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pmid:39540021

Identification of m5C-Related gene diagnostic biomarkers for sepsis: a machine learning study.

Siming Lin · Kexin Cai · Shaodan Feng · Zhihong Lin

Frontiers in genetics · 2024 doi:10.3389/fgene.2024.1444003

Paper

complete

Experiment

complete

Data

partial

Analysis

partial

Execution

absent

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pmid:39540021
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2026-11-01T20:29:48Z
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title
Identification of m5C-Related gene diagnostic biomarkers for sepsis: a machine learning study.
doi
10.3389/fgene.2024.1444003
pmid
39540021
authors array · 4 items
[0]
Siming Lin
[1]
Kexin Cai
[2]
Shaodan Feng
[3]
Zhihong Lin
journal
Frontiers in genetics
year
2024
abstract
Background: Sepsis is a serious condition that occurs when the body's response to infection becomes uncontrolled, resulting in a high risk of death. Despite improvements in healthcare, identifying sepsis early is difficult because of its diverse nature and the absence of distinct biomarkers. Recent studies suggest that 5-methylcytosine (m5C)-related genes play a significant role in immune responses, yet their diagnostic potential in sepsis remains unexplored. Methods: This research combined and examined four sepsis-related datasets (GSE95233, GSE57065, GSE100159, and GSE65682) sourced from the Gene Expression Omnibus (GEO)database to discover m5C-related genes with differential expression. Various machine learning methods, such as decision tree, random forest, and XGBoost, were utilized in identifying crucial hub genes. Receiver Operating Characteristic (ROC) curve analysis was used to assess the diagnostic accuracy of these genetic markers. Additionally, single-gene enrichment and immune infiltration analyses were conducted to investigate the underlying mechanisms involving these hub genes in sepsis. Results: Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets. Enrichment analyses revealed that these genes are involved in key pathways such as p53 signaling and Toll-like receptor signaling. Immune infiltration analysis indicated significant correlations between hub genes and various immune cell types, suggesting their roles in modulating immune responses during sepsis. Conclusion: The study highlights the diagnostic potential of m5C-related genes in sepsis and their involvement in immune regulation. These findings offer new insights into sepsis pathogenesis and suggest that DNMT1, TP53, and TLR8 could serve as valuable biomarkers for early diagnosis. Further studies should prioritize validating these biomarkers in clinical settings and investigating their potential for therapy.
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ROC analysis was performed using the pROC package in R.
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sections[6] "2.4 Analysis and validation of hub genes diagnostic efficacy" paragraph 2
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ROC analysis was performed using the pROC package in R.
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The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.
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Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets.
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sections[0] "Abstract" paragraph 3
quote
Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets.
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Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets.
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[254]
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[257]
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[258]
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[259]
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[260]
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[261]
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[262]
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[263]
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[265]
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[266]
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[267]
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[268]
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[269]
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[270]
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[271]
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[272]
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[273]
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[274]
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[275]
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[276]
GSM1691964
[277]
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[278]
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[279]
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[280]
GSM1691968
[281]
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[282]
GSM1691970
[283]
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[284]
GSM1691972
[285]
GSM1691973
[286]
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[287]
GSM1691975
[288]
GSM1691976
[289]
GSM1691977
[290]
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[291]
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[292]
GSM1691980
[293]
GSM1691981
[294]
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[295]
GSM1691983
[296]
GSM1691984
[297]
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[298]
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[299]
GSM1691987
[300]
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[301]
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[302]
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[303]
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[304]
GSM1691992
[305]
GSM1691993
[306]
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[307]
GSM1691995
[308]
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[309]
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[310]
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[313]
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[314]
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[315]
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[316]
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[317]
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[318]
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[319]
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[320]
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[321]
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[322]
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[323]
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[324]
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[325]
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[326]
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[327]
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[328]
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[329]
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[330]
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[331]
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[332]
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[333]
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[334]
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[337]
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[341]
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[342]
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[344]
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[348]
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[349]
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[350]
GSM1692041
[351]
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[352]
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[353]
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[354]
