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Multi-omics profiling reveals that eating difficulties developed consecutively to artificial nutrition in the
Martine Morzel1, Eric Neyraud1, Hélène Brignot1
1CNRS, UMR6265 Centre des Sciences du Goût et de l'Alimentation, F-21000 Dijon, France; INRA, UMR1324 Centre des Sciences du Goût et de l'Alimentation, F-21000 Dijon, France; Université de Bourgogne, UMR Centre des Sciences du Goût et de l'Alimentation, F-21000 Dijon, France.
Insights
Children with long-term eating difficulties (ED) show altered saliva composition, including lower antioxidant status and protease inhibitors. This highlights the crucial role of oral stimulation from eating in maintaining oral health.
Area of Science:
- Oral physiology
- Pediatric nutrition
- Biochemistry
Background:
- Prolonged enteral/parenteral nutrition can lead to persistent eating difficulties (ED) in children.
- Reduced oral intake diminishes oral cavity stimulation, potentially impacting oral physiology.
Purpose of the Study:
- To investigate the impact of reduced oral stimulation on saliva composition in children with ED.
- To compare salivary profiles between children with ED and healthy controls.
Main Methods:
- Utilized multi-omics and targeted methods to analyze saliva from 21 children with ED and 23 healthy controls.
- Employed spectral methods including MALDI-TOF, SELDI-TOF, and (1)H NMR for saliva analysis.
Main Results:
- Spectral methods successfully differentiated saliva composition between ED patients and controls.
- ED patients exhibited a lower antioxidant status and reduced levels of salivary cystatins.
- Discriminant salivary features like IgA1 and dimethylamine suggest altered oral/intestinal microbial ecology.
Conclusions:
- Oral stimulation from food intake significantly influences saliva composition.
- Altered salivary profiles in ED patients may be linked to reduced oral stimulation and potentially exacerbated gustatory sensitivities.
- Further research is needed to explore the connection between salivary changes, taste hypersensitivity, and eating difficulties.
Abstract:
Prolonged enteral or parenteral nutrition in neonatal periods sometimes results in eating difficulties persisting for years, with reduced food intake through the oral route and thereby reduced stimulation of the oral cavity. Aiming at describing the consequences on oral physiology, saliva of 21 children with eating difficulties (ED) was compared to that of 23 healthy controls, using various omics and targeted methods. Overall, despite heterogeneity within the groups (age, medication etc.), the three spectral methods (MALDI-TOF, SELDI-TOF, (1)H NMR) allowed discriminating ED and controls, confirming that oral stimulation by food intake plays a role in shaping the composition of saliva. Saliva of ED patients exhibited a lower antioxidant status and lower levels of the salivary protease inhibitors cystatins. Other discriminant features (IgA1, dimethylamine) may relate to modified oral and/or intestinal microbial ecology. Finally, salivary profiles of ED patients were partly comparable to those of subjects with exacerbated gustatory sensitivities, in particular with reduced abundance of cystatin SN and higher abundance of zinc-alpha-2-glycoprotein. Whether this translates taste hypersensitivity and contributes to the eating difficulties deserves further attention.
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