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ID

45699

Description

Principal Investigator: Ann Falsey, MD, University of Rochester, Rochester, NY, USA MeSH: Respiratory Tract Infections https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs001248 Accurate tests for microbiologic diagnosis of lower respiratory tract infections (LRTI) are needed. Gene expression profiling of whole blood represents a powerful new approach for analysis of the host response during respiratory infection that can be used to supplement pathogen detection testing. Using qPCR, we prospectively validated the differential expression of 10 genes previously shown to discriminate bacterial and non-bacterial LRTI confirming the utility of this approach. In addition, a novel approach using RNAseq analysis identified 141 genes differentially expressed in LRTI subjects with bacterial infection. Using "pathway-informed" dimension reduction, we identified a novel 11 gene set (selected from lymphocyte, α-linoleic acid metabolism, and IGF regulation pathways) and demonstrated a predictive accuracy for bacterial LRTI (nested CV-AUC=0.87). RNAseq represents a new and an unbiased tool to evaluate host gene expression for the diagnosis of LRTI.

Link

dbGaP study = phs001248

Keywords

  1. 5/12/23 5/12/23 - Simon Heim
Copyright Holder

Ann Falsey, MD, University of Rochester, Rochester, NY, USA

Uploaded on

May 12, 2023

DOI

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License

Creative Commons BY 4.0

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    dbGaP phs001248 Gene Array to Predict Bacterial Infection with in Respiratory Illness

    This subject phenotype data table includes the subject's age, sex, and race, predicted pathogen and class, the presence of various diseases or symptoms (n=10 variables; COPD, CHF, diabetes, nasal congestion, cough, sputum, dyspnea, rigors, wheezing, and rales), and measurements for body temperature, systolic BP, saO2, CXR infiltrates, WBC counts, band cell percentage, and BUN.

    pht006094
    Description

    pht006094

    Alias
    UMLS CUI [1,1]
    C3846158
    Unique Identifier
    Description

    ParticipantId

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C2348585
    Predicted pathogen class
    Description

    PathogenClass

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0681842
    UMLS CUI [1,2]
    C0450254
    UMLS CUI [1,3]
    C0456387
    Predicted pathogen
    Description

    FinalMicroDiagnosis

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0681842
    UMLS CUI [1,2]
    C0450254
    Subject age
    Description

    Age

    Data type

    text

    Measurement units
    • years
    Alias
    UMLS CUI [1,1]
    C0001779
    years
    Subject sex
    Description

    Sex

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0079399
    Subject race
    Description

    Race

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0034510
    Presence of chronic obstructive pulmonary disease
    Description

    COPD

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0024117
    Presence of congestive heart failure
    Description

    CHF

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0018802
    Presence of diabetes
    Description

    Diabetes

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0011849
    Presence of congestion
    Description

    NasalCongestion

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0700148
    Presence of coughing in the patient
    Description

    Cough

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0010200
    Presence of sputum
    Description

    Sputum

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0038056
    Presence of dyspnea
    Description

    Dyspnea

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0013404
    Presence of rigors
    Description

    Rigors

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0026837
    Presence of wheezing
    Description

    Wheezing

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0043144
    Presence of rales
    Description

    Rales

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0034642
    Temperature at time of reading
    Description

    Temp

    Data type

    float

    Measurement units
    • celsius
    Alias
    UMLS CUI [1,1]
    C0005903
    UMLS CUI [1,2]
    C1442880
    celsius
    Systolic blood pressure at time of reading
    Description

    SystolicBloodPressure

    Data type

    text

    Measurement units
    • mmHg
    Alias
    UMLS CUI [1,1]
    C0871470
    UMLS CUI [1,2]
    C1442880
    mmHg
    Blood oxygen level
    Description

    OxygenSaturation(saO2)

    Data type

    text

    Measurement units
    • percent
    Alias
    UMLS CUI [1,1]
    C5545241
    percent
    Chest radiograph
    Description

    CXRInfiltrate

    Data type

    text

    Alias
    UMLS CUI [1,1]
    C0039985
    Total white blood cell count
    Description