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[355]
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[356]
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[357]
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[358]
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[359]
GSM1692050
[360]
GSM1692051
[361]
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[362]
GSM1692053
[363]
GSM1692054
[364]
GSM1692055
[365]
GSM1692056
[366]
GSM1692057
[367]
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[368]
GSM1692059
[369]
GSM1692060
[370]
GSM1692061
[371]
GSM1692062
[372]
GSM1692063
[373]
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[374]
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[375]
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[376]
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[377]
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[378]
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[379]
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[380]
GSM1692071
[381]
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[382]
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[383]
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[384]
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[385]
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[386]
GSM1692078
[387]
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[388]
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[389]
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[390]
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[391]
GSM1692083
[392]
GSM1692084
[393]
GSM1692085
[394]
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[395]
GSM1692087
[396]
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[397]
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[398]
GSM1692090
[399]
GSM1692091
[400]
GSM1692092
[401]
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[402]
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[403]
GSM1692095
[404]
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[405]
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[406]
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[407]
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[408]
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[409]
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[410]
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[411]
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[412]
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[413]
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[414]
GSM1692106
[415]
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[416]
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[417]
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[418]
GSM1692110
[419]
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[420]
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[421]
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[422]
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[423]
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[424]
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[425]
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[426]
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[427]
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[428]
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[429]
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[430]
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[431]
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[432]
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[433]
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[434]
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[435]
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[436]
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[437]
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[438]
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[439]
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[440]
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[441]
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[442]
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[443]
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[444]
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[445]
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[446]
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[447]
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[448]
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[449]
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[450]
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[451]
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[452]
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[453]
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[454]
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[455]
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[456]
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[457]
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[458]
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[459]
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[460]
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[461]
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[462]
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[463]
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[464]
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[465]
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[466]
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[467]
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[468]
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[469]
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[470]
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[471]
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[472]
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[473]
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[474]
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[475]
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[476]
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[477]
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[478]
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[479]
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[480]
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[481]
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[482]
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[483]
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[484]
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[485]
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[486]
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[487]
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[488]
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[489]
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[490]
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[491]
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[492]
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[493]
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[494]
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[495]
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[496]
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[497]
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[498]
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[499]
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[500]
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[501]
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[502]
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[503]
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[504]
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[505]
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[506]
