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Research Article| Volume 59, 102722, July 2022

Wound age estimation based on next-generation sequencing: Fitting the optimal index system using machine learning

  • Author Footnotes
    1 These authors contributed equally to this work
    Kang Ren
    Footnotes
    1 These authors contributed equally to this work
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Author Footnotes
    1 These authors contributed equally to this work
    Liangliang Wang
    Footnotes
    1 These authors contributed equally to this work
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Yifei Wang
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Guoshuai An
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Qiuxiang Du
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Jie Cao
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Qianqian Jin
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Keming Yun
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Author Footnotes
    2 These authors jointly supervised this work
    Zhongyuan Guo
    Footnotes
    2 These authors jointly supervised this work
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Author Footnotes
    2 These authors jointly supervised this work
    Yingyuan Wang
    Footnotes
    2 These authors jointly supervised this work
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
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  • Author Footnotes
    2 These authors jointly supervised this work
    Qiangrong Liang
    Footnotes
    2 These authors jointly supervised this work
    Affiliations
    Department of Biomedical Sciences, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568–8000, USA
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  • Author Footnotes
    2 These authors jointly supervised this work
    ,
    Author Footnotes
    3 ORCID of Jun-hong Sun: 0000–0002-6970–2620
    Junhong Sun
    Correspondence
    Corresponding author.
    Footnotes
    2 These authors jointly supervised this work
    3 ORCID of Jun-hong Sun: 0000–0002-6970–2620
    Affiliations
    School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China
    Search for articles by this author
  • Author Footnotes
    1 These authors contributed equally to this work
    2 These authors jointly supervised this work
    3 ORCID of Jun-hong Sun: 0000–0002-6970–2620

      Highlights

      • The optimal index system was screened out for wound age estimation based on next-generation sequencing and bioinformatics.
      • The index systems for wound age estimation were based on series of changes in biological and time-related processes.
      • Genes with significant differences in expression between adjacent time points were more suitable for wound age estimation.
      • An appropriate index system is more crucial to improving the accuracy of wound age estimation.

      Abstract

      Accurate estimation of the wound age is critical in investigating intentional injury cases. Establishing objective and reliable biological indicators to estimate wound age is still a significant challenge in forensic medicine. Therefore, exploring an objective, flexible, and reliable index system selection method for wound age estimation based on next-generation sequencing gene expression profiles is necessary. We randomly divided 63 Sprague-Dawley rats into a control group, seven experimental groups (n = 7 per group), and an external validation group. After rats in the experimental and external validation groups suffered contusions, we sacrificed them at 4, 8, 12, 16, 20, 24, and 48 h after contusion, respectively. We selected 54 genes with the most significant changes between adjacent time points after contusion and defined set A. The Hub genes with time-related expression patterns were set B, C, and D through next-generation sequencing and bioinformatics analysis. Four different machine learning classification algorithms, including logistic regression, support vector machine, multi-layer perceptron, and random forest were used to compare and verify the efficiency of four index systems to estimate the wound age. The best combination for wound age estimation is the Genes ascribed to set A combined with the random forest classification algorithm. The accuracy of external verification was 85.71%. Only one rat was incorrectly classified (4 h post-injury incorrectly classified as 8 h). This study demonstrated the potential advantage of the index system selection based on next-generation sequencing and bioinformatics analysis for wound age estimation.

      Keywords

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