    WBC

    Data type

    float

    Measurement units
    • x1000 per mcl
    Alias
    UMLS CUI [1,1]
    C0023508
    x1000 per mcl
    Band cell percentage
    Description

    BandsYoungForms

    Data type

    text

    Measurement units
    • percent
    Alias
    UMLS CUI [1,1]
    C1167773
    percent
    Blood urea nitrogen
    Description

    BUN

    Data type

    text

    Measurement units
    • mg/dL
    Alias
    UMLS CUI [1,1]
    C0005845
    mg/dL

    Similar models

    This subject phenotype data table includes the subject's age, sex, and race, predicted pathogen and class, the presence of various diseases or symptoms (n=10 variables; COPD, CHF, diabetes, nasal congestion, cough, sputum, dyspnea, rigors, wheezing, and rales), and measurements for body temperature, systolic BP, saO2, CXR infiltrates, WBC counts, band cell percentage, and BUN.

    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    pht006094
    C3846158 (UMLS CUI [1,1])
    ParticipantId
    Item
    Unique Identifier
    string
    C2348585 (UMLS CUI [1,1])
    PathogenClass
    Item
    Predicted pathogen class
    string
    C0681842 (UMLS CUI [1,1])
    C0450254 (UMLS CUI [1,2])
    C0456387 (UMLS CUI [1,3])
    FinalMicroDiagnosis
    Item
    Predicted pathogen
    string
    C0681842 (UMLS CUI [1,1])
    C0450254 (UMLS CUI [1,2])
    Age
    Item
    Subject age
    text
    C0001779 (UMLS CUI [1,1])
    Sex
    Item
    Subject sex
    string
    C0079399 (UMLS CUI [1,1])
    Race
    Item
    Subject race
    string
    C0034510 (UMLS CUI [1,1])
    Item
    Presence of chronic obstructive pulmonary disease
    text
    C0024117 (UMLS CUI [1,1])
    Code List
    Presence of chronic obstructive pulmonary disease
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of congestive heart failure
    text
    C0018802 (UMLS CUI [1,1])
    Code List
    Presence of congestive heart failure
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of diabetes
    text
    C0011849 (UMLS CUI [1,1])
    Code List
    Presence of diabetes
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of congestion
    text
    C0700148 (UMLS CUI [1,1])
    Code List
    Presence of congestion
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of coughing in the patient
    text
    C0010200 (UMLS CUI [1,1])
    Code List
    Presence of coughing in the patient
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of sputum
    text
    C0038056 (UMLS CUI [1,1])
    Code List
    Presence of sputum
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of dyspnea
    text
    C0013404 (UMLS CUI [1,1])
    Code List
    Presence of dyspnea
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of rigors
    text
    C0026837 (UMLS CUI [1,1])
    Code List
    Presence of rigors
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of wheezing
    text
    C0043144 (UMLS CUI [1,1])
    Code List
    Presence of wheezing
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Item
    Presence of rales
    text
    C0034642 (UMLS CUI [1,1])
    Code List
    Presence of rales
    CL Item
    No (0)
    CL Item
    Yes (1)
    CL Item
    Unknown (2)
    Temp
    Item
    Temperature at time of reading
    float
    C0005903 (UMLS CUI [1,1])
    C1442880 (UMLS CUI [1,2])
    SystolicBloodPressure
    Item
    Systolic blood pressure at time of reading
    text
    C0871470 (UMLS CUI [1,1])
    C1442880 (UMLS CUI [1,2])
    OxygenSaturation(saO2)
    Item
    Blood oxygen level
    text
    C5545241 (UMLS CUI [1,1])
    Item
    Chest radiograph
    text
    C0039985 (UMLS CUI [1,1])
    Code List
    Chest radiograph
    CL Item
    No (0)
    CL Item
    Yes (1)
    WBC
    Item
    Total white blood cell count
    float
    C0023508 (UMLS CUI [1,1])
    BandsYoungForms
    Item
    Band cell percentage
    text
    C1167773 (UMLS CUI [1,1])
    BUN
    Item
    Blood urea nitrogen
    text
    C0005845 (UMLS CUI [1,1])

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