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Prioritizing FDA approved therapeutics for treating sepsis phenotypes: A network modeling approach based on neutrophil proteomics
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  • Jordan Langston,
  • Dan Liu,
  • Qingliang Yang,
  • Salim Merali,
  • Carmen Merali,
  • Narender Singh,
  • Jennifer Fisher,
  • Balabhaskar Prabhakarpandian,
  • Laurie Kilpatrick,
  • Mohammad Kiani
Jordan Langston
Temple University
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Dan Liu
Temple University
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Qingliang Yang
Temple University
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Salim Merali
Temple University
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Carmen Merali
Temple University
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Narender Singh
CFD Research Corporation
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Jennifer Fisher
CFD Research Corporation
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Balabhaskar Prabhakarpandian
CFD Research Corporation
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Laurie Kilpatrick
Temple University
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Mohammad Kiani
Temple University

Corresponding Author:mkiani@temple.edu

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Abstract

Sepsis is characterized by life-threatening organ dysfunction caused by dysregulated host response to infection. An underlying cause of sepsis is dysregulation of neutrophil-endothelial interactions. To date, therapeutic approaches are supportive, and there are no effective drugs that target immune dysregulation and alter neutrophil-endothelium function. In our prior investigation, three distinct neutrophil functional phenotypes (i.e., Hyperimmune, Hypoimmune and Hybrid) were identified in sepsis patients through a comprehensive analysis encompassing clinical, organ-on-chip and proteomic assessments. In this study, we utilized bioinformatics to elucidate cellular processes impacting each neutrophil phenotype. These findings were leveraged to identify potential FDA-approved therapeutics that could be repurposed to target proteins within each phenotype highlighting the impact in normalizing altered neutrophil-related responses such as adhesion and migration. A protein-protein interaction network was employed to prioritize these target proteins. Finally, we identify several FDA approved therapeutics for treating sepsis including a (pre)clinical trial therapeutic targeting VTN in the Hybrid phenotype, a therapeutic targeting TRPV2 in the Hypoimmune phenotype and a (pre)clinical trial therapeutic targeting H2AC21 in the Hyperimmune phenotype. Thus, we not only identified critical cellular processes impacting each neutrophil phenotype but also reveal those protein targets that could be prioritized for future validation in the treatment of sepsis.
13 Nov 2024Submitted to PROTEOMICS
18 Nov 2024Submission Checks Completed
18 Nov 2024Assigned to Editor
18 Nov 2024Review(s) Completed, Editorial Evaluation Pending
18 Nov 2024Reviewer(s) Assigned