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Updated: Jul 2, 2026

Isolation of Neonatal Extrahepatic Cholangiocytes
Published on: June 5, 2014
Neonatal intrahepatocellular lipid
1Molecular Imaging Group, MRC Clinical Sciences Centre, Imperial College London, London, UK.
Insights
Preterm birth elevates intrahepatocellular lipids (IHCL) in infants, a marker linked to adiposity-associated diseases. This finding suggests a potential mechanism connecting preterm birth to later metabolic health risks.
Area of Science:
- Neonatology
- Metabolic Health
- Medical Imaging
Background:
- Preterm birth is increasingly recognized as a risk factor for adiposity-associated diseases.
- The underlying pathophysiology remains unclear.
- Previous research indicated increased visceral adiposity in preterm infants by term-equivalent age.
Purpose of the Study:
- To investigate intrahepatocellular lipid (IHCL) levels in preterm-born infants at term-equivalent age.
- To compare IHCL levels between preterm-at-term infants, term-born infants, and adults.
Main Methods:
- Quantitative measurement of IHCL using proton magnetic resonance spectroscopy ((1)H NMR).
- Study cohort included 26 infants (8 healthy preterm-at-term, 18 term-born) and 32 adults as a reference group.
Main Results:
- No significant difference in IHCL content was found between term-born infants and adults.
- Preterm-at-term infants exhibited significantly elevated IHCL compared to both term-born infants and adults.
- Median IHCL (CH2/water) values: preterm 1.69, term 0.21, adult 0.55.
Conclusions:
- Infants born preterm have significantly higher intrahepatocellular lipid levels by term-equivalent age.
- Elevated IHCL in preterm infants may represent an early indicator of metabolic alterations.
- This finding provides a potential pathophysiological link between preterm birth and future adiposity-related health issues.
Abstract:
There is increasing evidence that preterm birth is a risk factor for the development of adiposity associated disease, although the pathophysiological basis is unclear. We have previously shown that preterm infants have increased internal abdominal (visceral) adiposity by term. In adults increased internal adiposity is associated with elevated intrahepatocellular lipid (IHCL). We measured IHCL using (1)H NMR spectroscopy in 26 infants (eight healthy preterm-at-term and 18 term-born) and compared values with a reference group of 32 adults. There was no significant difference between adult and term-born IHCL content. In preterm-at-term infants IHCL was significantly elevated when compared with term-born infants and with adults (IHCL CH2/water median (interquartile range): preterm 1.69 (1.04-3.53), term 0.21 (0-0.54) and adult 0.55 (0.08-1.57).
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