Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis

Epigenetic immune cell counting is a DNA (de)methylation-based technique which can be used to quantify lymphocyte subsets on dried blood spots (DBS). The foregoing techniques allow for a retrospective investigation of immune cell profiles in newborns. In this study, we used this technique for determ...

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Main Authors: Michiel H. D. Schoenaker, Mara O. Zuiderwijk, Vincent Bekker, Robbert G. M. Bredius, Jeannette Werner, Janika J. Schulze, Mirjam van der Burg, Maartje Blom
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/3/2372
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author Michiel H. D. Schoenaker
Mara O. Zuiderwijk
Vincent Bekker
Robbert G. M. Bredius
Jeannette Werner
Janika J. Schulze
Mirjam van der Burg
Maartje Blom
author_facet Michiel H. D. Schoenaker
Mara O. Zuiderwijk
Vincent Bekker
Robbert G. M. Bredius
Jeannette Werner
Janika J. Schulze
Mirjam van der Burg
Maartje Blom
author_sort Michiel H. D. Schoenaker
collection DOAJ
description Epigenetic immune cell counting is a DNA (de)methylation-based technique which can be used to quantify lymphocyte subsets on dried blood spots (DBS). The foregoing techniques allow for a retrospective investigation of immune cell profiles in newborns. In this study, we used this technique for determining lymphocyte subcounts as a potential biomarker for necrotizing enterocolitis (NEC). We investigated whether this technique can be implemented in the field of neonatology, by testing whether regulatory T cell (Treg) levels are pre-existently low in preterms with NEC. Newborn screening (NBS) cards from 32 preterms with NEC and 32 age- and weight-matched preterm controls, and 60 healthy term newborns, were analyzed. Relative and absolute cell counts were determined for CD3+, CD4+, CD8+, Th17, and Treg T cells. For both relative and absolute cell counts of CD3+, CD4+, CD8+, and Th17 T cells, significant differences were found between healthy term controls and both preterm groups, but not between preterm groups. For Tregs, no significant differences were found in either relative or absolute counts between any of the newborn groups. This study demonstrates the principle of epigenetic immune cell counting to analyze lymphocyte subsets in preterm neonates.
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spelling doaj.art-2304ab5ad03a4dfe96c93699e803609c2023-11-16T16:56:19ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-01243237210.3390/ijms24032372Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing EnterocolitisMichiel H. D. Schoenaker0Mara O. Zuiderwijk1Vincent Bekker2Robbert G. M. Bredius3Jeannette Werner4Janika J. Schulze5Mirjam van der Burg6Maartje Blom7Willem Alexander Children’s Hospital, Laboratory for Pediatric Immunology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsWillem Alexander Children’s Hospital, Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsWillem Alexander Children’s Hospital, Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Pediatrics, Willem Alexander Children’s Hospital, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDepartment of Research and Development, Epimune GmbH, 12489 Berlin, GermanyDepartment of Research and Development, Epimune GmbH, 12489 Berlin, GermanyWillem Alexander Children’s Hospital, Laboratory for Pediatric Immunology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsWillem Alexander Children’s Hospital, Laboratory for Pediatric Immunology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsEpigenetic immune cell counting is a DNA (de)methylation-based technique which can be used to quantify lymphocyte subsets on dried blood spots (DBS). The foregoing techniques allow for a retrospective investigation of immune cell profiles in newborns. In this study, we used this technique for determining lymphocyte subcounts as a potential biomarker for necrotizing enterocolitis (NEC). We investigated whether this technique can be implemented in the field of neonatology, by testing whether regulatory T cell (Treg) levels are pre-existently low in preterms with NEC. Newborn screening (NBS) cards from 32 preterms with NEC and 32 age- and weight-matched preterm controls, and 60 healthy term newborns, were analyzed. Relative and absolute cell counts were determined for CD3+, CD4+, CD8+, Th17, and Treg T cells. For both relative and absolute cell counts of CD3+, CD4+, CD8+, and Th17 T cells, significant differences were found between healthy term controls and both preterm groups, but not between preterm groups. For Tregs, no significant differences were found in either relative or absolute counts between any of the newborn groups. This study demonstrates the principle of epigenetic immune cell counting to analyze lymphocyte subsets in preterm neonates.https://www.mdpi.com/1422-0067/24/3/2372epigenetic immune cell countingregulatory T cellTh17 cellnecrotizing enterocolitisneonatepreterm
spellingShingle Michiel H. D. Schoenaker
Mara O. Zuiderwijk
Vincent Bekker
Robbert G. M. Bredius
Jeannette Werner
Janika J. Schulze
Mirjam van der Burg
Maartje Blom
Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
International Journal of Molecular Sciences
epigenetic immune cell counting
regulatory T cell
Th17 cell
necrotizing enterocolitis
neonate
preterm
title Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
title_full Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
title_fullStr Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
title_full_unstemmed Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
title_short Epigenetic Immune Cell Counting to Analyze Potential Biomarkers in Preterm Infants: A Proof of Principle in Necrotizing Enterocolitis
title_sort epigenetic immune cell counting to analyze potential biomarkers in preterm infants a proof of principle in necrotizing enterocolitis
topic epigenetic immune cell counting
regulatory T cell
Th17 cell
necrotizing enterocolitis
neonate
preterm
url https://www.mdpi.com/1422-0067/24/3/2372
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