Association of novel markers of liver disease with neonatal liver disease in premature baboons, Papio sp.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 26 06 2019
accepted: 09 01 2020
entrez: 10 3 2020
pubmed: 10 3 2020
medline: 13 6 2020
Statut: epublish

Résumé

Parenteral Nutrition (PN) Associated Liver Disease (PNALD) affects up to 60% of neonates; however, techniques for diagnosing and monitoring disease progression remain limited. The neonatal baboon model may provide a unique opportunity to identify serologic markers associated with this disease. The purpose of this study was to investigate if Hyaluronic Acid (HA), TIMP metallopeptidase inhibitor 1 (TIMP1), Amino-terminal Propeptide of Type-III Collagen (PIIINP) and Enhanced Liver Fibrosis (ELF) score associate with histological liver disease in neonatal baboons exposed to PN. Preterm baboons delivered via c-section at 67% gestation received PN for 14 days with or without Intralipid (PRT+IL, PRT-IL, respectively) or were sacrificed after birth (PRTCTR). Term baboons were sacrificed after birth (TERMCTR) or survived 14 days (TERM+14d). Serum HA, TIMP1, and PIIINP concentrations were measured by ELISA. A blinded pathologist assigned liver histological scores following necropsy. HA increased 9.1-fold, TIMP1 increased 2.2-fold, and ELF score increased 1.4-fold in PRT-IL compared to PRTCTR. ALT, AST, and GGT were within normal limits and did not vary between groups. A trend towards increased fibrosis was found in PRT-IL baboons. Microvesicular hepatocyte steatosis and Kupffer cell hypertrophy were elevated in PRT-IL vs PRTCTR. HA and TIMP1 were significantly elevated in preterm baboons with early histological findings of liver disease evidenced by hepatic steatosis, Kupffer cell hypertrophy and a trend towards fibrosis whereas traditional markers of liver disease remained normal. These novel markers could potentially be utilized for monitoring early hepatic injury in neonates.

Identifiants

pubmed: 32150543
doi: 10.1371/journal.pone.0228985
pii: PONE-D-19-18073
pmc: PMC7062281
doi:

Substances chimiques

Biomarkers 0
Tissue Inhibitor of Metalloproteinase-1 0
Hyaluronic Acid 9004-61-9

Banques de données

figshare
['10.6084/m9.figshare.8326532']

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0228985

Subventions

Organisme : NIH HHS
ID : P51 OD011133
Pays : United States
Organisme : NCRR NIH HHS
ID : UL1 RR025767
Pays : United States

Déclaration de conflit d'intérêts

The authors declare no competing interests.

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Auteurs

Laura M Keller (LM)

Department of Neonatology, San Antonio Military Medical Center, San Antonio, TX, United States of America.

Stephanie Eighmy (S)

Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX, United States of America.

Cun Li (C)

Texas Biomedical Research Institute, San Antonio, Texas, United States of America.
Department of Animal Science, Texas Pregnancy and Life-course Health Research Center, University of Wyoming, Laramie, Wyoming, United States of America.

Lauryn Winter (L)

Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States of America.

Jay Kerecman (J)

Division of Neonatology, Department of Pediatrics, Eastern Maine Health System, Bangor, ME, United States of America.

Zachary Goodman (Z)

Department of Pathology, Center for Liver Diseases, Inova Fairfax Hospital, Falls Church, VA, United States of America.

Naveen Mittal (N)

Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States of America.

Cynthia L Blanco (CL)

Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States of America.
Division of Neonatology, Department of Pediatrics, University Health System, San Antonio, TX, United States of America.

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Classifications MeSH