학술논문

Classification of COVID-19 Patients into Clinically Relevant Subsets by a Novel Machine Learning Pipeline Using Transcriptomic Features.
Document Type
Article
Source
International Journal of Molecular Sciences. Mar2023, Vol. 24 Issue 5, p4905. 17p.
Subject
*COVID-19
*COVID-19 pandemic
*B cells
*MACHINE learning
*GENE regulatory networks
*TRANSCRIPTOMES
*METABOLIC disorders
Language
ISSN
1661-6596
Abstract
The persistent impact of the COVID-19 pandemic and heterogeneity in disease manifestations point to a need for innovative approaches to identify drivers of immune pathology and predict whether infected patients will present with mild/moderate or severe disease. We have developed a novel iterative machine learning pipeline that utilizes gene enrichment profiles from blood transcriptome data to stratify COVID-19 patients based on disease severity and differentiate severe COVID cases from other patients with acute hypoxic respiratory failure. The pattern of gene module enrichment in COVID-19 patients overall reflected broad cellular expansion and metabolic dysfunction, whereas increased neutrophils, activated B cells, T-cell lymphopenia, and proinflammatory cytokine production were specific to severe COVID patients. Using this pipeline, we also identified small blood gene signatures indicative of COVID-19 diagnosis and severity that could be used as biomarker panels in the clinical setting. [ABSTRACT FROM AUTHOR]