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Cord Blood Adductomics Reveals Oxidative Stress Exposure Pathways of Bronchopulmonary Dysplasia
Abstract
Fetal and neonatal exposures to perinatal oxidative stress (OS) are key mediators of bronchopulmonary dysplasia (BPD). To characterize these exposures, adductomics is an exposure science approach that captures electrophilic addition products (adducts) in blood protein. Adducts are bound to the nucleophilic cysteine loci of human serum albumin (HSA), which has a prolonged half-life. We conducted targeted and untargeted adductomics to test the hypothesis that adducts of OS vary with BPD. We studied 205 preterm infants (≤28 weeks) and 51 full-term infants from an ongoing birth cohort. Infant plasma was collected at birth (cord blood), 1-week, 1-month, and 36-weeks postmenstrual age. HSA was isolated from plasma, trypsin digested, and analyzed using high-performance liquid chromatography–mass spectrometry to quantify previously annotated (known) and unknown adducts. We identified 105 adducts in cord and postnatal blood. A total of 51 known adducts (small thiols, direct oxidation products, and reactive aldehydes) were increased with BPD. Postnatally, serial concentrations of several known OS adducts correlated directly with supplemental oxygen exposure. The application of large-scale adductomics elucidated OS-mediated pathways of BPD. This is the first study to investigate the “neonatal–perinatal exposome” and to identify oxidative stress-related exposure biomarkers that may inform antioxidant strategies to protect the health of future generations of infants.
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“Cord blood adductomics identified 51 oxidative stress-related adducts predicting BPD in preterm infants.50”
From Environmental roots of neonatal health: how social and structural exposures shape early-life outcomes (2026) · cites this paper as [50]
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Cited by
Nawaz, K., Babata, K., Scheid, L., Bitar, L., Ortiz, N. V., Kota, S., & Chalak, L. F. (2026) · Pediatric Research · doi:10.1038/s41390-026-05139-5 · Cited by 1
Metadata
- Authors
- Lin, E. T., Bae, Y., Birkett, R., Sharma, A. M., Zhang, R., Fisch, K. M., Funk, W., & Mestan, K. K.
- Venue
- Antioxidants
- Publisher
- MDPI AG
- Published
- 2024-04-20
- Volume
- 13
- Issue
- 4
- Pages
- 494
- ISSN
- 2076-3921
- Cited by
- 18
- References
- 2
- Language
- en
- Funders
- National Institute of Child Health and Human Development (NICHD) (R21HD100831, R01HL139798, UL1TR001442, S10OD025194, P41 GM108569)
- National Heart, Lung, and Blood Institute (NHLBI) (R21HD100831, R01HL139798, UL1TR001442, S10OD025194, P41 GM108569)
- National Center for Advancing Translational Sciences (R21HD100831, R01HL139798, UL1TR001442, S10OD025194, P41 GM108569)
- NIH Office of Director (R21HD100831, R01HL139798, UL1TR001442, S10OD025194, P41 GM108569)
- National Resource for Translational and Developmental Proteomics (R21HD100831, R01HL139798, UL1TR001442, S10OD025194, P41 GM108569)
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