Neuregulin-1, the fetal endothelium, and brain damage in preterm newborns

神经调节蛋白-1、胎儿内皮细胞和早产儿脑损伤

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作者:Insa Hoffmann, Wolfgang Bueter, Katja Zscheppang, Maria-Jantje Brinkhaus, Andrea Liese, Stefan Riemke, Thilo Dörk, Olaf Dammann, Christiane E L Dammann

Methods

We measured NRG1-protein and mRNA levels in human umbilical venous endothelial cells (HUVECs) of different gestational ages at various durations of exposure to lipopolysaccharide (LPS). In parallel, we genotyped the donor individuals for SNP8NRG221533, a disease-related single nucleotide polymorphism in the 5' region upstream of the NRG1 sequence. Intracellular NRG1 localization was visualized by confocal microscopy. Furthermore we analyzed the relationship between SNP8NRG221533 genotype and neurodevelopmental outcome in children born preterm.

Objective

To assess the potential role for Neuregulin-1 (NRG1) as a systemic endogenous protector in the setting of perinatal inflammatory brain damage.

Results

We observed a positive dose-response-relationship between NRG1-mRNA and intracellular protein levels with both advancing gestational age and duration of LPS exposure in HUVECs. The presence of allele C at the SNP8NRG221533 locus was associated with an increased cellular production of NRG1 in HUVECs, and with a significantly reduced risk for cerebral palsy and developmental delay in children born preterm. Interpretation: In

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