Aberrant Adiposity and Ectopic Lipid Deposition Characterize the Adult Phenotype of the Preterm Infant
Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18–27 y born at ≤33 wk gestation or at term. We used whole-body MRI, 1 H...
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Published in | Pediatric research Vol. 70; no. 5; pp. 507 - 512 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Nature Publishing Group US
01.11.2011
Lippincott Williams & Wilkins |
Subjects | |
Online Access | Get full text |
ISSN | 0031-3998 1530-0447 1530-0447 |
DOI | 10.1203/PDR.0b013e31822d7860 |
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Abstract | Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18–27 y born at ≤33 wk gestation or at term. We used whole-body MRI,
1
H magnetic resonance spectroscopy (MRS) of liver and muscle, metabonomic profiling of blood and urine, and anthropometric and blood pressure measurements. Preterm subjects had greater (mean difference (95% CI)) total [2.21 L (0.3, 4.1),
p
= 0.03] and abdominal adipose tissue [internal 0.51 (0.1, 0.9),
p
= 0.007]; blood pressure [systolic 6.5 mm Hg (2.2, 10.8),
p
= 0.004; diastolic 5.9 (1.8, 10.1),
p
= 0.006]; and ectopic lipid (ratio (95% CI)), intrahepatocellular lipid (IHCL) 3.01 (1.78, 5.28)
p
< 0.001, and tibialis-intramyocellular lipid (T-IMCL) [1.31 (1.02, 1.69)
p
= 0.04]. In preterm, compared with term men, there was greater internal adipose tissue [mean (SD); men: preterm 4.0 (1.6), term 2.7 (1.1) liters; women: preterm 2.6 (0.9); term 2.6 (0.5); gender-gestation interaction
p
= 0.048] and significant differences in the urinary metabolome (elevated methylamines and acetyl-glycoproteins, lower hippurate). We have identified multiple premorbid biomarkers in ex-preterm young adults, which are most marked in men and indicative of risks to later wellbeing. These data offer insight into biological trajectories affected by preterm birth and/or neonatal care. |
---|---|
AbstractList | Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18–27 y born at ≤33 wk gestation or at term. We used whole-body MRI,
1
H magnetic resonance spectroscopy (MRS) of liver and muscle, metabonomic profiling of blood and urine, and anthropometric and blood pressure measurements. Preterm subjects had greater (mean difference (95% CI)) total [2.21 L (0.3, 4.1),
p
= 0.03] and abdominal adipose tissue [internal 0.51 (0.1, 0.9),
p
= 0.007]; blood pressure [systolic 6.5 mm Hg (2.2, 10.8),
p
= 0.004; diastolic 5.9 (1.8, 10.1),
p
= 0.006]; and ectopic lipid (ratio (95% CI)), intrahepatocellular lipid (IHCL) 3.01 (1.78, 5.28)
p
< 0.001, and tibialis-intramyocellular lipid (T-IMCL) [1.31 (1.02, 1.69)
p
= 0.04]. In preterm, compared with term men, there was greater internal adipose tissue [mean (SD); men: preterm 4.0 (1.6), term 2.7 (1.1) liters; women: preterm 2.6 (0.9); term 2.6 (0.5); gender-gestation interaction
p
= 0.048] and significant differences in the urinary metabolome (elevated methylamines and acetyl-glycoproteins, lower hippurate). We have identified multiple premorbid biomarkers in ex-preterm young adults, which are most marked in men and indicative of risks to later wellbeing. These data offer insight into biological trajectories affected by preterm birth and/or neonatal care. Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18-27 y born at ≤ 33 wk gestation or at term. We used whole-body MRI, (1)H magnetic resonance spectroscopy (MRS) of liver and muscle, metabonomic profiling of blood and urine, and anthropometric and blood pressure measurements. Preterm subjects had greater (mean difference (95% CI)) total [2.21 L (0.3, 4.1), p = 0.03] and abdominal adipose tissue [internal 0.51 (0.1, 0.9), p = 0.007]; blood pressure [systolic 6.5 mm Hg (2.2, 10.8), p = 0.004; diastolic 5.9 (1.8, 10.1), p = 0.006]; and ectopic lipid (ratio (95% CI)), intrahepatocellular lipid (IHCL) 3.01 (1.78, 5.28) p < 0.001, and tibialis-intramyocellular lipid (T-IMCL) [1.31 (1.02, 1.69) p = 0.04]. In preterm, compared with term men, there was greater internal adipose tissue [mean (SD); men: preterm 4.0 (1.6), term 2.7 (1.1) liters; women: preterm 2.6 (0.9); term 2.6 (0.5); gender-gestation interaction p = 0.048] and significant differences in the urinary metabolome (elevated methylamines and acetyl-glycoproteins, lower hippurate). We have identified multiple premorbid biomarkers in ex-preterm young adults, which are most marked in men and indicative of risks to later wellbeing. These data offer insight into biological trajectories affected by preterm birth and/or neonatal care.Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18-27 y born at ≤ 33 wk gestation or at term. We used whole-body MRI, (1)H magnetic resonance spectroscopy (MRS) of liver and muscle, metabonomic profiling of blood and urine, and anthropometric and blood pressure measurements. Preterm subjects had greater (mean difference (95% CI)) total [2.21 L (0.3, 4.1), p = 0.03] and abdominal adipose tissue [internal 0.51 (0.1, 0.9), p = 0.007]; blood pressure [systolic 6.5 mm Hg (2.2, 10.8), p = 0.004; diastolic 5.9 (1.8, 10.1), p = 0.006]; and ectopic lipid (ratio (95% CI)), intrahepatocellular lipid (IHCL) 3.01 (1.78, 5.28) p < 0.001, and tibialis-intramyocellular lipid (T-IMCL) [1.31 (1.02, 1.69) p = 0.04]. In preterm, compared with term men, there was greater internal adipose tissue [mean (SD); men: preterm 4.0 (1.6), term 2.7 (1.1) liters; women: preterm 2.6 (0.9); term 2.6 (0.5); gender-gestation interaction p = 0.048] and significant differences in the urinary metabolome (elevated methylamines and acetyl-glycoproteins, lower hippurate). We have identified multiple premorbid biomarkers in ex-preterm young adults, which are most marked in men and indicative of risks to later wellbeing. These data offer insight into biological trajectories affected by preterm birth and/or neonatal care. Our investigation addresses the hypothesis that disruption of third trimester development by preterm birth alters multiple biological pathways affecting metabolic health in adult life. We compared healthy adult volunteers aged 18-27 y born at ≤ 33 wk gestation or at term. We used whole-body MRI, (1)H magnetic resonance spectroscopy (MRS) of liver and muscle, metabonomic profiling of blood and urine, and anthropometric and blood pressure measurements. Preterm subjects had greater (mean difference (95% CI)) total [2.21 L (0.3, 4.1), p = 0.03] and abdominal adipose tissue [internal 0.51 (0.1, 0.9), p = 0.007]; blood pressure [systolic 6.5 mm Hg (2.2, 10.8), p = 0.004; diastolic 5.9 (1.8, 10.1), p = 0.006]; and ectopic lipid (ratio (95% CI)), intrahepatocellular lipid (IHCL) 3.01 (1.78, 5.28) p < 0.001, and tibialis-intramyocellular lipid (T-IMCL) [1.31 (1.02, 1.69) p = 0.04]. In preterm, compared with term men, there was greater internal adipose tissue [mean (SD); men: preterm 4.0 (1.6), term 2.7 (1.1) liters; women: preterm 2.6 (0.9); term 2.6 (0.5); gender-gestation interaction p = 0.048] and significant differences in the urinary metabolome (elevated methylamines and acetyl-glycoproteins, lower hippurate). We have identified multiple premorbid biomarkers in ex-preterm young adults, which are most marked in men and indicative of risks to later wellbeing. These data offer insight into biological trajectories affected by preterm birth and/or neonatal care. |
Author | Holmes, Elaine Doré, Caroline J Thomas, E Louise Yap, Ivan K S Modi, Neena Hyde, Matthew J Parkinson, James R Bell, Jimmy D |
Author_xml | – sequence: 1 givenname: E Louise surname: Thomas fullname: Thomas, E Louise organization: Metabolic and Molecular Imaging Group, Imperial College London – sequence: 2 givenname: James R surname: Parkinson fullname: Parkinson, James R organization: Department of Medicine, Imperial College London – sequence: 3 givenname: Matthew J surname: Hyde fullname: Hyde, Matthew J organization: Department of Medicine, Imperial College London – sequence: 4 givenname: Ivan K S surname: Yap fullname: Yap, Ivan K S organization: Department of Surgery and Cancer, Imperial College London – sequence: 5 givenname: Elaine surname: Holmes fullname: Holmes, Elaine organization: Department of Surgery and Cancer, Imperial College London – sequence: 6 givenname: Caroline J surname: Doré fullname: Doré, Caroline J organization: Clinical Trials Unit, Medical Research Council – sequence: 7 givenname: Jimmy D surname: Bell fullname: Bell, Jimmy D organization: Metabolic and Molecular Imaging Group, Imperial College London – sequence: 8 givenname: Neena surname: Modi fullname: Modi, Neena email: n.modi@imperial.ac.uk organization: Department of Medicine, Imperial College London |
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Copyright | International Pediatrics Research Foundation, Inc. 2011 2015 INIST-CNRS |
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Keywords | Human Premature Pediatrics Adipose tissue Lipids Infant Newborn diseases Phenotype Adiposity Prematurity Adult Anomaly Ectopia Deposition |
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SubjectTerms | 692/53 692/700/1720 Adiposity - physiology Adult Biological and medical sciences Biomarkers - metabolism Blood Pressure clinical-investigation Female General aspects Glycoproteins - urine Hippurates - urine Humans Infant, Newborn Infant, Premature - physiology Lipids - analysis Liver - metabolism Magnetic Resonance Imaging Magnetic Resonance Spectroscopy Male Medical sciences Medicine Medicine & Public Health Metabolome Methylamines - urine Muscles - metabolism Pediatric Surgery Pediatrics Sex Factors |
Title | Aberrant Adiposity and Ectopic Lipid Deposition Characterize the Adult Phenotype of the Preterm Infant |
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