Differential gene expression analysis reveals novel genes and pathways in pediatric septic shock patients

Sci Rep. 2019 Aug 2;9(1):11270. doi: 10.1038/s41598-019-47703-6.


Septic shock is a devastating health condition caused by uncontrolled sepsis. Advancements in high-throughput sequencing techniques have increased the number of potential genetic biomarkers under review. Multiple genetic markers and functional pathways play a part in development and progression of pediatric septic shock. We identified 53 differentially expressed pediatric septic shock biomarkers using gene expression data sampled from 181 patients admitted to the pediatric intensive care unit within the first 24 hours of their admission. The gene expression signatures showed discriminatory power between pediatric septic shock survivors and nonsurvivor types. Using functional enrichment analysis of differentially expressed genes, we validated the known genes and pathways in septic shock and identified the unexplored septic shock-related genes and functional groups. Differential gene expression analysis revealed the genes involved in the immune response, chemokine-mediated signaling, neutrophil chemotaxis, and chemokine activity and distinguished the septic shock survivor from non-survivor. The identification of the septic shock gene biomarkers may facilitate in septic shock diagnosis, treatment, and prognosis.

MeSH terms

  • Biomarkers / analysis
  • Child
  • Child, Preschool
  • Cohort Studies
  • Down-Regulation / immunology
  • Female
  • Gene Expression Profiling
  • Humans
  • Infant
  • Infant, Newborn
  • Intensive Care Units, Pediatric / statistics & numerical data
  • Male
  • Prognosis
  • Shock, Septic / diagnosis*
  • Shock, Septic / genetics
  • Shock, Septic / immunology
  • Shock, Septic / mortality
  • Transcriptome / genetics*
  • Up-Regulation / immunology


  • Biomarkers