Machine Learning Algorithms Identify Pathogen-Specific Biomarkers of Clinical and Metabolomic Characteristics in Septic Patients with Bacterial Infections

• Published in: BioMed research international Vol. 2020; no. 2020; pp. 1 - 11
• Main Authors: Liang, Huiying, Cai, Yi, Zheng, Jianbin, Wu, Zhiyuan, Wu, Xiaohui, Liu, Guangjian, Zhu, Changxi, Lin, Fangqin, Zheng, Lingling, Xia, Huimin
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 2020; Hindawi; John Wiley & Sons, Inc
• Subjects: Aged; Algorithms; Antibiotics; Bacteria; Bacterial diseases; Bacterial infections; Biological activity; Biomarkers; Biomarkers - blood; Chromatography; Databases, Factual; Datasets; Diagnosis, Computer-Assisted; Diagnostic systems; Feature selection; Female; Gram-Negative Bacterial Infections - blood; Gram-Negative Bacterial Infections - diagnosis; Gram-Positive Bacterial Infections - blood; Gram-Positive Bacterial Infections - diagnosis; Humans; Identification; Identification methods; Infections; Intestine; Learning algorithms; Machine Learning; Male; Mass spectrometry; Medical research; Metabolism; Metabolites; Metabolomics; Microbial activity; Microorganisms; Middle Aged; Nitrogen metabolism; Pathogens; Patients; Physiological aspects; Pneumonia; Renal failure; Respiratory diseases; Scientific imaging; Sepsis; Sepsis - blood; Sepsis - diagnosis; Standard deviation; Streptococcus infections; Studies; Variables; China
• ISSN: 2314-6133; 2314-6141; 2314-6141
• DOI: 10.1155/2020/6950576

Sepsis is a high-mortality disease that is infected by bacteria, but pathogens in individual patients are difficult to diagnosis. Metabolomic changes triggered by microbial activity provide us with the possibility of accurately identifying infection. We adopted machine learning methods for training different classifiers with a clinical-metabolomic database from sepsis cases to identify the pathogen of sepsis. Records of clinical indicators and concentration of metabolites were obtained for each patient upon their arrival at the hospital. Machine learning algorithms were used in 100 patients with clear infection and corresponding 29 controls to select specific biosignatures to discriminate microorganism in septic patients. The sensitivity, specificity, and AUC value of clinical and metabolomic characteristics in predicting diagnostic outcomes were determined at admission. Our analyses demonstrate that the biosignatures selected by machine learning algorithms could have diagnostic value on the identification of infected patients and Gram-positive from Gram-negative; related AUC values were 0.94±0.054 and 0.80±0.085, respectively. Pathway and blood disease enrichment analyses of clinical and metabolomic biomarkers among infected patients showed that sepsis disease was accompanied by abnormal nitrogen metabolism, cell respiratory disorder, and renal or intestinal failure. The panel of selected clinical and metabolomic characteristics might be powerful biomarkers to discriminate patients with sepsis.