脓毒症异质性是影响其临床疗效和预后的关键因素。多组学技术和整合功能生物学发展促进了机器学习和智能算法在脓毒症异质性内在分子机制的研究，经转录组、蛋白质组、表观遗传组以及外泌体特征谱等多角度分析，提出了脓毒症内表型概念，使脓毒症可以分为临床亚型、代谢亚型、免疫亚型等。脓毒症内表型认知逐步拓展至诊断、危重度评估、临床研究患者筛选、个体化诊疗等多个层面，为脓毒症精准干预带来新思路。 The heterogeneity of sepsis plays critical roles in determining the response of clinical intervention and the outcome of sepsis.Based on the host-response revealed from multiomics,the new idea of the endotype of sepsis was revealed from multiple perspectives,such as transcriptome,proteome,epigenome,and exosome signature spectrum,etc.In recent years,in the field of sepsis endotype,the research of clinical subtype,metabolic subtype,and immune subtype is booming.This concept has gradually penetrated into multiple aspects,including the diagnosis,severity assessment,patients screening for clinical research,and the reference for individualized clinical treatment.It brings a new perspective for clinical individualized treatment of sepsis.
Abstract
The heterogeneity of sepsis plays critical roles in determining the response of clinical intervention and the outcome of sepsis.Based on the host-response revealed from multiomics,the new idea of the endotype of sepsis was revealed from multiple perspectives,such as transcriptome,proteome,epigenome,and exosome signature spectrum,etc.In recent years,in the field of sepsis endotype,the research of clinical subtype,metabolic subtype,and immune subtype is booming.This concept has gradually penetrated into multiple aspects,including the diagnosis,severity assessment,patients screening for clinical research,and the reference for individualized clinical treatment.It brings a new perspective for clinical individualized treatment of sepsis.
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