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[507]
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[508]
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[509]
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[510]
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[511]
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[512]
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[513]
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[514]
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[515]
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[516]
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[517]
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[518]
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[519]
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[520]
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[521]
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[522]
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[523]
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[524]
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[525]
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[526]
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[527]
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[528]
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[529]
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[530]
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[531]
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[532]
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[533]
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[534]
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[535]
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[536]
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[537]
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[538]
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[539]
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[540]
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[541]
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[542]
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[543]
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[544]
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[545]
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[546]
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[547]
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[548]
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[549]
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[550]
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[551]
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[552]
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[553]
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[554]
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[555]
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[556]
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[557]
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[558]
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[559]
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[560]
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[561]
GSM1692256
[562]
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[563]
GSM1692258
[564]
GSM1692259
[565]
GSM1692260
[566]
GSM1692261
[567]
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[568]
GSM1692263
[569]
GSM1692264
[570]
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[571]
GSM1692266
[572]
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[573]
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[574]
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[575]
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[576]
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[577]
GSM1692272
[578]
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[579]
GSM1692274
[580]
GSM1692275
[581]
GSM1692276
[582]
GSM1692277
[583]
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[584]
GSM1692279
[585]
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[586]
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[587]
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[588]
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[589]
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[590]
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[591]
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[592]
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[593]
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[594]
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[595]
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[596]
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[597]
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[598]
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[599]
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[600]
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[601]
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[602]
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[603]
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[605]
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[606]
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[607]
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[608]
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[610]
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[611]
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[612]
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[613]
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[614]
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[615]
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[616]
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[617]
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[618]
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[619]
GSM1692315
[620]
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[621]
GSM1692317
[622]
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[623]
GSM1692319
[624]
GSM1692320
[625]
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[626]
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[627]
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[628]
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[629]
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[630]
GSM1692327
[631]
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[635]
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[637]
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[638]
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[639]
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[640]
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[641]
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[642]
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[643]
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[644]
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[645]
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[646]
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[647]
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[648]
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[649]
GSM1692346
[650]
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[651]
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[652]
GSM1692349
[653]
GSM1692350
[654]
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[655]
GSM1692353
[656]
GSM1692354
[657]
GSM1692355
[658]
GSM1692356
[659]
GSM1692357
[660]
GSM1692358
[661]
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[662]
GSM1692360
[663]
GSM1692361
[664]
GSM1692362
[665]
GSM1692363
[666]
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[667]
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[668]
GSM1692366
[669]
GSM1692367
[670]
GSM1692368
[671]
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[672]
GSM1692370
[673]
GSM1692371
[674]
