Abstract:Background: Fetal growth is determined by the interaction between mother and fetus using the placental interface throughout the pregnancy.
Objective: To research apoptosis and appearance of hepatocyte growth factor (HGF) in placentas of different gestational ages and to describe the anthropometrical and clinical indices of mothers and newborns.
Materials and Methods: The study material was obtained from 53 human immunodeficiency virus negative pregnant women of legal age without systemic diseases. … Show more
“…Still, it is also enriched in the placenta with strong expression in the villous syncytium, extravillous trophoblast, and amnionic epithelium (Fig. 3b ) 43 , 44 . Fig.…”
Background
Preterm birth is the leading cause of neonatal mortality and morbidity. Early diagnosis and interventions are critical to improving the clinical outcomes of extremely premature infants. Blood protein profiling during the first months of life in preterm infants can shed light on the role of early extrauterine development and provide an increased understanding of maturation after extremely preterm birth and the underlying mechanisms of prematurity-related disorders.
Methods
We have investigated the blood protein profiles during the first months of life in preterm infants on the role of early extrauterine development. The blood protein levels were analyzed using next generation blood profiling on 1335 serum samples, collected longitudinally at nine time points from birth to full-term from 182 extremely preterm infants.
Results
The protein analysis reveals evident predestined serum evolution patterns common for all included infants. The majority of the variations in blood protein expression are associated with the postnatal age of the preterm infants rather than any other factors. There is a uniform protein pattern on postnatal day 1 and after 30 weeks postmenstrual age (PMA), independent of gestational age (GA). However, during the first month of life, GA had a significant impact on protein variability.
Conclusions
The unified pattern of protein development for all included infants suggests an age-dependent stereotypic development of blood proteins after birth. This knowledge should be considered in neonatal settings and might alter the clinical approach within neonatology, where PMA is today the most dominant age variable.
“…Still, it is also enriched in the placenta with strong expression in the villous syncytium, extravillous trophoblast, and amnionic epithelium (Fig. 3b ) 43 , 44 . Fig.…”
Background
Preterm birth is the leading cause of neonatal mortality and morbidity. Early diagnosis and interventions are critical to improving the clinical outcomes of extremely premature infants. Blood protein profiling during the first months of life in preterm infants can shed light on the role of early extrauterine development and provide an increased understanding of maturation after extremely preterm birth and the underlying mechanisms of prematurity-related disorders.
Methods
We have investigated the blood protein profiles during the first months of life in preterm infants on the role of early extrauterine development. The blood protein levels were analyzed using next generation blood profiling on 1335 serum samples, collected longitudinally at nine time points from birth to full-term from 182 extremely preterm infants.
Results
The protein analysis reveals evident predestined serum evolution patterns common for all included infants. The majority of the variations in blood protein expression are associated with the postnatal age of the preterm infants rather than any other factors. There is a uniform protein pattern on postnatal day 1 and after 30 weeks postmenstrual age (PMA), independent of gestational age (GA). However, during the first month of life, GA had a significant impact on protein variability.
Conclusions
The unified pattern of protein development for all included infants suggests an age-dependent stereotypic development of blood proteins after birth. This knowledge should be considered in neonatal settings and might alter the clinical approach within neonatology, where PMA is today the most dominant age variable.
Preterm birth is the leading cause of neonatal mortality and morbidity. Early diagnosis and interventions are critical to improve the clinical outcomes of extremely premature infants. Here, we have investigated the blood protein profiles during the first months of life in preterm infants to shed light on the role of early extrauterine development. The blood protein levels were analyzed using “next generation blood profiling” on 1335 serum samples, collected longitudinally at nine time points from birth to full term (40 weeks postmenstrual age) from 182 extremely preterm infants. We found a unified pattern of protein development for all included infants, regardless of gestational age and clinical characteristics, suggesting an age-dependent stereotypic development of blood proteins after birth. This knowledge should be considered in neonatal settings and might alter the clinical approach within neonatology, where postmenstrual age is today the most dominant age variable.
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