Evidence map›Paper›PMID 42339207›Full record

ArticleFrontiers in artificial intelligence2026

The quantified immune-aging dysregulation index: a large-language model-powered method for annotating and quantifying systems-level dysregulation.

George D Vavougios, Georgios Hadjigeorgiou

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Article in Frontiers in artificial intelligence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

George D VavougiosMedical School, University of Cyprus, Nicosia, Cyprus.
Georgios HadjigeorgiouMedical School, University of Cyprus, Nicosia, Cyprus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pathway enrichment analyses are widely used to interpret transcriptomic datasets; however, their outputs typically consist of lists of statistically enriched pathways that require qualitative interpretation and are difficult to compare across biological contexts. Methods of semantic classification that transform enrichment results into quantitative, mechanistically interpretable measures of system-level dysregulation remain underexplored. Methods: Here, we introduced TENSE (quanTifiEd immuNe-aging dySregulation index), a framework that summarizes pathway enrichment outputs into a quantitative estimate of immune-aging-associated dysregulation. Utilizing a Large Language Model classifier via a KNIME workflow, significantly enriched pathways are semantically classified into five mechanistic categories representing key processes implicated in immune aging, the DIRES scheme: DNA damage (D), DNA repair (R), epigenetic drift (E), inflammaging (I), and nucleic acid sensing (S). These pathway-derived signals are then aggregated into a normalized dysregulation score reflecting the magnitude (TENSE) and distribution (DIRES) of aging-associated processes across biological contexts. Results: Application of TENSE to transcriptional modules derived from neurodegenerative, radiation-response, and immune activation datasets revealed distinct dysregulation profiles. Alzheimer's disease-associated modules were primarily characterized by inflammaging signatures, particularly within microglial transcriptional programs, whereas radiation response datasets exhibited dominant DNA damage-related signals. Sepsis-associated gene signatures showed strong inflammatory contributions, producing the highest TENSE values observed. Robustness analysis demonstrated high reproducibility of pathway classification across repeated runs and close agreement between large language model-derived annotations and human consensus scores. Conclusion: TENSE provides a reproducible and interpretable method for transforming pathway enrichment outputs into quantitative estimates of system-level immune-aging dysregulation. By bridging pathway enrichment analysis and mechanistic interpretation, the framework enables comparative analysis of aging-related biological processes across diverse datasets.

Indexed as

Alzheimer’s diseaseartificial intelligencedifferential gene expressiongene expression datainflammationKNIME analytics platformlarge language modelscoring–algorithm

Identifiers

PMID42339207
PMCPMC13283962

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.