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Transcriptome-Wide Insights: Neonatal Lactose Intolerance Promotes Telomere Damage, Senescence, and Cardiomyopathy in
Olga V Anatskaya1, Sergei V Ponomartsev1, Artem U Elmuratov2
1Institute of Cytology RAS, Saint-Petersburg 194064, Russia.
International Journal of Molecular Sciences
|February 26, 2025
Summary
Neonatal lactose intolerance (NLI) accelerates aging and cardiac dysfunction by causing oxidative stress and telomere damage. Early management of NLI is crucial to prevent long-term cardiovascular disease risks.
Area of Science:
- Cardiovascular Biology
- Neonatal Development
- Aging Research
Background:
- Cardiovascular diseases (CVD) are a leading cause of global mortality, linked to aging and neonatal development.
- Adverse neonatal conditions can disrupt cardiomyocyte differentiation, leading to heart dysfunction.
- Neonatal lactose intolerance (NLI) is a potential neonatal stressor impacting long-term cardiac health.
Purpose of the Study:
- To investigate the long-term effects of NLI-induced inflammatory and oxidative stress on cardiomyocyte transcriptome and phenotype.
- To evaluate the impact of NLI on cardiomyocyte ploidy, telomere integrity, and cardiac function.
- To assess the correlation between NLI and accelerated aging, cardiac dysfunction, and survival rates.
Main Methods:
- Cytophotometric and morphologic analysis of left ventricle (LV) cardiomyocytes.
- Transcriptomic profiling of LV cardiomyocytes.
- Echocardiography to assess cardiac structure and function.
- Survival rate estimation.
Main Results:
- NLI induced hyperpolyploidy and telomere fusion in LV cardiomyocytes.
- Transcriptomic analysis revealed accelerated aging, telomere damage, and chromatin decompaction.
- Suppression of muscle contraction and energy metabolism pathways observed.
- Echocardiography showed significant LV dilation and reduced ejection fraction.
- NLI shortened median lifespan by approximately 18%.
Conclusions:
- NLI accelerates cardiac aging through oxidative stress and telomere DNA damage, leading to hyperpolyploidization and impaired cardiac function.
- Neonatal inflammatory and metabolic stressors like NLI increase susceptibility to cardiovascular diseases.
- Early identification and management of NLI are vital for mitigating long-term cardiovascular risks.

