TY - JOUR
T1 - Blood RNA alternative splicing events as diagnostic biomarkers for infectious disease
AU - Zhang, Zijun
AU - Sauerwald, Natalie
AU - Cappuccio, Antonio
AU - Ramos, Irene
AU - Nair, Venugopalan D.
AU - Nudelman, German
AU - Zaslavsky, Elena
AU - Ge, Yongchao
AU - Gaitas, Angelo
AU - Ren, Hui
AU - Brockman, Joel
AU - Geis, Jennifer
AU - Ramalingam, Naveen
AU - King, David
AU - McClain, Micah T.
AU - Woods, Christopher W.
AU - Henao, Ricardo
AU - Burke, Thomas W.
AU - Tsalik, Ephraim L.
AU - Goforth, Carl W.
AU - Lizewski, Rhonda A.
AU - Lizewski, Stephen E.
AU - Weir, Dawn L.
AU - Letizia, Andrew G.
AU - Sealfon, Stuart C.
AU - Troyanskaya, Olga G.
N1 - Generated from Scopus record by KAUST IRTS on 2023-02-15
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Assays detecting blood transcriptome changes are studied for infectious disease diagnosis. Blood-based RNA alternative splicing (AS) events, which have not been well characterized in pathogen infection, have potential normalization and assay platform stability advantages over gene expression for diagnosis. Here, we present a computational framework for developing AS diagnostic biomarkers. Leveraging a large prospective cohort of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and whole-blood RNA sequencing (RNA-seq) data, we identify a major functional AS program switch upon viral infection. Using an independent cohort, we demonstrate the improved accuracy of AS biomarkers for SARS-CoV-2 diagnosis compared with six reported transcriptome signatures. We then optimize a subset of AS-based biomarkers to develop microfluidic PCR diagnostic assays. This assay achieves nearly perfect test accuracy (61/62 = 98.4%) using a naive principal component classifier, significantly more accurate than a gene expression PCR assay in the same cohort. Therefore, our RNA splicing computational framework enables a promising avenue for host-response diagnosis of infection.
AB - Assays detecting blood transcriptome changes are studied for infectious disease diagnosis. Blood-based RNA alternative splicing (AS) events, which have not been well characterized in pathogen infection, have potential normalization and assay platform stability advantages over gene expression for diagnosis. Here, we present a computational framework for developing AS diagnostic biomarkers. Leveraging a large prospective cohort of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and whole-blood RNA sequencing (RNA-seq) data, we identify a major functional AS program switch upon viral infection. Using an independent cohort, we demonstrate the improved accuracy of AS biomarkers for SARS-CoV-2 diagnosis compared with six reported transcriptome signatures. We then optimize a subset of AS-based biomarkers to develop microfluidic PCR diagnostic assays. This assay achieves nearly perfect test accuracy (61/62 = 98.4%) using a naive principal component classifier, significantly more accurate than a gene expression PCR assay in the same cohort. Therefore, our RNA splicing computational framework enables a promising avenue for host-response diagnosis of infection.
UR - https://linkinghub.elsevier.com/retrieve/pii/S2667237523000024
UR - http://www.scopus.com/inward/record.url?scp=85147279871&partnerID=8YFLogxK
U2 - 10.1016/j.crmeth.2023.100395
DO - 10.1016/j.crmeth.2023.100395
M3 - Article
C2 - 36936082
SN - 2667-2375
JO - Cell Reports Methods
JF - Cell Reports Methods
ER -