Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia

Recent findings indicated aberrant epigenetic control of the central nervous system (CNS) development in hyperbilirubinemic Gunn rats as an additional cause of cerebellar hypoplasia, the landmark of bilirubin neurotoxicity in rodents. Because the symptoms in severely hyperbilirubinemic human neonate...

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Main Authors: John Paul Llido, Emanuela Fioriti, Devis Pascut, Mauro Giuffrè, Cristina Bottin, Fabrizio Zanconati, Claudio Tiribelli, Silvia Gazzin
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/12/6/834
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author John Paul Llido
Emanuela Fioriti
Devis Pascut
Mauro Giuffrè
Cristina Bottin
Fabrizio Zanconati
Claudio Tiribelli
Silvia Gazzin
author_facet John Paul Llido
Emanuela Fioriti
Devis Pascut
Mauro Giuffrè
Cristina Bottin
Fabrizio Zanconati
Claudio Tiribelli
Silvia Gazzin
author_sort John Paul Llido
collection DOAJ
description Recent findings indicated aberrant epigenetic control of the central nervous system (CNS) development in hyperbilirubinemic Gunn rats as an additional cause of cerebellar hypoplasia, the landmark of bilirubin neurotoxicity in rodents. Because the symptoms in severely hyperbilirubinemic human neonates suggest other regions as privileged targets of bilirubin neurotoxicity, we expanded the study of the potential impact of bilirubin on the control of postnatal brain development to regions correlating with human symptoms. Histology, transcriptomic, gene correlation, and behavioral studies were performed. The histology revealed widespread perturbation 9 days after birth, restoring in adulthood. At the genetic level, regional differences were noticed. Bilirubin affected synaptogenesis, repair, differentiation, energy, extracellular matrix development, etc., with transient alterations in the hippocampus (memory, learning, and cognition) and inferior colliculi (auditory functions) but permanent changes in the parietal cortex. Behavioral tests confirmed the presence of a permanent motor disability. The data correlate well both with the clinic description of neonatal bilirubin-induced neurotoxicity, as well as with the neurologic syndromes reported in adults that suffered neonatal hyperbilirubinemia. The results pave the way for better deciphering the neurotoxic features of bilirubin and evaluating deeply the efficacy of new therapeutic approaches against the acute and long-lasting sequels of bilirubin neurotoxicity.
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spelling doaj.art-b608bc09813f4e6b8dddd6ef2fdc3e482023-11-18T09:23:12ZengMDPI AGBiology2079-77372023-06-0112683410.3390/biology12060834Bilirubin-Induced Transcriptomic Imprinting in Neonatal HyperbilirubinemiaJohn Paul Llido0Emanuela Fioriti1Devis Pascut2Mauro Giuffrè3Cristina Bottin4Fabrizio Zanconati5Claudio Tiribelli6Silvia Gazzin7Liver Brain Unit “Rita Moretti”, Fondazione Italiana Fegato-Onlus, Bldg. Q, AREA Science Park, 34149 Basovizza, ItalyLiver Brain Unit “Rita Moretti”, Fondazione Italiana Fegato-Onlus, Bldg. Q, AREA Science Park, 34149 Basovizza, ItalyLiver Cancer Unit, Fondazione Italiana Fegato-Onlus, Bldg. Q, AREA Science Park, 34149 Basovizza, ItalyDepartment of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, ItalyDepartment of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, ItalyLiver Brain Unit “Rita Moretti”, Fondazione Italiana Fegato-Onlus, Bldg. Q, AREA Science Park, 34149 Basovizza, ItalyLiver Brain Unit “Rita Moretti”, Fondazione Italiana Fegato-Onlus, Bldg. Q, AREA Science Park, 34149 Basovizza, ItalyRecent findings indicated aberrant epigenetic control of the central nervous system (CNS) development in hyperbilirubinemic Gunn rats as an additional cause of cerebellar hypoplasia, the landmark of bilirubin neurotoxicity in rodents. Because the symptoms in severely hyperbilirubinemic human neonates suggest other regions as privileged targets of bilirubin neurotoxicity, we expanded the study of the potential impact of bilirubin on the control of postnatal brain development to regions correlating with human symptoms. Histology, transcriptomic, gene correlation, and behavioral studies were performed. The histology revealed widespread perturbation 9 days after birth, restoring in adulthood. At the genetic level, regional differences were noticed. Bilirubin affected synaptogenesis, repair, differentiation, energy, extracellular matrix development, etc., with transient alterations in the hippocampus (memory, learning, and cognition) and inferior colliculi (auditory functions) but permanent changes in the parietal cortex. Behavioral tests confirmed the presence of a permanent motor disability. The data correlate well both with the clinic description of neonatal bilirubin-induced neurotoxicity, as well as with the neurologic syndromes reported in adults that suffered neonatal hyperbilirubinemia. The results pave the way for better deciphering the neurotoxic features of bilirubin and evaluating deeply the efficacy of new therapeutic approaches against the acute and long-lasting sequels of bilirubin neurotoxicity.https://www.mdpi.com/2079-7737/12/6/834kernicterusbrain developmentmotor disabilitiesneurologic syndromecorplotgene clustering
spellingShingle John Paul Llido
Emanuela Fioriti
Devis Pascut
Mauro Giuffrè
Cristina Bottin
Fabrizio Zanconati
Claudio Tiribelli
Silvia Gazzin
Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
Biology
kernicterus
brain development
motor disabilities
neurologic syndrome
corplot
gene clustering
title Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
title_full Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
title_fullStr Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
title_full_unstemmed Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
title_short Bilirubin-Induced Transcriptomic Imprinting in Neonatal Hyperbilirubinemia
title_sort bilirubin induced transcriptomic imprinting in neonatal hyperbilirubinemia
topic kernicterus
brain development
motor disabilities
neurologic syndrome
corplot
gene clustering
url https://www.mdpi.com/2079-7737/12/6/834
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