Christopher Q Buchanan, Megan L Lawlor, Chukwuebuka Okafor, Shannon R Kurian, Andrea E Philip, Abigael E Finkle, Jay J McQuillan, Seema Haridas, Joyce M Koenig
{"title":"Linked Th17 and Calgranulin Responses in Maternal-cord Blood Dyads of Preterm Gestations with Histologic Chorioamnionitis.","authors":"Christopher Q Buchanan, Megan L Lawlor, Chukwuebuka Okafor, Shannon R Kurian, Andrea E Philip, Abigael E Finkle, Jay J McQuillan, Seema Haridas, Joyce M Koenig","doi":"10.5005/jp-journals-11002-0064","DOIUrl":"10.5005/jp-journals-11002-0064","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal-fetal immune crosstalk mechanisms are increasingly identified in the pathogenesis of gestational disorders, including histologic chorioamnionitis (HCA). Although an inflammatory Th17 immune phenotype has been described in preterm neonates with HCA, the associated maternal Th17 response is relatively unknown. To refine our understanding of Th17 biology in this context, we examined Th17 responses in maternal-cord blood dyads of preterm gestations.</p><p><strong>Materials and methods: </strong>Paired maternal and cord blood (CB) samples were prospectively collected from preterm gestations (23-34 weeks) with HCA or controls. Th17-linked cell frequencies and plasma calgranulin (S100A8, S100A12) levels were determined by flow cytometry and enzyme-linked immunoassay, respectively.</p><p><strong>Results: </strong>Analyses of 47 maternal-cord blood pairs showed striking parallel increases in Th17 cell frequencies as well as plasma calgranulin levels in the presence of fetal inflammation. Cord blood S100A12 levels were directly correlated with Th17 cell frequencies. In CB cultures, rh-S100A12 promoted <i>in vitro</i> propagation of Th17-type CD4<sup>+</sup> cells.</p><p><strong>Conclusions: </strong>Maternal and CB Th17-linked responses are dually amplified in gestations with HCA, supporting a biological role for maternal-fetal interactions in this disorder. In addition to advancing current knowledge of neonatal Th17 mechanisms, these data shed new light on their association with maternal inflammation.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 2","pages":"133-141"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/6c/nihms-1914677.PMC10547109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janet L Rothers, Christine M Calton, Jennifer Mb Stepp, Melissa D Halpern
{"title":"Enteral Feeding and Antibiotic Treatment Do Not Influence Increased Coefficient of Variation of Total Fecal Bile Acids in Necrotizing Enterocolitis.","authors":"Janet L Rothers, Christine M Calton, Jennifer Mb Stepp, Melissa D Halpern","doi":"10.5005/jp-journals-11002-0063","DOIUrl":"https://doi.org/10.5005/jp-journals-11002-0063","url":null,"abstract":"<p><strong>Introduction: </strong>Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in preterm infants. In animal models, the accumulation of ileal bile acids (BAs) is a crucial component of NEC pathophysiology. Recently, we showed that the coefficient of variation of total fecal BAs (CV-TBA) was elevated in infants who develop NEC compared to matched controls. However, neither the type of enteral nutrition nor antibiotic treatments-parameters that could potentially influence BA levels-were used to match pairs. Thus, we assessed the relationships between exposure to enteral feeding types and antibiotic treatments with NEC status and CV-TBA.</p><p><strong>Materials and methods: </strong>Serial fecal samples were collected from 79 infants born with birth weight (BW) ≤1800 gm and estimated gestational age (EGA) ≤32 weeks; eighteen of these infants developed NEC. Total fecal BA levels (TBA) were determined using a commercially available enzyme cycling kit. Relationships between CV-TBA and dichotomous variables (NEC status, demographics, early exposure variables) were assessed by independent samples t-tests. Fisher's exact tests were used to assess relationships between NEC status and categorical variables.</p><p><strong>Results: </strong>High values for CV-TBA levels perfectly predicted NEC status among infants in this study. However, feeding type and antibiotic usage did not drive this relationship.</p><p><strong>Conclusions: </strong>As in previous studies, high values for the CV-TBA levels in the first weeks of life perfectly predicted NEC status among infants. Importantly, feeding type and antibiotic usage-previously identified risk factors for NEC-did not drive this relationship.