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[675]
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[676]
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[677]
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[678]
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[679]
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[680]
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[681]
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[682]
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[683]
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[684]
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[685]
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[686]
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[687]
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[688]
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[689]
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[690]
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[694]
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[695]
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[699]
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[700]
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[701]
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[702]
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[703]
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[704]
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[705]
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[706]
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[707]
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[708]
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[709]
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[710]
GSM1692410
[711]
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[712]
GSM1692412
[713]
GSM1692413
[714]
GSM1692414
[715]
GSM1692415
[716]
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[717]
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[718]
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[719]
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[720]
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[721]
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[722]
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[723]
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[724]
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[725]
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[726]
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[727]
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[728]
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[729]
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GSM1692491
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GSM1692496
[795]
GSM1692497
[796]
GSM1692498
[797]
GSM1692499
[798]
GSM1692501
[799]
GSM1692502
[800]
GSM1692503
[801]
GSM1692504
sample_count
802
group_sizes
null
group_sizes_basis
null
platform
13667
taxon
Homo sapiens
title
Genome-wide blood transcriptional profiling in critically ill patients - MARS consortium
resolution_checked_at
2026-11-01T15:39:55Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[4] object · 15 fields
id
data:geo:GSE95233
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE95233
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE95233
version
null
note
The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 124 items
[0]
GSM2500349
[1]
GSM2500350
[2]
GSM2500351
[3]
GSM2500352
[4]
GSM2500353
[5]
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[6]
GSM2500355
[7]
GSM2500356
[8]
GSM2500357
[9]
GSM2500358
[10]
GSM2500359
[11]
GSM2500360
[12]
GSM2500361
[13]
GSM2500362
[14]
GSM2500363
[15]
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[16]
GSM2500365
[17]
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[18]
GSM2500367
[19]
GSM2500368
[20]
GSM2500369
[21]
GSM2500370
[22]
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[23]
GSM2500372
[24]
GSM2500373
[25]
GSM2500374
[26]
GSM2500375
[27]
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[28]
GSM2500377
[29]
GSM2500378
[30]
GSM2500379
[31]
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[32]
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[33]
GSM2500382
[34]
GSM2500383
[35]
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[36]
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[37]
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[38]
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[39]
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[40]
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[41]
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[42]
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[43]
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[44]
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[45]
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[46]
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[47]
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[48]
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[49]
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[50]
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[51]
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[52]
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[53]
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[54]
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[55]
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[56]
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[60]
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[68]
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[69]
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[70]
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[71]
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[73]
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[75]
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[76]
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[78]
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[79]
GSM2500428
[80]
GSM2500429
[81]
GSM2500430
[82]
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[83]
GSM2500432
[84]
GSM2500433
[85]
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[86]
GSM2500435
[87]
GSM2500436
[88]
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[89]
GSM2500438
[90]
GSM2500439
[91]
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[92]
GSM2500441
[93]
GSM2500442
[94]
GSM2500443
[95]
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[96]
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[97]
GSM2500446
[98]
GSM2500447
[99]
GSM2500448
[100]
GSM2500449
[101]
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[102]
GSM2500451
[103]
GSM2500452
[104]
GSM2500453
[105]
GSM2500454
[106]
GSM2500455
[107]
GSM2500456
[108]
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570
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Homo sapiens
title
Fractalkine receptor CX3CR1 and leukocyte Ig-like receptor B2 LILRB2 are prognostic biomarkers in septic shock
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2026-11-01T15:39:55Z
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minimax
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minimax
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single_reader
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label
GEO GSE100159
