Frontiers in Medicine (Feb 2022)

Role of Age-Related Changes in DNA Methylation in the Disproportionate Susceptibility and Worse Outcomes of Sepsis in Older Adults

  • Xiabing Lang,
  • Xiabing Lang,
  • Xiabing Lang,
  • Xiabing Lang,
  • Lingling Shen,
  • Lingling Shen,
  • Lingling Shen,
  • Lingling Shen,
  • Tingting Zhu,
  • Tingting Zhu,
  • Tingting Zhu,
  • Tingting Zhu,
  • Wenjun Zhao,
  • Wenjun Zhao,
  • Wenjun Zhao,
  • Wenjun Zhao,
  • Yang Chen,
  • Yang Chen,
  • Yang Chen,
  • Yang Chen,
  • Chaohong Zhu,
  • Chaohong Zhu,
  • Chaohong Zhu,
  • Chaohong Zhu,
  • Qun Su,
  • Cuili Wang,
  • Cuili Wang,
  • Cuili Wang,
  • Cuili Wang,
  • Yucheng Wang,
  • Yucheng Wang,
  • Yucheng Wang,
  • Yucheng Wang,
  • Francesco Neri,
  • Hong Jiang,
  • Hong Jiang,
  • Hong Jiang,
  • Hong Jiang,
  • Jianghua Chen,
  • Jianghua Chen,
  • Jianghua Chen,
  • Jianghua Chen

DOI
https://doi.org/10.3389/fmed.2022.822847
Journal volume & issue
Vol. 9

Abstract

Read online

Sepsis, a complex multisystem disorder, is among the top causes of hospitalization and mortality in older adults. However, the mechanisms underlying the disproportionate susceptibility to sepsis and worse outcomes in the elderly are not well understood. Recently, changes in DNA methylation have been shown to be linked to aging processes and age-related diseases. Thus, we postulated that age-related changes in DNA methylation may play a role in the onset and prognosis of sepsis in elderly patients. Here, we performed genome-wide methylation profiling of peripheral blood from patients with sepsis and controls. Among the CpG sites whose methylation changes may contribute to an increase in sepsis susceptibility or mortality, 241 sites that possessed age-related changes in DNA methylation in controls may partly explain the increased risk of sepsis in older adults, and 161 sites whose methylation significantly correlated with age in sepsis group may be the potential mechanisms underlying the worse outcomes of elderly septic patients. Finally, an independent cohort was used to validate our findings. Together, our study demonstrates that age-related changes in DNA methylation may explain in part the disproportionate susceptibility and worse outcomes of sepsis in older adults.

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