Investigation of ACOD1 Levels in Sepsis Patients: Correlations with Disease Severity and Immune Profiles - Report - MDSpire

Investigation of ACOD1 Levels in Sepsis Patients: Correlations with Disease Severity and Immune Profiles

  • By

  • Huiwen Xiong

  • Yi Zhao

  • Yuxuan Yang

  • Yanshi Wang

  • Ren Guo

  • Zuoliang Liu

  • February 25, 2026

  • 0 min

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Clinical Report: Investigation of ACOD1 Levels in Sepsis Patients

Overview

This study investigates the expression levels of ACOD1 in sepsis patients and their correlation with disease severity and immune profiles. Findings suggest that ACOD1 may serve as a potential biomarker for assessing sepsis severity and immune status.

Background

Sepsis is a life-threatening condition characterized by a dysregulated immune response to infection, leading to organ dysfunction and high mortality rates. Understanding the molecular mechanisms involved in sepsis, particularly those related to immune dysfunction, is crucial for improving patient outcomes. ACOD1, an enzyme involved in the production of itaconate, plays a significant role in modulating immune responses and may provide insights into the pathophysiology of sepsis.

Data Highlights

DatasetSample SizeFindings
GSE185263392348 sepsis patients, 44 controls
GSE189847n=4Monocyte-derived macrophages under different conditions

Key Findings

  • ACOD1 expression levels were significantly higher in septic patients compared to healthy controls.
  • ACOD1 levels correlated with the SOFA score, indicating a relationship with disease severity.
  • Increased ACOD1 expression was associated with immune cell infiltration in septic patients.
  • ACOD1 may influence macrophage polarization and immune responses in sepsis.
  • Itaconate, produced by ACOD1, has potential anti-inflammatory effects that could be beneficial in sepsis management.

Clinical Implications

Monitoring ACOD1 levels in sepsis patients could provide valuable insights into disease severity and immune status. This biomarker may assist clinicians in tailoring therapeutic strategies and improving patient management in sepsis.

Conclusion

The study highlights the potential role of ACOD1 as a biomarker for sepsis severity and immune dysfunction. Further research is warranted to fully elucidate its clinical utility in sepsis management.

References

  1. Critical Care (Springer), 2025 -- Assessment of Plasma Acid Sphingomyelinase Activity in Sepsis: Its Diagnostic Role and Correlation with Disease Severity
  2. Intensive Care Medicine, 2025 -- HLA-DR Expression on Monocytes in Patients with Septic Shock: Findings from a 20-Year Cohort Study Involving 1,023 Cases
  3. Infection, 2024 -- Role of the MAPK Pathway in Enhancing Survival During COVID-19-Related Sepsis: Insights from a Multicenter Cohort Study
  4. Intensive Care Medicine, 2009 -- Levels of Circulating Angiopoietin-2 During Septic Shock: Associations with Fluid Management, Lung Dysfunction, and Mortality Rates
  5. Surviving Sepsis Campaign Adult Guidelines | SCCM, 2026
  6. Personalized Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock: The ANDROMEDA-SHOCK-2 Randomized Clinical Trial | JAMA, 2025
  7. ACOD1 expression in patients with sepsis: an exploratory study of associations with disease severity and immune signatures - PMC
  8. Surviving Sepsis Campaign Adult Guidelines | SCCM
  9. Personalized Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock: The ANDROMEDA-SHOCK-2 Randomized Clinical Trial | Acid Base, Electrolytes, Fluids | JAMA | JAMA Network
  10. ACOD1 expression in patients with sepsis: an exploratory study of associations with disease severity and immune signatures - PMC

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