Host immune transcriptional profiles reflect the variability in clinical disease manifestations in patients with Staphylococcus aureus infections

Staphylococcus aureus infections are associated with diverse clinical manifestations leading to significant morbidity and mortality. To define the role of the host response in the clinical manifestations of the disease, we characterized whole blood transcriptional profiles of children hospitalized w...

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Veröffentlicht in:PloS one 2012-04, Vol.7 (4), p.e34390-e34390
Hauptverfasser: Banchereau, Romain, Jordan-Villegas, Alejandro, Ardura, Monica, Mejias, Asuncion, Baldwin, Nicole, Xu, Hui, Saye, Elizabeth, Rossello-Urgell, Jose, Nguyen, Phuong, Blankenship, Derek, Creech, Clarence B, Pascual, Virginia, Banchereau, Jacques, Chaussabel, Damien, Ramilo, Octavio
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container_title PloS one
container_volume 7
creator Banchereau, Romain
Jordan-Villegas, Alejandro
Ardura, Monica
Mejias, Asuncion
Baldwin, Nicole
Xu, Hui
Saye, Elizabeth
Rossello-Urgell, Jose
Nguyen, Phuong
Blankenship, Derek
Creech, Clarence B
Pascual, Virginia
Banchereau, Jacques
Chaussabel, Damien
Ramilo, Octavio
description Staphylococcus aureus infections are associated with diverse clinical manifestations leading to significant morbidity and mortality. To define the role of the host response in the clinical manifestations of the disease, we characterized whole blood transcriptional profiles of children hospitalized with community-acquired S. aureus infection and phenotyped the bacterial strains isolated. The overall transcriptional response to S. aureus infection was characterized by over-expression of innate immunity and hematopoiesis related genes and under-expression of genes related to adaptive immunity. We assessed individual profiles using modular fingerprints combined with the molecular distance to health (MDTH), a numerical score of transcriptional perturbation as compared to healthy controls. We observed significant heterogeneity in the host signatures and MDTH, as they were influenced by the type of clinical presentation, the extent of bacterial dissemination, and time of blood sampling in the course of the infection, but not by the bacterial isolate. System analysis approaches provide a new understanding of disease pathogenesis and the relation/interaction between host response and clinical disease manifestations.
doi_str_mv 10.1371/journal.pone.0034390
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subjects Adaptive immunity
Adaptive Immunity - genetics
Adolescent
B cells
Bacteria
Bacterial infections
Biology
Biomarkers - metabolism
Blood
Blood Proteins - analysis
Blood tests
Care and treatment
Case-Control Studies
Child
Child, Preschool
Children
Children & youth
Community-Acquired Infections - immunology
Cytokines
Dendritic cells
Female
Gene expression
Gene Expression Profiling
Genes
Genetic aspects
Hematopoiesis
Hemopoiesis
Hospitals
Host-Pathogen Interactions - immunology
Humans
Immunity
Immunity, Innate - genetics
Immunology
Infant
Infection
Infections
Infectious diseases
Inflammatory bowel disease
Innate immunity
Male
Medicine
Morbidity
Mortality
Neutrophils
Oligonucleotide Array Sequence Analysis
Overexpression
Pathogenesis
Pediatrics
Perturbation methods
Sampling
Staphylococcal infections
Staphylococcal Infections - genetics
Staphylococcal Infections - immunology
Staphylococcal Infections - microbiology
Staphylococcus aureus
Staphylococcus aureus - genetics
Staphylococcus aureus - immunology
Staphylococcus aureus - isolation & purification
Staphylococcus infections
Systems analysis
Thrombosis
Transcription
Transcription (Genetics)
title Host immune transcriptional profiles reflect the variability in clinical disease manifestations in patients with Staphylococcus aureus infections
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