UTI
Caucasian
Ceftriaxone
E. coli
E. coli
Non Bacteremia
3
GSM173237
PBMC_E.coli_INF171
F
UTI
Hispanic
Ceftriaxone
E. coli
E. coli
Non Bacteremia
3
GSM173238
PBMC_E.coli_INF175
F
UTI/bacteremia
Hispanic
Ceftriaxone
E. coli
E. coli
Bacteremia
0.5
GSM173239
PBMC_S.aureus_MSSA_INF179
M
Endocarditis/bacteremia
Caucasian
Oxacillin/Gentamicin/Rifampin
S. aureus
S. aureus, MSSA
Bacteremia
144
GSM173240
PBMC_E.coli_INF180
M
UTI/bacteremia
Hispanic
Gentamicin/Ampicillin
E. coli
E. coli
Bacteremia
1
GSM173241
PBMC_E.coli_INF183
M
UTI
Hispanic
Ampicillin/Gentamicin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
1.5
GSM173242
PBMC_E.coli_INF184
F
UTI/bacteremia
Caucasian
Gentamicin/Ampicillin
E. coli
E. coli
Bacteremia
0.5
GSM173243
PBMC_E.coli_INF188
M
UTI
Caucasian
Ampicillin/Gentamicin/Ceftriaxone
E. coli
E. coli
Non Bacteremia
1.5
GSM173244
PBMC_E.coli_INF197
M
UTI
Caucasian
Gentamicin/Ampicillin
E. coli
E. coli
Non Bacteremia
1.25
GSM173245
PBMC_Healthy_INF19N
M
Healthy
Hispanic
 
Healthy
None
Healthy
4
GSM173246
PBMC_Healthy_INF204
M
Healthy
Caucasian
 
Healthy
None
Healthy
24
GSM173247
PBMC_S.aureus_MRSA_INF205
M
Pneumonia/Bacteremia
Hispanic
Vancomycin
S. aureus
S. aureus, MRSA
Bacteremia
84
GSM173248
PBMC_S.aureus_MSSA_INF206
F
Abscess
Hispanic
Clindamycin
S. aureus
S. aureus, MSSA
Non Bacteremia
12
GSM173249
PBMC_S.aureus_MRSA_INF208
F
Osteomyelitis/bacteremia/Pneumonia
Caucasian
Vancomycin/Clindamycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
120
GSM173250
PBMC_Healthy_INF20N
M
Healthy
Hispanic
 
Healthy
None
Healthy
11
GSM173251
PBMC_S.aureus_MRSA_INF216
F
Osteomyelitis/bacteremia
Hispanic
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
120
GSM173252
PBMC_E.coli_INF219
F
UTI/bacteremia
Caucasian
Ceftriaxone
E. coli
E. coli
Bacteremia
5
GSM173253
PBMC_S.aureus_MSSA_INF220
M
Osteomyelitis/bacteremia
Hispanic
Cefazolin/Rifampin
S. aureus
S. aureus, MSSA
Bacteremia
132
GSM173254
PBMC_S.aureus_MRSA_INF221
F
Osteomyelitis/bacteremia
Black
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
72
GSM173255
PBMC_E.coli_INF222
F
UTI/bacteremia
Hispanic
Ceftriaxone/Gentamicin
E. coli
E. coli
Bacteremia
3
GSM173256
PBMC_S.aureus_MSSA_INF224
M
Osteomyelitis/bacteremia
Caucasian
Oxacillin/Rifampin
S. aureus
S. aureus, MSSA
Bacteremia
120
GSM173257
PBMC_E.coli_INF229
F
UTI/bacteremia
Hispanic
Ceftriaxone
E. coli
E. coli
Bacteremia
4
GSM173258
PBMC_S.aureus_MRSA_INF241
F
Pneumonia/Bacteremia
Black
Vancomycin/Rifampin
S. aureus
S. aureus, MRSA
Bacteremia
11
GSM173259
PBMC_S.aureus_MRSA_INF242
M
Pneumonia/Bacteremia
Black
Clindamycin
S. aureus
S. aureus, MRSA
Bacteremia
13
GSM173260
PBMC_S.aureus_MSSA_INF258
F
Osteomyelitis/bacteremia
Caucasian
Cefazolin
S. aureus
S. aureus, MSSA
Bacteremia
96
GSM173261
PBMC_InfluenzaA_INF259
F
Pneumonia
Hispanic
None
Influenza
Influenza A
Non Bacteremia
3
GSM173262
PBMC_Healthy_INF25N
F
Healthy
Hispanic
 
Healthy
None
Healthy
11
GSM173263
PBMC_S.pneumoniae_INF261
M
Meningitis
Caucasian
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
156
GSM173264
PBMC_S.aureus_MRSA_INF262
M
Skin/Soft Tissue Abscess/Bacteremia
Hispanic
Clindamycin
S. aureus
S. aureus, MRSA
Bacteremia
156
GSM173265
PBMC_S.aureus_MSSA_INF264
M
Suppurative arthritis
Black
Vancomycin/Cefazolin/Gentamicin
S. aureus
S. aureus, MSSA
Non Bacteremia
156
GSM173267
PBMC_S.pneumoniae_INF265_j7657238
F
Pneumonia/Empyema
Caucasian
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
24
GSM173268
PBMC_InfluenzaA_INF266
F
Fever
Caucasian
None
Influenza
Influenza A
Non Bacteremia
432
GSM173270
PBMC_S.pneumoniae_INF268_j5294684
M
Pneumonia/Empyema
Hispanic
Ceftriaxone/Clindamycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
36
GSM173271
PBMC_S.aureus_MSSA_INF271
M
Osteomyelitis
Black
Clindamycin
S. aureus
S. aureus, MSSA
Non Bacteremia
156
GSM173273
PBMC_S.pneumoniae_INF277_j4695042
M
Pneumonia/Empyema
Caucasian
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
192
GSM173274
PBMC_Healthy_INF27N
M
Healthy
Caucasian
 
Healthy
None
Healthy
10
GSM173275
PBMC_S.aureus_MRSA_INF281
F
Osteomyelitis
Caucasian
Clindamycin
S. aureus
S. aureus, MRSA
Non Bacteremia
36
GSM173277
PBMC_S.pneumoniae_INF287_j8790090
F
Pneumonia/Bacteremia
Caucasian
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Bacteremia
36
GSM173280
PBMC_S.pneumoniae_INF289_j6962833
M
Pneumonia/Empyema
Hispanic
Ceftriaxone/Vancomycin
S. pneumoniae
S. pneumoniae
Non Bacteremia
24
GSM173284
PBMC_S.aureus_MRSA_INF315
F
Cellulitis
Hispanic
Vancomycin
S. aureus
S. aureus, MRSA
Non Bacteremia
36

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