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Tang J, Yuan J, Sun J, Yan M, Li M, Liu Y, Xu S, Li J, Fu H, Li W, Hu Z. Integration of multiomics analysis to reveal the major pathways of vitamin A deficiency aggravates acute respiratory distress syndrome in neonatal rats. Sci Rep 2023; 13:22643. [PMID: 38114510 PMCID: PMC10730519 DOI: 10.1038/s41598-023-47664-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 11/16/2023] [Indexed: 12/21/2023] Open
Abstract
Acute respiratory distress syndrome (ARDS) is a major disease that threatens the life and health of neonates. Vitamin A (VA) can participate in early fetal lung development and affect lung immune function. Researches revealed that the serum VA level in premature infants with ARDS was lower than that in premature infants without ARDS of the same gestational age, and premature infants with VA deficiency (VAD) were more likely to develop ARDS. Moreover, the VA levels can be used as a predictor of the development and severity of neonatal ARDS. However, the critical question here is; Does ARDS develop due to VAD in these systemic diseases? Or does ARDS develop because these diseases cause VAD? We hypothesize that VAD may aggravate neonatal ARDS by affecting immunity, metabolism, barriers and other pathways. In this article, we used multiomics analysis to find that VAD may aggravate ARDS mainly through the Fc epsilon RI signaling pathway, the HIF-1 signaling pathway, glutathione metabolism, and valine, leucine and isoleucine degradation signaling pathways, which may provide the molecular pathogenic mechanism behind the pathology of VAD-aggravated ARDS and can also provide potential molecular targets for subsequent research on ARDS.
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Affiliation(s)
- Jia Tang
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Jiaqin Yuan
- Department of Orthopedics, The Second People's Hospital of Yibin, Yibin, 644000, China
| | - Jinghao Sun
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Mi Yan
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Mengchun Li
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Yanfei Liu
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Shaohua Xu
- Department of Clinical Laboratory, Center for Gene Diagnosis and Program of Clinical Laboratory, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China
| | - Jing Li
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China
| | - Hong Fu
- Department of Pediatrics, Chongqing University Jiangjin Hospital, Chongqing, 402260, China.
| | - Wanwei Li
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China.
| | - Zhangxue Hu
- Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, 400042, China.
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