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 2","pages":"128-132"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/60/nihms-1914676.PMC10411330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathophysiology of Enteropathogenic <i>Escherichia coli</i>-induced Diarrhea.","authors":"Prabhdeep Kaur, Pradeep K Dudeja","doi":"10.5005/jp-journals-11002-0056","DOIUrl":"10.5005/jp-journals-11002-0056","url":null,"abstract":"<p><p>Enteropathogenic <i>Escherichia coli</i> (EPEC) are important diarrheal pathogens of infants and young children. Since the availability of molecular diagnosis methods, we now have new insights into the incidence and prevalence of these infections. Recent epidemiological studies indicate that atypical EPEC (aEPEC) are seen more frequently than typical EPEC (tEPEC) worldwide, including in both endemic diarrhea and diarrhea outbreaks. Therefore, it is important to further characterize the pathogenicity of these emerging strains. The virulence mechanisms and pathophysiology of the attaching and effacing lesion (A/E) and the type-three-secretion-system (T3SS) are complex but well-studied. A/E strains use their pool of locus of enterocyte effacement (LEE)-encoded and non-LEE-encoded effector proteins to subvert and modulate cellular and barrier properties of the host. However, the exact mechanisms of diarrhea in EPEC infection are not completely understood. From the clinical perspective, there is a need for fast, easy, and inexpensive diagnostic methods to define optimal treatment and prevention for children in endemic areas. In this article, we present a review of the classification of EPEC, epidemiology, pathogenesis of the disease caused by these bacteria, determinants of virulence, alterations in signaling, determinants of colonization vs. those of disease, and the limited information we have on the pathophysiology of EPEC-induced diarrhea. This article combines peer-reviewed evidence from our own studies and the results of an extensive literature search in the databases PubMed, EMBASE, and Scopus.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 1","pages":"102-113"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/9f/nihms-1890245.PMC10308259.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mitochondrial Dynamics during Development.","authors":"Ling He, Karl Johan Tronstad, Akhil Maheshwari","doi":"10.5005/jp-journals-11002-0053","DOIUrl":"10.5005/jp-journals-11002-0053","url":null,"abstract":"<p><p>Mitochondria are dynamic membrane-bound organelles in eukaryotic cells. These are important for the generation of chemical energy needed to power various cellular functions and also support metabolic, energetic, and epigenetic regulation in various cells. These organelles are also important for communication with the nucleus and other cellular structures, to maintain developmental sequences and somatic homeostasis, and for cellular adaptation to stress. Increasing information shows mitochondrial defects as an important cause of inherited disorders in different organ systems. In this article, we provide an extensive review of ontogeny, ultrastructural morphology, biogenesis, functional dynamics, important clinical manifestations of mitochondrial dysfunction, and possibilities for clinical intervention. We present information from our own clinical and laboratory research in conjunction with information collected from an extensive search in the databases PubMed, EMBASE, and Scopus.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 1","pages":"19-44"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/7c/nihms-1888352.PMC10193651.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9852789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin R Araya, Alisha A Ziegler, Connie C Grobe, Justin L Grobe, Jeffrey L Segar
{"title":"Sodium and Growth in Preterm Infants: A Review.","authors":"Benjamin R Araya, Alisha A Ziegler, Connie C Grobe, Justin L Grobe, Jeffrey L Segar","doi":"10.5005/jp-journals-11002-0060","DOIUrl":"https://doi.org/10.5005/jp-journals-11002-0060","url":null,"abstract":"<p><strong>Aim: </strong>This article is intended to review the relationship between sodium homeostasis and growth, outline reasons why preterm infants may become sodium deficient, and share data from our group and others regarding the potential benefits of dietary sodium supplementation.</p><p><strong>Background: </strong>Despite tremendous efforts over the past 20 years to optimize neonatal nutrition, postnatal growth failure in preterm infants remains a significant problem. Compelling associations have been identified between in-hospital growth failure and cardiometabolic and neurodevelopmental disorders, heightening the need to further identify the optimal nutritional needs of preterm infants.</p><p><strong>Results: </strong>The impact of sodium deficiency may have on somatic growth is poorly studied and reported upon within the human literature. In contrast, animal studies dating back almost 100 years highlight the nutritional importance of dietary sodium. Sodium homeostasis during early postnatal life is understudied and underappreciated by neonatologists.</p><p><strong>Conclusion: </strong>Insufficient sodium intake during early life is likely a critical yet underappreciated contributor to growth failure. Total body sodium depletion may be an important risk factor driving complications of premature birth.</p><p><strong>Clinical significance: </strong>Increased awareness of sodium homeostasis in preterm infants may improve outcomes in this population. Sodium intake recommendations are provided based on the interpretation of currently available literature.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 2","pages":"142-147"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/25/nihms-1914675.PMC10445331.