Urinary H-1-NMR Metabolomics in the First Week of Life Can Anticipate BPD Diagnosis

作者：Pintus Maria Cristina; Lussu Milena; Dessi Angelica^*; Pintus Roberta; Noto Antonio; Masile Valentina; Marcialis Maria Antonietta; Puddu Melania; Fanos Vassilios; Atzori Luigi

来源：Oxidative Medicine and Cellular Longevity, 2018, 2018: 7620671.

DOI：10.1155/2018/7620671

Despite the advancements in medical knowledge and technology, the etiopathogenesis of bronchopulmonary dysplasia (BPD) is not yet fully understood although oxidative stress seems to play a role, leading to a very demanding management of these patients by the neonatologist. In this context, metabolomics can be useful in understanding, diagnosing, and treating this illness since it is one of the newest omics science that analyzes the metabolome of an individual through the investigation of biological fluids such as urine and blood. In this study, 18 patients admitted to the Neonatal Intensive Care Unit of the Cagliari University Hospital were enrolled. Among them, 11 patients represented the control group and 7 patients subsequently developed BPD. A sample of urine was collected from each patient at 7 days of life and analyzed through H-1-NMR coupled with multivariate statistical analysis. The discriminant metabolites between the 2 groups noted were alanine, betaine, trimethylamine-N-oxide, lactate, and glycine. Utilizing metabolomics, it was possible to detect the urinary metabolomics fingerprint of neonates in the first week of life who subsequently developed BPD. Future studies are needed to confirm these promising results suggesting a possible role of microbiota and oxidative stress, and to apply this technology in clinical practice.

• 出版日期2018