Altered inflammatory responses in preterm children with cerebral palsy

Chang Yi Lin, Ying Chao Chang, Shan Tair Wang, Ting Yang Lee, Chiou Feng Lin, Chao Ching Huang

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Objective: Perinatal inflammatory responses contribute to periventricular leukomalacia (PVL) and cerebral palsy (CP) in preterm infants. Here, we examined whether preterm children with CP had altered inflammatory responses when school-aged. Methods: Thirty-two preterm children with PVL-induced CP (mean [±standard deviation] age, 7.2 ± 3.6 years) and 32 control preterm children with normal neurodevelopment (6.2 ± 2.2 years) and matched for gestational age were recruited. We measured tumor necrosis factor (TNF)-α levels in the plasma and the supernatants of peripheral blood mononuclear cells (PBMCs) before and after lipopolysaccharide (LPS) stimulation, and proinflammatory gene expression in the PBMCs. Results: TNF-α expression was significantly higher in the plasma (p <0.001) and supernatants of LPS-stimulated PBMCs (p = 0.003) in the CP group than in the control group. After LPS stimulation, the intracellular TNF-α level in the PBMCs was significantly lower in the control group (p = 0.016) and significantly higher in the CP group (p = 0.01). The CP group also had, in their nonstimulated PBMCs, significantly higher mRNA levels of inflammatory molecules: toll-like receptor 4 (TLR-4) (p = 0.0023), TNF-α (p = 0.0016), transforming growth factor-β-activated kinase 1 (p = 0.038), IκB kinase-γ (p = 0.029), and c-Jun N-terminal kinase (p = 0.045). The TLR-4 mRNA levels in the PBMCs were highly correlated with TNF-α levels in LPS-stimulated PBMCs (Spearman rank correlation = 0.38, p = 0.03). Interpretation: The finding that preterm children with PVL-induced CP have altered inflammatory responses indicates the possibility of programming effect of PVL or inflammation-related events during early life.

Original languageEnglish
Pages (from-to)204-212
Number of pages9
JournalAnnals of Neurology
Volume68
Issue number2
DOIs
Publication statusPublished - 2010
Externally publishedYes

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Cerebral Palsy
Blood Cells
Periventricular Leukomalacia
Tumor Necrosis Factor-alpha
Lipopolysaccharides
Toll-Like Receptor 4
Phosphotransferases
Control Groups
Messenger RNA
JNK Mitogen-Activated Protein Kinases
Transforming Growth Factors
Premature Infants
Gestational Age
Inflammation
Gene Expression

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Medicine(all)

Cite this

Altered inflammatory responses in preterm children with cerebral palsy. / Lin, Chang Yi; Chang, Ying Chao; Wang, Shan Tair; Lee, Ting Yang; Lin, Chiou Feng; Huang, Chao Ching.

In: Annals of Neurology, Vol. 68, No. 2, 2010, p. 204-212.

Research output: Contribution to journalArticle

Lin, Chang Yi ; Chang, Ying Chao ; Wang, Shan Tair ; Lee, Ting Yang ; Lin, Chiou Feng ; Huang, Chao Ching. / Altered inflammatory responses in preterm children with cerebral palsy. In: Annals of Neurology. 2010 ; Vol. 68, No. 2. pp. 204-212.
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abstract = "Objective: Perinatal inflammatory responses contribute to periventricular leukomalacia (PVL) and cerebral palsy (CP) in preterm infants. Here, we examined whether preterm children with CP had altered inflammatory responses when school-aged. Methods: Thirty-two preterm children with PVL-induced CP (mean [±standard deviation] age, 7.2 ± 3.6 years) and 32 control preterm children with normal neurodevelopment (6.2 ± 2.2 years) and matched for gestational age were recruited. We measured tumor necrosis factor (TNF)-α levels in the plasma and the supernatants of peripheral blood mononuclear cells (PBMCs) before and after lipopolysaccharide (LPS) stimulation, and proinflammatory gene expression in the PBMCs. Results: TNF-α expression was significantly higher in the plasma (p <0.001) and supernatants of LPS-stimulated PBMCs (p = 0.003) in the CP group than in the control group. After LPS stimulation, the intracellular TNF-α level in the PBMCs was significantly lower in the control group (p = 0.016) and significantly higher in the CP group (p = 0.01). The CP group also had, in their nonstimulated PBMCs, significantly higher mRNA levels of inflammatory molecules: toll-like receptor 4 (TLR-4) (p = 0.0023), TNF-α (p = 0.0016), transforming growth factor-β-activated kinase 1 (p = 0.038), IκB kinase-γ (p = 0.029), and c-Jun N-terminal kinase (p = 0.045). The TLR-4 mRNA levels in the PBMCs were highly correlated with TNF-α levels in LPS-stimulated PBMCs (Spearman rank correlation = 0.38, p = 0.03). Interpretation: The finding that preterm children with PVL-induced CP have altered inflammatory responses indicates the possibility of programming effect of PVL or inflammation-related events during early life.",
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AB - Objective: Perinatal inflammatory responses contribute to periventricular leukomalacia (PVL) and cerebral palsy (CP) in preterm infants. Here, we examined whether preterm children with CP had altered inflammatory responses when school-aged. Methods: Thirty-two preterm children with PVL-induced CP (mean [±standard deviation] age, 7.2 ± 3.6 years) and 32 control preterm children with normal neurodevelopment (6.2 ± 2.2 years) and matched for gestational age were recruited. We measured tumor necrosis factor (TNF)-α levels in the plasma and the supernatants of peripheral blood mononuclear cells (PBMCs) before and after lipopolysaccharide (LPS) stimulation, and proinflammatory gene expression in the PBMCs. Results: TNF-α expression was significantly higher in the plasma (p <0.001) and supernatants of LPS-stimulated PBMCs (p = 0.003) in the CP group than in the control group. After LPS stimulation, the intracellular TNF-α level in the PBMCs was significantly lower in the control group (p = 0.016) and significantly higher in the CP group (p = 0.01). The CP group also had, in their nonstimulated PBMCs, significantly higher mRNA levels of inflammatory molecules: toll-like receptor 4 (TLR-4) (p = 0.0023), TNF-α (p = 0.0016), transforming growth factor-β-activated kinase 1 (p = 0.038), IκB kinase-γ (p = 0.029), and c-Jun N-terminal kinase (p = 0.045). The TLR-4 mRNA levels in the PBMCs were highly correlated with TNF-α levels in LPS-stimulated PBMCs (Spearman rank correlation = 0.38, p = 0.03). Interpretation: The finding that preterm children with PVL-induced CP have altered inflammatory responses indicates the possibility of programming effect of PVL or inflammation-related events during early life.

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