Sepsis & infection

Plasma proteomics identifies molecular subtypes in sepsis

Crit CarePublished Prospective multicentre cohort study

Authors' conclusion

The identified plasma proteome subtypes provide insights into the immune response and disease mechanisms and allow conclusions on appropriate therapeutic measures, enabling predictive enrichment in clinical trials.

Study context

Population
Patients with sepsis, plasma sampled at days 1 and 4
Participants
333 patients
Exposure
Cluster 0 vs Cluster 1 vs Cluster 2 vs Cluster 3
Outcome
Plasma proteome subtypes
Methodological detailsplasma proteomics subtyping, multi-center, K-means clustering, random forest machine learning classifier
  • Plasma proteomics subtyping
  • Multi-center
  • K-means clustering
  • Random forest machine learning classifier

Main finding

As reported in the abstract

GroupValueMortality
Cluster 0100%100%

Cluster 0

Value100%
Mortality100%

Observational data: associations, not effects.

Further findings

ML classifier for subtype assignment

Model based on 10 proteins and immunoglobulin (Ig) quantities assigned patients to clusters 1, 2 and 3 with high confidence

Original publication

Plasma proteomics identifies molecular subtypes in sepsis. Crit Care. Published 2 September 2025. doi:10.1186/s13054-025-05639-6

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