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一项关于晚发性败血症和坏死性小肠结肠炎新生儿血清代谢组学的前瞻性病例对照研究。

A Prospective, Case-Control Study of Serum Metabolomics in Neonates with Late-Onset Sepsis and Necrotizing Enterocolitis.

作者信息

Thomaidou Agathi, Deda Olga, Begou Olga, Lioupi Artemis, Kontou Angeliki, Gika Helen, Agakidou Eleni, Theodoridis Georgios, Sarafidis Kosmas

机构信息

1st Department of Neonatology, School of Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital, 54642 Thessaloniki, Greece.

Laboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

J Clin Med. 2022 Sep 7;11(18):5270. doi: 10.3390/jcm11185270.


DOI:10.3390/jcm11185270
PMID:36142917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9505627/
Abstract

Late-onset sepsis (LOS) and necrotizing enterocolitis (NEC) are major causes of neonatal morbidity and mortality. In this prospective, case-control study, we evaluated the metabolic profile of neonates with LOS and NEC. Blood samples were collected from 15 septic neonates and 17 neonates with NEC at the clinical suspicion of the specific diseases. Sixteen gestational and postnatal age-matched neonates without sepsis/NEC served as controls. Serum metabolic profiles were assessed using liquid chromatography-quadrupole time-of-flight mass spectrometry. Metabolomic analysis revealed significant differences in the metabolic profile of neonates with LOS or NEC compared to controls. More specifically, a number of molecules possibly identified as phosphatidylcholines or lysophosphatidylcholines were found to be significantly reduced both in neonates with LOS and those with NEC compared to controls. Additionally, L-carnitine could efficiently discriminate NEC cases from controls. The results of the current study suggest that certain phospholipids and their derivatives could possibly be used as biomarkers for the early detection of LOS and NEC.

摘要

迟发性败血症(LOS)和坏死性小肠结肠炎(NEC)是新生儿发病和死亡的主要原因。在这项前瞻性病例对照研究中,我们评估了患有LOS和NEC的新生儿的代谢谱。在临床怀疑患有特定疾病时,从15名败血症新生儿和17名患有NEC的新生儿中采集血样。16名胎龄和出生后年龄匹配且无败血症/NEC的新生儿作为对照。使用液相色谱-四极杆飞行时间质谱法评估血清代谢谱。代谢组学分析显示,与对照组相比,患有LOS或NEC的新生儿的代谢谱存在显著差异。更具体地说,发现一些可能被鉴定为磷脂酰胆碱或溶血磷脂酰胆碱的分子在患有LOS的新生儿和患有NEC的新生儿中均比对照组显著减少。此外,左旋肉碱可以有效地区分NEC病例与对照组。本研究结果表明,某些磷脂及其衍生物可能用作早期检测LOS和NEC的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/4a34f373caaa/jcm-11-05270-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/fd1a3e0c78af/jcm-11-05270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/8fae31415d18/jcm-11-05270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/3cf0162ae9d6/jcm-11-05270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/0c85f078a7b3/jcm-11-05270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/4a34f373caaa/jcm-11-05270-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/fd1a3e0c78af/jcm-11-05270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/8fae31415d18/jcm-11-05270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/3cf0162ae9d6/jcm-11-05270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/0c85f078a7b3/jcm-11-05270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0535/9505627/4a34f373caaa/jcm-11-05270-g005.jpg

相似文献

[1]
A Prospective, Case-Control Study of Serum Metabolomics in Neonates with Late-Onset Sepsis and Necrotizing Enterocolitis.

J Clin Med. 2022-9-7

[2]
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[3]
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J Chromatogr B Analyt Technol Biomed Life Sci. 2019-4-8

[4]
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[5]
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[6]
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[7]
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[8]
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[9]
Elevated levels of circulating cell-free DNA and neutrophil proteins are associated with neonatal sepsis and necrotizing enterocolitis in immature mice, pigs and infants.

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[10]
Fecal amine metabolite analysis before onset of severe necrotizing enterocolitis in preterm infants: a prospective case-control study.

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引用本文的文献

[1]
Integrated analysis of serum metabolomics and fecal microbiome in infants with necrotizing enterocolitis.

Front Microbiol. 2025-6-5

[2]
Survival of the Littlest: Navigating Sepsis Diagnosis beyond Inflammation in Preterm Neonates.

J Proteome Res. 2025-6-6

[3]
Identification of serum metabolite biomarkers in premature infants with bronchopulmonary dysplasia: protocol for a multicentre prospective observational cohort study.

BMJ Open. 2025-1-15

[4]
Metabolomic analysis to predict the onset and severity of necrotizing enterocolitis.

BMC Gastroenterol. 2024-10-26

[5]
Struggling to Understand the NEC Spectrum-Could the Integration of Metabolomics, Clinical-Laboratory Data, and Other Emerging Technologies Help Diagnosis?

Metabolites. 2024-9-26

[6]
Metabolic and Microbial Dysregulation in Preterm Infants with Neonatal Respiratory Distress Syndrome: An Early Developmental Perspective.

J Proteome Res. 2024-8-2

[7]
Advances in Mass Spectrometry-Based Blood Metabolomics Profiling for Non-Cancer Diseases: A Comprehensive Review.

Metabolites. 2024-1-14

[8]
Metabolomics in NEC: An Updated Review.

Metabolites. 2023-12-24

本文引用的文献

[1]
Using MetaboAnalyst 5.0 for LC-HRMS spectra processing, multi-omics integration and covariate adjustment of global metabolomics data.

Nat Protoc. 2022-8

[2]
Biomarkers of Neonatal Sepsis: From Being Mere Numbers to Becoming Guiding Diagnostics.

Cureus. 2022-3-16

[3]
Fat of the Gut: Epithelial Phospholipids in Inflammatory Bowel Diseases.

Int J Mol Sci. 2021-10-28

[4]
Urine NMR Metabolomics Profile of Preterm Infants With Necrotizing Enterocolitis Over the First Two Months of Life: A Pilot Longitudinal Case-Control Study.

Front Mol Biosci. 2021-6-15

[5]
Untargeted and Targeted Metabolomic Profiling of Preterm Newborns with EarlyOnset Sepsis: A Case-Control Study.

Metabolites. 2021-2-18

[6]
Emerging Biomarkers for Prediction and Early Diagnosis of Necrotizing Enterocolitis in the Era of Metabolomics and Proteomics.

Front Pediatr. 2020-12-8

[7]
Diagnosis and mortality prediction of sepsis via lysophosphatidylcholine 16:0 measured by MALDI-TOF MS.

Sci Rep. 2020-8-14

[8]
Progressive Metabolic Dysfunction and Nutritional Variability Precedes Necrotizing Enterocolitis.

Nutrients. 2020-4-30

[9]
Meropenem vs standard of care for treatment of neonatal late onset sepsis (NeoMero1): A randomised controlled trial.

PLoS One. 2020-3-4

[10]
Contemporary Outcomes for Infants with Necrotizing Enterocolitis-A Systematic Review.

J Pediatr. 2020-1-22

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