Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Xinzhu Wang, Ruud Gerard Nijman, Stephane Camuzeaux, Caroline Sands, Heather R. Jackson, Myrsini Kaforou, Marieke Emonts, Jethro A. Herberg, Ian Maconochie, Enitan Carrol, Stéphane Paulus, Werner Zenz, Michiel Van der Flier, Ronald C.A. de Groot, Federico Martinon-Torres, Luregn Schlapbach, AJ. Pollard, Colin Fink, T. W. Kuijpers, Suzanne T. B. AndersonMatthew R. Lewis, Michael Levin, Myra McClure, Stuart Gormley, Shea Hamilton, Bernardo Hourmat, Clive Hoggart, Vanessa Sancho Shimizu, Victoria Wright, Amina F. Abdulla, Paul Michael Agapow, Maeve Bartlett, Evangelos Bellos, Hariklia Eleftherohorinou, Rachel Galassini, David Inwald, Meg Mashbat, Stephanie Menikou, Sobia Mustafa, Simon Nadel, Rahmeen Rahman, Clare Thakker, Lachlan Coin, Sumit S. Bokhandi, Sue Power, Heather Barham, Nazima Pathan, Jenna Ridout, Deborah K. White, Sarah Thurston, Saul Faust, Sanjay Valabh Patel, Jenni McCorkell, Patrick Davies, Lindsay Crate, Helen Navarra, Stephanie Carter, Raghu Ramaiah, Rekha Patel, Catherine Tuffrey, Andrew Gribbin, Sharon McCready, Mark Peters, Katie Hardy, Fran Standing, Lauren O'Neill, Eugenia Abelake, Akash Deep, Eniola Nsirim, Louise Willis, Zoe Young, C. Royad, Sonia White, Peter-Marc Fortune, Phil Hudnott, Fernando Álvez González, Ruth Barral-Arca, Miriam Cebey-López, MJ. Curras-Tuala, Natalia García, Luisa García Vicente, Alberto Gómez-Carballa, Jose Gomez-Rial, Andrea Grela Beiroa, Antonio Justicia-Grande, Pilar Leboráns Iglesias, Alba-Elena Martinez-Santos, Nazareth MartinónTorres, José María Sánchez, Beatriz Morillo Gutiérrez, Belén Mosquera Pérez, Pablo Obando Pacheco, Jacobo Pardo-Seco, Sara Pischedda, Irene Rivero Calle, Carmen Rodríguez-Tenreiro, Lorenzo Redondo Collazo, Antonio Salas Ellacuriagal, Sonia Serén Fernández, María Del Sol Porto Silva, Ana Karina Vega, Lucía Vilanova-Trillo, Antonio Salas, Susana Beatriz Reyes, María Cruz León-León, Álvaro Navarro Mingorance, Xavier Gabaldó Barrios, Eider Oñate Vergara, Andres Concha-Torre, Ana Vivanco, Reyes Fernández, Francisco Giménez-Sánchez, Miguel Sánchez Forte, Pablo Rojo, J. Ruiz Contreras, Alba Palacios, Cristina Epalza Ibarrondo, Elizabeth Fernández Cooke, Marisa Navarro, Cristina Álvarez Álvarez, María José Lozano, Eduardo Carreras, Sonia Brió Sanagustín, Olaf Neth, Ma del Carmen Martínez Padilla, Luis Manuel Prieto Tato, Sara Guillén, Laura Fernandez Silveira, David Moreno, Marceline van Furth, Navin P. Boeddha, Gertjan Jan A. Driessen, Jan Hazelzet, Dasja Pajkrt, Elisabeth A. M. Sanders, Diederik van de Beek, Arie van der Ende, H.L.A. Philipsen, Abdul O.A. Adeel, Meike A. Breukels, Daniëlle M.C. Brinkman, Carla C.M.M. de Korte, Esther de Vries, Wouter J. de Waal, Roel Dekkers, Anouk Dings-Lammertink, Rienus A. Doedens, AlbertineE. Donker, Mieke Dousma, Tina E. Faber, Gerardus Peter Jm M. Gerrits, Jan A.M. Gerver, Jojanneke Heidema, J. Homan-van der Veen, Monique A.M. Jacobs, Nicolaas Johannes Georgius Jansen, Pawel Kawczynski, Kristine Klucovska, Martin Christiaan Jacques Kneyber, Yvonne Koopman-Keemink, Veerle J. Langenhorst, José Leusink, Bettina F. Loza, Istvan T. Merth, Carien J. Miedema, Chris Neeleman, Jeroen G. Noordzij, Charlie C.C. Obihara, A. Lidy T. van Overbeek - van Gils, Geriska H. Poortman, Steph T. Potgieter, Joke Potjewijd, Philippe P.R. Rosias, Tom Sprong, Gavin W. ten Tussher, Bernard J. Thio, Gerdien A. Tramper-Stranders, M. van Deuren, H. van der Meer, A.J.M. van Kuppevelt, A.M. van Wermeskerken, W.A. Verwijs, T.F.W. Wolfs, Philipp Agyeman, Christoph Aebi, C. Berger, E. Giannoni, M. Stocker, K.M. Posfay-Barbe, U. Heininger, S. Bernhard-Stirnemann, A. Niederer-Loher, C. Kahlert, P. Hasters, C. Relly, Walter Baer, H. Frederick, Rebecca Jennings, J. Johnston, R. Kenwright, Ellie Pinnock, Rachel Agbeko, Fatou Secka, Kalifa Bojang, Isatou Sarr, Ngange Kebbeh, Gibbi Sey, None Momodou, Saidy khan, Fatoumata Cole, Gilleh Thomas, Martin Antonio, Daniela S. Klobassa, Alexander Binder, Nina Schweintzger, Manfred Sagmeister, Hinrich Baumgart, Markus Baumgartner, Uta Behrends, Ariane Biebl, Robert Birnbacher, Jan-Gerd Blanke, Carsten Boelke, Kai Breuling, Jürgen Brunner, Maria Buller, Peter Dahlem, Beate Dietrich, Ernst Eber, Johannes Elias, Josef Emhofer, Rosa Etschmaier, Sebastian Farr, Ylenia Girtler, Irina Grigorow, Konrad Heimann, Ulrike Ihm, Zdenek Jaros, Hermann Kalhoff, Wilhelm Kaulfersch, Christoph Kemen, Nina Klocker, Bernhard Köster, B. Kohlmaier, Eleni Komini, Lydia Kramer, Antje Neubert, Daniel Ortner, Lydia Pescollderungg, Klaus Pfurtscheller, Karl Reiter, Goran Ristic, Siegfried Rödl, Andrea Sellner, Astrid Sonnleitner, Matthias Sperl, Wolfgang Stelzl, Holger Karl H. Till, Andreas Trobisch, Anne Vierzig, Ulrich Vogel, Christina Weingarten, Stefanie Welke, Andreas Wimmer, Uwe Wintergerst, Daniel Wüller, Andrew Zaunschirm, Ieva Ziuraite, Veslava Žukovskaja

Research output: Contribution to journalArticleResearchpeer-review

18 Citations (Scopus)

Abstract

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics.
Original languageEnglish
JournalScientific reports
Volume9
Issue number1
DOIs
Publication statusPublished - 2019

Keywords

  • Diagnostic markers
  • Metabolomics

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