Evidence map›Paper›PMID 39271902›Full record

ArticlePediatric research2025

Omic-signature of bronchopulmonary dysplasia associated pulmonary hypertension in <1500g-birth-weight-infants with hemodynamically significant intracardiac shunt.

Lucy Emery, Alexa Hughes, Christiana Oji-Mmuo, Patricia Silveyra, Vincent P R Aluquin, Ann Donnelly, Roopa Siddaiah

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Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Lucy EmeryPenn State Health College of Medicine, Hershey, PA, USA.
Alexa HughesPenn State Health College of Medicine, Hershey, PA, USA.
Christiana Oji-MmuoDepartment of Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA.
Patricia SilveyraDepartment of Environmental and Occupational Health, School of Public Health, Indiana University, Bloomington, IN, USA.
Vincent P R AluquinDepartment of Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA.
Ann DonnellyDepartment of Respiratory Therapy, Penn State Health Children's Hospital, Hershey, PA, USA.
Roopa SiddaiahDepartment of Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA. rsiddaiah@pennstatehealth.psu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPDA and ASD are common intracardiac shunts noted in prematurely born infants. While there is evidence of persistent PDA and ASD associated with a higher risk for developing bronchopulmonary dysplasia (ICS-BPD) and pulmonary hypertension (ICS-BPD-PH), the underlying pathogenesis is poorly understood and hence challenging to identify at-risk infants. Our study goal was to evaluate transcriptomic expression and associated pathways in tracheal aspirates (TAs) of low-birth-weight infants with hemodynamically significant cardiac shunt (ICS) that develop bronchopulmonary dysplasia (ICS-BPD) and pulmonary hypertension (ICS-BPD-PH).

methodsTAs were collected from preterm infants with ICS and a diagnosis of BPD or BPD-PH from a single center. 36 TA samples including 19 ICS-BPD and 17 ICS-BPD-PH were analyzed. MiRNA expression was determined via PCR arrays, and mRNA expression via RNA seq. Data were analyzed using limma.

results11 miRNAs and 10 mRNAs were differentially expressed (adjusted p < 0.05) in ICS-BPD-PH group when compared to ICS-BPD. Ingenuity Pathway Analysis identified associations with cellular growth, proliferation, death, and cell function pathways.

conclusionTAs from preterm infants show differentially expressed miRNAs and mRNAs in ICS-BPD-PH when compared to ICS-BPD, an in-silico model identified target molecules that could be playing a role in BPD-PH pathogenesis in low-birth-weight infants with ICS. IMPACT: Pulmonary hypertension associated with severe BPD (BPD-PH) is a distinct disease in preterm infants with severe BPD and the role of intracardiac shunt (ICS) in its development is controversial and often challenging for clinical management. Our pilot study, researching specific endotyping of infants with pulmonary hypertension associated with BPD using multiomics approach has identified molecular markers and potential underlying pathways associated with this condition. These markers could aid in stratifying high risk infants with ICS that are at risk for developing BPD-PH and aid clinical management.

Indexed as

Bronchopulmonary DysplasiaHemodynamicsHypertension, PulmonaryTranscriptomeFemaleGene Expression ProfilingHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightMaleMicroRNAsRNA, MessengerTracheaMicroRNAsRNA, Messenger

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.