Maternal sepsis in the era of genomic medicine

Arch Gynecol Obstet. 2018 Jan;297(1):49-60. doi: 10.1007/s00404-017-4584-5. Epub 2017 Nov 4.

Abstract

Purpose: Maternal sepsis remains one of the leading causes of direct and indirect maternal mortality both in high- and low-income environments. In the last two decades, systems biology approaches, based on '-omics' technologies, have started revolutionizing the diagnosis and management of the septic syndrome. The scope of this narrative review is to present an overview of the basic '-omics' technologies, exemplified by cases relevant to maternal sepsis.

Methods: Narrative review of the new '-omics' technologies based on a detailed review of the literature.

Results: After presenting the main 'omics' technologies, we discuss their limitations and the need for integrated approaches that encompass research efforts across multiple '-omics' layers in the '-omics' cascade between the genome and the phenome.

Conclusions: Systems biology approaches are revolutionizing the research landscape in maternal sepsis. There is a need for increased awareness, from the side of health practitioners, as a requirement for the effective implementation of the new technologies in the research and clinical practice in maternal sepsis.

Keywords: Genomic medicine; Integrated ‘-omics’; Maternal sepsis; Systems biology.

Publication types

  • Review

MeSH terms

  • Female
  • Genomics*
  • Humans
  • Inventions
  • Metabolomics*
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Sepsis* / etiology