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10104456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innate Immune Memory in Macrophages.","authors":"Akhil Maheshwari","doi":"10.5005/jp-journals-11002-0058","DOIUrl":"10.5005/jp-journals-11002-0058","url":null,"abstract":"<p><p>Macrophages have been recognized as the primary mediators of innate immunity starting from embryonic/fetal development. Macrophage-mediated defenses may not be as antigen-specific as adaptive immunity, but increasing information suggests that these responses do strengthen with repeated immunological triggers. The concept of innate memory in macrophages has been described as \"trained immunity\" or \"innate immune memory (IIM).\" As currently understood, this cellular memory is rooted in epigenetic and metabolic reprogramming. The recognition of IIM may be particularly important in the fetus and the young neonate who are yet to develop protective levels of adaptive immunity, and could even be of preventive/therapeutic importance in many disorders. There may also be a possibility of therapeutic enhancement with targeted vaccination. This article presents a review of the properties, mechanisms, and possible clinical significance of macrophage-mediated IIM.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 1","pages":"60-79"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/23/nihms-1890242.PMC10193650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9868466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Cryoprecipitate in Newborn Infants.","authors":"Manvi Tyagi, Brunetta Guaragni, Alvaro Dendi, Atnafu Mekonnen Tekleab, Mario Motta, Akhil Maheshwari","doi":"10.5005/jp-journals-11002-0045","DOIUrl":"10.5005/jp-journals-11002-0045","url":null,"abstract":"<p><p>Cryoprecipitate is a transfusion blood product derived from fresh-frozen plasma (FFP), comprised mainly of the insoluble precipitate that gravitates to the bottom of the container when plasma is thawed and refrozen. It is highly enriched in coagulation factors I (fibrinogen), VIII, and XIII; von Willebrand factor (vWF); and fibronectin. In this article, we have reviewed currently available information on the preparation, properties, and clinical importance of cryoprecipitate in treating critically ill neonates. We have searched extensively in the databases PubMed, Embase, and Scopus after short-listing keywords to describe the current relevance of cryoprecipitate.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 1","pages":"11-18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/5b/nihms-1890249.PMC10193588.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9497932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurological Manifestations of Perinatal Dengue.","authors":"Srijan Singh, Jubara Alallah, Astha Amrit, Akhil Maheshwari, Suresh Boppana","doi":"10.5005/jp-journals-11002-0066","DOIUrl":"https://doi.org/10.5005/jp-journals-11002-0066","url":null,"abstract":"<p><p>Dengue viruses (DENVs) are single-stranded RNA viruses belonging to the family Flaviviridae. There are four distinct antigenically related serotypes, DENVs types 1, 2, 3, and 4. These are all mosquito-borne human pathogens. Congenital dengue disease occurs when there is mother-to-fetus transmission of the virus and should be suspected in endemic regions in neonates presenting with fever, maculopapular rash, and thrombocytopenia. Although most of the infected infants remain asymptomatic, some can develop clinical manifestations such as sepsis-like illness, gastric bleeding, circulatory failure, and death. Neurological manifestations include intracerebral hemorrhages, neurological malformations, and acute focal/disseminated encephalitis/encephalomyelitis. Dengue NS1Ag, a highly conserved glycoprotein, can help the detection of cases in the viremic stage. We do not have proven specific therapies yet; management is largely supportive and is focused on close monitoring and maintaining adequate intravascular volume.</p>","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":"2 2","pages":"158-172"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/87/nihms-1914674.PMC10411360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Maheshwari, R. Sah, Jogender Kumar, B. Padhi, Subhanwita Manna, D. R. Pallepogula, Bharti Joshi, A. Aggarwal
{"title":"Prevalence of Gram-negative Bacteria in Maternal Cervical Secretions: A Systematic Review and Meta-analysis","authors":"A. Maheshwari, R. Sah, Jogender Kumar, B. Padhi, Subhanwita Manna, D. R. Pallepogula, Bharti Joshi, A. Aggarwal","doi":"10.5005/jp-journals-11002-0051","DOIUrl":"https://doi.org/10.5005/jp-journals-11002-0051","url":null,"abstract":"","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42408346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the Impact of Maternal Health on Neonatal Disease: A New Horizon","authors":"A. Maheshwari, M. Motta, K. Lui","doi":"10.5005/newborn-1-4-iv","DOIUrl":"https://doi.org/10.5005/newborn-1-4-iv","url":null,"abstract":"","PeriodicalId":74306,"journal":{"name":"Newborn (Clarksville, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42795964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}