Neurodevelopmental Outcome and Epigenetic Changes at 2 Years Associated with the Oxygen Load Received upon Postnatal Stabilization: A Pilot Study

Lorente-Pozo S.a· Boronat N.Parra-Llorca A.a,b· Lara-Cantón I.Solaz-García A.a· Oltra Soler J.V.c· Busó E.J.d· Casabó-Vallés G.e· García-Giménez J.L.e,f,g· Pallardó F.V.f,g· Vento M.a,b

Author affiliations

aNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain
bDivision of Neonatology, University and Polytechnic Hospital La Fe, Valencia, Spain
cGenetics Unit, University and Polytechnic Hospital La Fe, Valencia, Spain
dCentral Unit for Research in Medicine (UCIM), Faculty of Medicine and Dentistry, University of Valencia-INCLIVA, Valencia, Spain
eEpiDisease S.L. (Spin-off from the Center for Biomedical Network Research, CIBER-ISCIII, Spain), Valencia, Spain
fCIBERER (Health Institute Carlos III, Ministry of Science and Innovation), Valencia, Spain
gDepartment of Physiology, Faculty of Medicine and Dentistry, University of Valencia-INCLIVA, Valencia, Spain

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Article / Publication Details

First-Page Preview

Abstract of Global Neonatal Research

Received: November 08, 2021
Accepted: May 20, 2022
Published online: June 27, 2022

Number of Print Pages: 10
Number of Figures: 4
Number of Tables: 2

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: https://www.karger.com/NEO

Abstract

Introduction: The oxygen load provided to preterm infants during postnatal stabilization caused significant modifications of DNA methylation in the preterm epigenome. We aimed to assess if there was an association between DNA methylation changes and neurodevelopmental outcomes. Methods: Preterm infants were followed until 2 years after birth. Dried blood spots were processed, and DNA methylation was measured using the MassARRAY technology of Sequenom. We selected specific genes that corresponded to differentially methylated CpG sites that correlated with the oxygen load at 2 h after birth. Neurodevelopmental outcome was blindly assessed using Bayley-III scale. Results: Of 32 eligible patients, we completed the methylation analysis in 19 patients and the neurodevelopmental evaluation in 22. Comparison of differential methylation analysis between time 0 (cord blood) and 2 h after birth showed 74 significant CpGs, out of which 14 correlated with the oxygen load received at birth. Out of these 14 genes, only TRAPPC9 showed statistically significant differences at 2 years of age between the infants who received >500 mL versus <500 mL O2/kg. Premature who received >500 mL O2/kg showed significantly lower motor composite scores. Discussion/Conclusions: Premature who received higher oxygen load scored lower motor composite scores and showed a hypermethylation pattern of TRAPPC9 at 2 years of age. TRAPPC9 mutations are associated with neurodevelopmental delay and intellectual disability, so changes in the CpG methylation of this gene and its subsequent expression alteration can produce a similar phenotype. Further studies with a greater sample size are needed to confirm these findings.