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:39540021", "kind": "science-record", "revision": 4, "content_hash": "sha256:7e5bb88d8ee27dad8bae05ae89a6f10e3edd06bb682d7cda5e1a757a527dcbcd", "created_at": "2026-11-01T20:29:48Z", "updated_at": "2026-11-01T22:55:36Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Identification of m5C-Related gene diagnostic biomarkers for sepsis: a machine learning study.", "doi": "10.3389/fgene.2024.1444003", "pmid": "39540021", "authors": ["Siming Lin", "Kexin Cai", "Shaodan Feng", "Zhihong Lin"], "journal": "Frontiers in genetics", "year": 2024, "abstract": "Background: Sepsis is a serious condition that occurs when the body's response to infection becomes uncontrolled, resulting in a high risk of death. Despite improvements in healthcare, identifying sepsis early is difficult because of its diverse nature and the absence of distinct biomarkers. Recent studies suggest that 5-methylcytosine (m5C)-related genes play a significant role in immune responses, yet their diagnostic potential in sepsis remains unexplored.\nMethods: This research combined and examined four sepsis-related datasets (GSE95233, GSE57065, GSE100159, and GSE65682) sourced from the Gene Expression Omnibus (GEO)database to discover m5C-related genes with differential expression. Various machine learning methods, such as decision tree, random forest, and XGBoost, were utilized in identifying crucial hub genes. Receiver Operating Characteristic (ROC) curve analysis was used to assess the diagnostic accuracy of these genetic markers. Additionally, single-gene enrichment and immune infiltration analyses were conducted to investigate the underlying mechanisms involving these hub genes in sepsis.\nResults: Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets. Enrichment analyses revealed that these genes are involved in key pathways such as p53 signaling and Toll-like receptor signaling. Immune infiltration analysis indicated significant correlations between hub genes and various immune cell types, suggesting their roles in modulating immune responses during sepsis.\nConclusion: The study highlights the diagnostic potential of m5C-related genes in sepsis and their involvement in immune regulation. These findings offer new insights into sepsis pathogenesis and suggest that DNMT1, TP53, and TLR8 could serve as valuable biomarkers for early diagnosis. Further studies should prioritize validating these biomarkers in clinical settings and investigating their potential for therapy.", "claims": [{"id": "claim-method", "statement": "ROC analysis was performed using the pROC package in R.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:39540021", "locator": "sections[6] \"2.4 Analysis and validation of hub genes diagnostic efficacy\" paragraph 2", "quote": "ROC analysis was performed using the pROC package in R."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:39540021", "locator": "sections[21] \"Data availability statement\" paragraph 2", "quote": "The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors."}], "state": "complete"}, {"id": "claim-target-result", "statement": "Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:39540021", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": "Three hub genes, DNA Methyltransferase 1 (DNMT1), tumor protein P53 (TP53), and toll-like receptor 8 (TLR8), were identified and validated for their diagnostic efficacy, showing area under the curve (AUC) values above 0.7 in both test and validation sets.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:39540021"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. This lane did not download the dataset or read its licence.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE100159"], "outputs": ["the source data with its repository provenance"], "instruments": [], "reagents": []}, {"id": "run_analysis", "order": 3, "name": "Run the published analysis", "kind": "analysis", "state": "complete", "blocked_on": null, "description": "Apply the paper's statistical method to the resolved series and compare the result with the published target.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE100159"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": []}, "data": {"state": "partial", "assets": [{"id": "source:pmid:39540021", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.3389/fgene.2024.1444003", "sha256": 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The physical bench the paper used is not, so a physical validation cannot be run here."}, "data": {"tier": "R1", "reachable": true, "accessions": ["GSE95233", "GSE57065", "GSE100159", "GSE65682"], "resolved_accessions": ["GSE95233", "GSE57065", "GSE100159", "GSE65682"], "statements": ["The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors."], "basis": "The paper names GSE95233, GSE57065, GSE100159, GSE65682 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read."}}, "can_run": {"dsl_operations": ["confusion_counts", "roc_curve", "sensitivity_specificity", "solve_confusion_matrix", "classification_metrics", "published_precision_envelope"], "assets": ["source:pmid:39540021", "data:geo:GSE100159"], "steps": ["run_analysis"]}, "must_build": {"dsl_operations": [], "converters": [], "readers": [], "capabilities": [], "data_gaps": ["data:geo:GSE100159"]}, "gaps": []}, "review": {"state": "partial", "machine_critique": {"kind": "extraction_review", "reader": {"model": "MiniMax-M3.1-Flash", "provider": "minimax", "provider_family": "minimax", "read_at": "2026-11-01T19:38:30Z", "independence": "single_reader"}, "evidence_check": {"method": "verbatim", "availability": "verbatim"}, "calls": 5, "usage": {"prompt_tokens": 9703, "completion_tokens": 1815, "cached_tokens": 256}}, "human_critique": null, "stages": [{"id": "extraction", "state": "complete", "reader": "MiniMax-M3.1-Flash", "provider": "minimax"}], "gaps": ["review.independent_reader", "review.machine_critique", "review.human_critique"]}, "execution": {"state": "absent", "status": "not_run", "mode": null, "runs": [], "gaps": ["execution.not_run"]}, "provenance": {"entities": [{"id": "pmid:39540021", "type": "paper", "label": "pmid:39540021"}, {"id": "source:pmid:39540021", "type": "manuscript", "label": "PMID 39540021 full text"}, {"id": "data:geo:GSE100159", "type": "dataset", "label": "GEO GSE100159"}], "activities": [{"id": "activity-reading-sci-2026-11-01", "type": "classification", "used": [{"id": "pmid:39540021", "type": "paper", "label": "pmid:39540021"}, {"id": "source:pmid:39540021", "type": "manuscript", "label": "PMID 39540021 full text"}, {"id": "data:geo:GSE100159", "type": "dataset", "label": "GEO GSE100159"}], "agent": "agent:corpus-assay-engine"}, {"id": "activity-read-39540021", "type": "extraction", "used": ["source:pmid:39540021"], "agent": "agent:minimax-reader"}, {"id": "activity-resolve-GSE100159", "type": "accession_resolution", "used": ["data:geo:GSE100159"], "agent": "agent:corpus-assay-engine"}], "agents": [{"id": "agent:corpus-assay-engine", "type": "software", "label": "Corpus assay engine"}, {"id": "agent:minimax-reader", "type": "software", "label": "MiniMax literature reader"}], "source_run_id": "reading-sci-2026-11-01", "dsl_catalogue_fingerprint": "343fb30756ba6ec3", "capability_table_fingerprint": "2cb3e42f047d2ecf", "snapshot_id": "ba34b49490d9bfaf"}, "lineage": {"parent_id": "pmid:39540021", "parent_hash": "sha256:4e83a2081fe520f38db69d78596d965bc62bee35f87041c4e7cc0e7a297344af", "fork_of": null, "generation": 3}, "gaps": ["asset:data:geo:GSE100159 licence not read", "asset:data:geo:GSE100159 not downloaded", "asset:data:geo:GSE57065 licence not read", "asset:data:geo:GSE57065 not downloaded", "asset:data:geo:GSE65682 licence not read", "asset:data:geo:GSE65682 not downloaded", "asset:data:geo:GSE95233 licence not read", "asset:data:geo:GSE95233 not downloaded", "execution.not_run", "method.reader_differs_from_extractor", "review.human_critique", "review.independent_reader", "review.machine_critique"], "assays": [{"role": "analysis", "definition_id": "diagnostic_evaluation", "definition_version": "f2132e96ae6c7a4e", "definition_digest": null, "required_operations": ["confusion_counts", "roc_curve", "sensitivity_specificity", "solve_confusion_matrix", "classification_metrics", "published_precision_envelope"], "support_state": "supported", "source_hashes": {"dsl_catalogue": "f2132e96ae6c7a4e"}, "confidence": 1.0, "evidence": ["ROC analysis was performed using the pROC package in R."], "order_basis": "analysis_only", "id": "assay:1"}]}