Plasma lipidomics reveal systemic changes persistent throughout early life following a childhood burn injury

Eva Kierath1,2,3, Monique Ryan1, Elaine Holmes1,4,5

  • 1Australian National Phenome Centre, Health Futures Institute, Murdoch University, Harry Perkins Institute, 5 Robin Warren Drive, Murdoch, Perth, WA 6150, Australia.

Burns & Trauma
|December 11, 2023
PubMed

Insights

Children with non-severe burns show altered plasma lipid profiles, including higher lysophosphatidylethanolamines and lower fatty acids. These lipidome changes may indicate long-term health risks following pediatric burn injury.

Area of Science:

  • Biochemistry
  • Pediatric Medicine
  • Metabolomics

Background:

  • Non-severe pediatric burns can lead to unexpected long-term health issues, even with good acute recovery.
  • The underlying mechanisms connecting burns to sustained negative health outcomes remain unclear.
  • Metabolic and immune alterations are suspected contributors to long-term morbidity after burns.

Purpose of the Study:

  • To investigate if plasma lipidome alterations are associated with long-term health status in children post-burn.
  • To explore the potential of lipidomic changes as biomarkers for sustained health impacts after non-severe pediatric burns.

Main Methods:

  • Analysis of plasma lipidome in 33 children (aged 5-8 years) with prior non-severe burns (aged 1-3 years).
  • Comparison with 21 age- and gender-matched healthy, non-injured controls.
  • Quantification of plasma lipids using reversed-phase liquid chromatography-mass spectrometry (LC-MS).

Main Results:

  • 838 lipid species from 19 subclasses were analyzed.
  • Significantly elevated levels of lysophosphatidylethanolamines and phosphatidylethanolamines were observed in burn survivors.
  • Significantly decreased concentrations of myristic, palmitic, and palmitoleic acids were found in the plasma of children with a history of burn injury.

Conclusions:

  • Long-term alterations in plasma lipid profiles may offer insights into the mechanisms of poor health outcomes after non-severe burns.
  • Further research correlating lipidomic changes with long-term pathology could improve understanding of post-burn secondary morbidity.
  • Identifying these lipidomic signatures may pave the way for clinical interventions to mitigate the long-term health burden of burn trauma.
Abstract

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