© 2022 S. Karger AG, Basel

References Wyckoff MH, Aziz K, Escobedo MB, Kapadia VS, Kattwinkel J, Perlman JM, et al. Part 13: neonatal resuscitation: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 Suppl 2):S543–60. Vento M, Aguar M, Escobar J, Arduini A, Villar G, Izquierdo I, et al. Preterm resuscitation with lower oxygen causes less oxidative stress, inflammation, and chronic lung disease. Pediatrics. 2009;124:e439–49. Thamrin V, Saugstad OD, Tarnow-Mordi W, Wang YA, Lui K, Wright IM, et al. Preterm infant outcomes after randomization to initial resuscitation with FiO2 0.21 or 1.0. J Pediatr. 2018;201:55–61. Oei JL, Vento M. Is there a “right” amount of oxygen for preterm infant stabilization at birth? Front Pediatr. 2019;7:354. Merid SK, Novoloaca A, Sharp GC, Küpers LK, Koh AT, Roy R, et al. Epigenome-wide meta-analysis of blood DNA methylation in newborns and children identifies numerous loci to gestational age. Genome Med. 2020;12:25. Cruickshank MN, Oshlack A, Theda C, Davis PG, Martino D, Sheehan P, et al. Analysis of epigenetic changes in survivors of preterm birth reveals the effect of gestational age and evidence for a long term legacy. Genome Med. 2013;5:96. Lorente-Pozo S, Parra-Llorca A, Lara-Cantón I, Solaz A, García-Jimenez JL, Pallardó FV, et al. Oxygen in the neonatal period: oxidative stress, oxygen load and epigenetic changes. Semin Fetal Neonatal Med. 2020;25:101090. Burr S, Caldwell A, Chong M, Beretta M, Metcalf S, Hancock M, et al. Oxygen gradients can determine epigenetic asymmetry and cellular differentiation via differential regulation of Tet activity in embryonic stem cells. Nucleic Acids Res. 2018;46:1210–26. Saugstad OD, Oei JL, Lakshminrusimha S, Vento M. Oxygen therapy of the newborn from molecular understanding to clinical practice. Pediatr Res. 2019;85:20–9. Millán I, Piñero-Ramos JD, Lara I, Parra-Llorca A, Torres-Cuevas I, Vento M. Oxidative stress in the newborn period: useful biomarkers in the clinical setting. Antioxidants. 2018;7(12):193. Lorente-Pozo S, Parra-Llorca A, Nuñez-Ramiro A, Cernada M, Hervás D, Boronat D, et al. The oxygen load supplied during delivery room stabilization of preterm infants modifies the DNA methylation profile. J Pediatr. 2018;202:70–6. Aryee MJ, Jaffe AE, Corrada-Bravo H, Ladd-Acosta C, Feinberg AP, Hansen KD, et al. Minfi: a flexible and comprehensive bioconductor package for the analysis of Infinium DNA Methylation microarrays. Bioinformatics. 2014;30:1363–9. Ritchie ME, Phipson B, Wu D, Hu Y, Law CW, Shi W, et al. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res. 2015;43:e47. Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Statist Soc Ser B. 1995;57:289–300. Benjamini Y, Hochberg Y. On the adaptive control of the false discovery rate in multiple testing with independent statistics. J Educ Behav Stat. 2000;25:60–83. Burakevych N, Mckinlay CJD, Alsweiler JM, Wouldes TA, Harding JE. Bayley-III motor scale and neurological examination at 2 years do not predict motor skills at 4.5 years. Dev Med Child Neurol. 2017;59:216–23. Blighe K, Rana S, Lewis M. EnhancedVolcano: publication-ready volcano plots with enhanced colouring and labeling. R package version 1.12.0. 2015. https://github.com/kevinblighe/EnhancedVolcano. Jeltsch A. Oxygen, epigenetic signaling, and the evolution of early life. Trends Biochem Sci. 2013;38:172–6. Perera F, Herbstman J. Prenatal environmental exposures, epigenetics, and disease. Reprod Toxicol. 2011;31(3):363–73. Bonasio R, Tu S, Reinberg D. Molecular signals of epigenetic states. Science. 2010;330:612–6. Bochtler M, Kolano A, Xu GL. DNA demethylation pathways: additional players and regulators. Bioessays. 2017;39:1–13. Sacher M, Barrowman J, Schieltz D, Yates JR III, Ferro-Novick S. Identification and characterization of five new subunits of TRAPP. Eur J Cell Biol. 2000;79:71–80. Zhang Y, Bitner D, Pontes Filho AA, Li F, Liu S, Wang H, et al. Expression and function of NIK- and IKK2-binding protein (NIBP) in mouse enteric nervous system. Neurogastroenterol Motil. 2014;26:77–97. Wang B, Stanford KR, Kundu M. ER-to-Golgi trafficking and its implication in neurological diseases. Cells. 2020;9(2):408. Khattak NA, Mir A. Computational analysis of TRAPPC9: candidate gene for autosomal recessive non-syndromic mental retardation. CNS Neurol Disord Drug Targets. 2014;13:699–711. Abbasi AA, Blaesius K, Hu H, Latif Z, Picker-Minh S, Khan MN, et al. Identification of a novel homozygous TRAPPC9 gene mutation causing non-syndromic intellectual disability, speech disorder, and secondary microcephaly. Am J Med Genet B Neuropsychiatr Genet. 2017;174:839–45. Kakar N, Goebel I, Daud S, Nürnberg G, Agha N, Ahmad A, et al. A homozygous splice site mutation in TRAPPC9 causes intellectual disability and microcephaly. Eur J Med Genet. 2012;55:727–31. Mortreux J, Busa T, Germain DP, Nadeau G, Puechberty J, Coubes C, et al. The role of CNVs in the etiology of rare autosomal recessive disorders: the example of TRAPPC9-associated intellectual disability. Eur J Hum Genet. 2018;26:143–8. Article / Publication Details

First-Page Preview

Abstract of Global Neonatal Research

Received: November 08, 2021
Accepted: May 20, 2022
Published online: June 27, 2022

Number of Print Pages: 10
Number of Figures: 4
Number of Tables: 2

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: https://www.karger.com/NEO

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