Evolution of the umbilical cord blood proteome across gestational development

Abstract Neonatal health is dependent on early risk stratification, diagnosis, and timely management of potentially devastating conditions, particularly in the setting of prematurity. Many of these conditions are poorly predicted in real-time by clinical data and current diagnostics. Umbilical cord...

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Main Authors: Leena B. Mithal, Nicola Lancki, Ted Ling-Hu, Young Ah Goo, Sebastian Otero, Nathaniel J. Rhodes, Byoung-Kyu Cho, William A. Grobman, Judd F. Hultquist, Denise Scholtens, Karen K. Mestan, Patrick C. Seed
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84446-5
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author Leena B. Mithal
Nicola Lancki
Ted Ling-Hu
Young Ah Goo
Sebastian Otero
Nathaniel J. Rhodes
Byoung-Kyu Cho
William A. Grobman
Judd F. Hultquist
Denise Scholtens
Karen K. Mestan
Patrick C. Seed
author_facet Leena B. Mithal
Nicola Lancki
Ted Ling-Hu
Young Ah Goo
Sebastian Otero
Nathaniel J. Rhodes
Byoung-Kyu Cho
William A. Grobman
Judd F. Hultquist
Denise Scholtens
Karen K. Mestan
Patrick C. Seed
author_sort Leena B. Mithal
collection DOAJ
description Abstract Neonatal health is dependent on early risk stratification, diagnosis, and timely management of potentially devastating conditions, particularly in the setting of prematurity. Many of these conditions are poorly predicted in real-time by clinical data and current diagnostics. Umbilical cord blood may represent a novel source of molecular signatures that provides a window into the state of the fetus at birth. In this study, we comprehensively characterized the cord blood proteome of infants born between 25 to 42 weeks using untargeted mass spectrometry and functional enrichment analysis. We determined that the cord blood proteome at birth varies significantly across gestational development. Proteins that function in structural development and growth (e.g., extracellular matrix organization, lipid particle remodeling, and blood vessel development) are more abundant earlier in gestation. In later gestations, proteins with increased abundance are in immune response and inflammatory pathways, including complements and calcium-binding proteins. These data contribute to the knowledge of the physiologic state of neonates across gestational age, which is crucial to understand as we strive to best support postnatal development in preterm infants, determine mechanisms of pathology causing adverse health outcomes, and develop cord blood biomarkers to help tailor our diagnosis and therapeutics for critical neonatal conditions.
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spelling doaj-art-2fbb8436fd6e4e8c9ab123c768653b462025-01-19T12:18:51ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-84446-5Evolution of the umbilical cord blood proteome across gestational developmentLeena B. Mithal0Nicola Lancki1Ted Ling-Hu2Young Ah Goo3Sebastian Otero4Nathaniel J. Rhodes5Byoung-Kyu Cho6William A. Grobman7Judd F. Hultquist8Denise Scholtens9Karen K. Mestan10Patrick C. Seed11Department of Pediatrics, Division of Infectious Diseases, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of MedicineDepartment of Preventive Medicine, Division of Biostatistics, Northwestern University Feinberg School of MedicineDepartment of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of MedicineMass Spectrometry Technology Access Center at McDonnell Genome Institute (MTAC@MGI), Washington University in Saint Louis School of MedicineDepartment of Pediatrics, Division of Infectious Diseases, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of MedicineDepartment of Pharmacy Practice, College of Pharmacy, Midwestern UniversityMass Spectrometry Technology Access Center at McDonnell Genome Institute (MTAC@MGI), Washington University in Saint Louis School of MedicineDepartment of Obstetrics and Gynecology, Ohio State UniversityDepartment of Medicine, Division of Infectious Diseases, Northwestern University Feinberg School of MedicineDepartment of Preventive Medicine, Division of Biostatistics, Northwestern University Feinberg School of MedicineDepartment of Pediatrics, Division of Neonatology, University of California San DiegoDepartment of Pediatrics, Division of Infectious Diseases, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of MedicineAbstract Neonatal health is dependent on early risk stratification, diagnosis, and timely management of potentially devastating conditions, particularly in the setting of prematurity. Many of these conditions are poorly predicted in real-time by clinical data and current diagnostics. Umbilical cord blood may represent a novel source of molecular signatures that provides a window into the state of the fetus at birth. In this study, we comprehensively characterized the cord blood proteome of infants born between 25 to 42 weeks using untargeted mass spectrometry and functional enrichment analysis. We determined that the cord blood proteome at birth varies significantly across gestational development. Proteins that function in structural development and growth (e.g., extracellular matrix organization, lipid particle remodeling, and blood vessel development) are more abundant earlier in gestation. In later gestations, proteins with increased abundance are in immune response and inflammatory pathways, including complements and calcium-binding proteins. These data contribute to the knowledge of the physiologic state of neonates across gestational age, which is crucial to understand as we strive to best support postnatal development in preterm infants, determine mechanisms of pathology causing adverse health outcomes, and develop cord blood biomarkers to help tailor our diagnosis and therapeutics for critical neonatal conditions.https://doi.org/10.1038/s41598-024-84446-5Cord bloodProteomicsNeonatal immunologyPrematurityImmune developmentBiomarker development
spellingShingle Leena B. Mithal
Nicola Lancki
Ted Ling-Hu
Young Ah Goo
Sebastian Otero
Nathaniel J. Rhodes
Byoung-Kyu Cho
William A. Grobman
Judd F. Hultquist
Denise Scholtens
Karen K. Mestan
Patrick C. Seed
Evolution of the umbilical cord blood proteome across gestational development
Scientific Reports
Cord blood
Proteomics
Neonatal immunology
Prematurity
Immune development
Biomarker development
title Evolution of the umbilical cord blood proteome across gestational development
title_full Evolution of the umbilical cord blood proteome across gestational development
title_fullStr Evolution of the umbilical cord blood proteome across gestational development
title_full_unstemmed Evolution of the umbilical cord blood proteome across gestational development
title_short Evolution of the umbilical cord blood proteome across gestational development
title_sort evolution of the umbilical cord blood proteome across gestational development
topic Cord blood
Proteomics
Neonatal immunology
Prematurity
Immune development
Biomarker development
url https://doi.org/10.1038/s41598-024-84446-5
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