RT Journal Article SR Electronic T1 Serum proteomics reveals disorder of lipoprotein metabolism in sepsis JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202101091 DO 10.26508/lsa.202101091 VO 4 IS 10 A1 Xi Liang A1 Tianzhou Wu A1 Qi Chen A1 Jing Jiang A1 Yongpo Jiang A1 Yanyun Ruan A1 Huaping Zhang A1 Sheng Zhang A1 Chao Zhang A1 Peng Chen A1 Yuhang Lv A1 Jiaojiao Xin A1 Dongyan Shi A1 Xin Chen A1 Jun Li A1 Yinghe Xu YR 2021 UL https://www.life-science-alliance.org/content/4/10/e202101091.abstract AB Sepsis is defined as an organ dysfunction syndrome and it has high mortality worldwide. This study analysed the proteome of serum from patients with sepsis to characterize the pathological mechanism and pathways involved in sepsis. A total of 59 patients with sepsis were enrolled for quantitative proteomic analysis. Weighted gene co-expression network analysis (WGCNA) was performed to construct a co-expression network specific to sepsis. Key regulatory modules that were detected were highly correlated with sepsis patients and related to multiple functional groups, including plasma lipoprotein particle remodeling, inflammatory response, and wound healing. Complement activation was significantly associated with sepsis-associated encephalopathy. Triglyceride/cholesterol homeostasis was found to be related to sepsis-associated acute kidney injury. Twelve hub proteins were identified, which might be predictive biomarkers of sepsis. External validation of the hub proteins showed their significantly differential expression in sepsis patients. This study identified that plasma lipoprotein processes played a crucial role in sepsis patients, that complement activation contributed to sepsis-associated encephalopathy, and that triglyceride/cholesterol homeostasis was associated with sepsis-associated acute kidney injury.