多组学联用在特异性败血症诊断中的价值
The Value of Multi-Omics Combination in the Diagnosis of Specific Sepsis
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摘要: 目的 基于多组学数据,采用机器学习的分类算法,构建高性能的特异性致病菌感染败血症的早期诊断模型,并比较基于单组学和多组学数据模型的预测效果。 方法 利用败血症患者早期血浆中测得的蛋白质组学数据、代谢组学数据以及多组学融合数据,使用支持向量机(support vector machine,SVM)算法分别构建三个诊断模型,对比三个模型的性能。 结果 相较于单组学模型,利用多组学数据构建的模型效果最优,金黄色葡萄球菌感染组受试者工作特征曲线下的面积(area under the receiver operating characteristic curve,AUC)=0.97,非金黄色葡萄菌感染组AUC=0.94,非感染组AUC=0.94。 结论 在特异性败血症早期诊断时,基于多组学相较于单组学构建的模型有较好的预测效果。Abstract: Objective A machine learning classification algorithm was employed to construct a high-performance early diagnosis model for sepsis infection with specific pathogenic bacteria based on multi-omics data. Then we compared the prediction effect between the single-omics model and the multi-omics model. Methods This was a secondary analysis of two observational studies. The omics data was extracted and integrated. Support vector machine (SVM) algorithm was used to construct three prediction models whose performance were compared mutually. Results The multi-omics model showed the best performance (Staphylococcus aureus bacteria (SaB) vs. others, (area under the receiver operating characteristic curve, AUC)=0.97; non_SaB vs. others, AUC=0.94; Control vs. others, AUC=0.94 comparing with single-omic model. Conclusions Multi-omics prediction model had tremendous potential in identifying specific sepsis and performed better than single-omic model.