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Peer-reviewedCC BY 4.0Frontiers in Immunology

Integrated transcriptomic and metabolomic analyses identify key metabolites and genes in sepsis-associated acute lung injury

  1. 1Medical Inspection Center, The Second Hospital Affiliated to Liaoning University of Traditional Chinese Medicine
  2. 2Pharmacological Laboratory, Liaoning Provincial Academy of Traditional Chinese Medicine
  3. 3Animal Experimental Center, Liaoning Provincial Academy of Traditional Chinese Medicine

Abstract

Introduction: Sepsis-associated acute lung injury (SALI) is a life-threatening pulmonary complication of sepsis with high mortality. This study aimed to prioritize serum metabolites and genes potentially involved in SALI by integrating multi-omics datasets.

Methods: A rat SALI model treated with Xuanbai Chengqi Decoction (XCD) was subjected to untargeted serum metabolomics. Bulk and single-cell RNA-seq datasets were retrieved from GEO, and metabolite-related GWAS statistics were obtained from IEU OpenGWAS. scPagwas mapped metabolite genetic signals to cell populations; hdWGCNA identified cell signature genes. Candidate genes were filtered by overlapping bulk DEGs, ten machine-learning models and expression validation. Functional enrichment, immune infiltration, cell -cell communication, pseudotime and scTenifoldKnk virtual knockdown analyses were performed.

Results: Oleoylcarnitine showed the strongest genetic association with T cells. Cross-platform integration prioritized GIMAP4 and RCBTB2 as hub genes, with WBP2 retained for further validation. Their expression correlated with altered immune infiltration, especially eosinophils, and the three-gene profiles shared 62 biological processes. SALI exhibited increased number and strength of cell interactions compared with isolated sepsis. Five T-cell subsets were identified, and virtual knockdown of hub genes modified regulation of eight DEGs.

Discussion: Oleoylcarnitine-associated metabolic changes are correlated with T-cell dysregulation mediated by GIMAP4, RCBTB2, and WBP2 in SALI. These findings are descriptive, and further experiments are required to establish causal relationships.

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BibTeX
@article{huang2026integrated,
  title = {{Integrated transcriptomic and metabolomic analyses identify key metabolites and genes in sepsis-associated acute lung injury}},
  author = {He Huang and Lei Zhao and He Chen and Ling Sui and Jinghe Zhu and Xiaonan Fang and Pengzhuo Li and He Liu and Xiaolin Wu and Decheng Wang},
  journal = {Frontiers in Immunology},
  year = {2026},
  month = oct,
  doi = {10.3389/fimmu.2026.1959223},
  url = {https://www.frontiersin.org/articles/10.3389/fimmu.2026.1959223/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Integrated transcriptomic and metabolomic analyses identify key metabolites and genes in sepsis-associated acute lung injury
AU  - He Huang
AU  - Lei Zhao
AU  - He Chen
AU  - Ling Sui
AU  - Jinghe Zhu
AU  - Xiaonan Fang
AU  - Pengzhuo Li
AU  - He Liu
AU  - Xiaolin Wu
AU  - Decheng Wang
PY  - 2026
DA  - 2026/10/19
JO  - Frontiers in Immunology
DO  - 10.3389/fimmu.2026.1959223
UR  - https://www.frontiersin.org/articles/10.3389/fimmu.2026.1959223/full
AB  - Introduction: Sepsis-associated acute lung injury (SALI) is a life-threatening pulmonary complication of sepsis with high mortality. This study aimed to prioritize serum metabolites and genes potentially involved in SALI by integrating multi-omics datasets.  Methods: A rat SALI model treated with Xuanbai Chengqi Decoction (XCD) was subjected to untargeted serum metabolomics. Bulk and single-cell RNA-seq datasets were retrieved from GEO, and metabolite-related GWAS statistics were obtained from IEU OpenGWAS. scPagwas mapped metabolite genetic signals to cell populations; hdWGCNA identified cell signature genes. Candidate genes were filtered by overlapping bulk DEGs, ten machine-learning models and expression validation. Functional enrichment, immune infiltration, cell -cell communication, pseudotime and scTenifoldKnk virtual knockdown analyses were performed.  Results: Oleoylcarnitine showed the strongest genetic association with T cells. Cross-platform integration prioritized GIMAP4 and RCBTB2 as hub genes, with WBP2 retained for further validation. Their expression correlated with altered immune infiltration, especially eosinophils, and the three-gene profiles shared 62 biological processes. SALI exhibited increased number and strength of cell interactions compared with isolated sepsis. Five T-cell subsets were identified, and virtual knockdown of hub genes modified regulation of eight DEGs.  Discussion: Oleoylcarnitine-associated metabolic changes are correlated with T-cell dysregulation mediated by GIMAP4, RCBTB2, and WBP2 in SALI. These findings are descriptive, and further experiments are required to establish causal relationships.
SN  - 1664-3224
ER  -