Altered Cerebellar Biochemical Profiles in Infants Born Prematurely

Abstract This study aims to compare the cerebellar biochemical profiles in preterm (PT) infants evaluated at term equivalent age (TEA) and healthy full-term newborns using proton magnetic resonance spectroscopy (1H-MRS). We explore the associations between altered cerebellar metabolite profiles and...

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Autores principales: Marie Brossard-Racine, Jonathan Murnick, Marine Bouyssi-Kobar, Janie Coulombe, Taeun Chang, Catherine Limperopoulos
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Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/73053108eb394df192c54d586c18e3e7
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spelling oai:doaj.org-article:73053108eb394df192c54d586c18e3e72021-12-02T15:05:05ZAltered Cerebellar Biochemical Profiles in Infants Born Prematurely10.1038/s41598-017-08195-42045-2322https://doaj.org/article/73053108eb394df192c54d586c18e3e72017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-08195-4https://doaj.org/toc/2045-2322Abstract This study aims to compare the cerebellar biochemical profiles in preterm (PT) infants evaluated at term equivalent age (TEA) and healthy full-term newborns using proton magnetic resonance spectroscopy (1H-MRS). We explore the associations between altered cerebellar metabolite profiles and brain injury topography, severity of injury, and prematurity-related clinical complications. We prospectively collected high quality 1H-MRS in 59 premature infants born ≤32 weeks and 61 healthy full term controls. 1H-MRS data were processed using LCModel software to calculate absolute metabolite concentration for N-acetyl-aspartate (NAA), choline (Cho) and creatine (Cr). PT infants had significantly lower cerebellar NAA (p < 0.025) and higher Cho (p < 0.001) at TEA when compared to healthy controls. Creatine was not different between the two groups. The presence of cerebellar injury was consistently associated with reduced concentrations for NAA, Cho, and Cr. Postnatal infection was negatively associated with NAA and Cr (p < 005), while cerebral cortical brain injury severity was inversely associated with both Cho and Cr (p < 0.01). We report for the first time that premature birth is associated with altered cerebellar metabolite profiles when compared to term born controls. Infection, cerebellar injury and supratentorial injury are important risk factors for impaired preterm cerebellar biochemistry.Marie Brossard-RacineJonathan MurnickMarine Bouyssi-KobarJanie CoulombeTaeun ChangCatherine LimperopoulosNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marie Brossard-Racine
Jonathan Murnick
Marine Bouyssi-Kobar
Janie Coulombe
Taeun Chang
Catherine Limperopoulos
Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
description Abstract This study aims to compare the cerebellar biochemical profiles in preterm (PT) infants evaluated at term equivalent age (TEA) and healthy full-term newborns using proton magnetic resonance spectroscopy (1H-MRS). We explore the associations between altered cerebellar metabolite profiles and brain injury topography, severity of injury, and prematurity-related clinical complications. We prospectively collected high quality 1H-MRS in 59 premature infants born ≤32 weeks and 61 healthy full term controls. 1H-MRS data were processed using LCModel software to calculate absolute metabolite concentration for N-acetyl-aspartate (NAA), choline (Cho) and creatine (Cr). PT infants had significantly lower cerebellar NAA (p < 0.025) and higher Cho (p < 0.001) at TEA when compared to healthy controls. Creatine was not different between the two groups. The presence of cerebellar injury was consistently associated with reduced concentrations for NAA, Cho, and Cr. Postnatal infection was negatively associated with NAA and Cr (p < 005), while cerebral cortical brain injury severity was inversely associated with both Cho and Cr (p < 0.01). We report for the first time that premature birth is associated with altered cerebellar metabolite profiles when compared to term born controls. Infection, cerebellar injury and supratentorial injury are important risk factors for impaired preterm cerebellar biochemistry.
format article
author Marie Brossard-Racine
Jonathan Murnick
Marine Bouyssi-Kobar
Janie Coulombe
Taeun Chang
Catherine Limperopoulos
author_facet Marie Brossard-Racine
Jonathan Murnick
Marine Bouyssi-Kobar
Janie Coulombe
Taeun Chang
Catherine Limperopoulos
author_sort Marie Brossard-Racine
title Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
title_short Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
title_full Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
title_fullStr Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
title_full_unstemmed Altered Cerebellar Biochemical Profiles in Infants Born Prematurely
title_sort altered cerebellar biochemical profiles in infants born prematurely
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/73053108eb394df192c54d586c18e3e7
work_keys_str_mv AT mariebrossardracine alteredcerebellarbiochemicalprofilesininfantsbornprematurely
AT jonathanmurnick alteredcerebellarbiochemicalprofilesininfantsbornprematurely
AT marinebouyssikobar alteredcerebellarbiochemicalprofilesininfantsbornprematurely
AT janiecoulombe alteredcerebellarbiochemicalprofilesininfantsbornprematurely
AT taeunchang alteredcerebellarbiochemicalprofilesininfantsbornprematurely
AT catherinelimperopoulos alteredcerebellarbiochemicalprofilesininfantsbornprematurely
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