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Dramatic changes in blood protein levels during the first week of life in extremely preterm infants
Wen Zhong1, Hanna Danielsson2, Abdellah Tebani1
1Science for Life Laboratory, Department of Protein Science, KTH - Royal Institute of Technology, Stockholm, Sweden.
Insights
Extremely preterm infants show a unique blood protein profile at birth that shifts significantly after birth. This study tracks these protein changes to improve understanding and care for vulnerable newborns.
Area of Science:
- Neonatal Medicine
- Proteomics
- Biochemistry
Background:
- Preterm birth is a leading cause of mortality in children under five.
- Survivors often experience significant short- and long-term health issues.
- Novel protein analysis platforms offer new insights into infant health and disease.
Purpose of the Study:
- To analyze protein profiles in extremely preterm infants.
- To understand physiological changes during the transition from intrauterine to extrauterine life.
- To identify potential biomarkers for early intervention.
Main Methods:
- Longitudinal analysis of blood protein profiles in 14 extremely preterm infants.
- Utilized a novel multiplex protein analysis platform.
- Integrated medical variables with profiling of 448 unique protein targets.
Main Results:
- Preterm infants exhibit a distinct, unified blood protein profile at birth.
- This profile diversifies significantly within the first week and up to term-equivalent age.
- Identified temporal trends in protein clusters, including liver and immune proteins.
Conclusions:
- The identified protein profiles and temporal trends aid in understanding the intrauterine-extrauterine transition.
- This knowledge is crucial for developing targeted early-life interventions.
- Aims to promote normal development in vulnerable preterm infants.
Background:
Preterm birth and its complications are the primary cause of death among children under the age of 5. Among the survivors, morbidity both perinatally and later in life is common. The dawn of novel technical platforms for comprehensive and sensitive analysis of protein profiles in blood has opened up new possibilities to study both health and disease with significant clinical accuracy, here used to study the preterm infant and the physiological changes of the transition from intrauterine to extrauterine life.
Methods:
We have performed in-depth analysis of the protein profiles of 14 extremely preterm infants using longitudinal sampling. Medical variables were integrated with extensive profiling of 448 unique protein targets.
Results:
The preterm infants have a distinct unified protein profile in blood directly at birth regardless of clinical background; however, the pattern changed profoundly postnatally, expressing more diverse profiles only 1 week later and further on up to term-equivalent age. Clusters of proteins depending on temporal trend were identified.
Conclusion:
The protein profiles and the temporal trends here described will contribute to the understanding of the physiological changes in the intrauterine-extrauterine transition, which is essential to adjust early-in-life interventions to prone a normal development in the vulnerable preterm infants.
Impact:
We have performed longitudinal and in-depth analysis of the protein profiles of 14 extremely preterm infants using a novel multiplex protein analysis platform. The preterm infants had a distinct unified protein profile in blood directly at birth regardless of clinical background. The pattern changed dramatically postnatally, expressing more diverse profiles only 1 week later and further on up to term-equivalent age. Certain clusters of proteins were identified depending on their temporal trend, including several liver and immune proteins. The study contributes to the understanding of the physiological changes in the intrauterine-extrauterine transition.
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