Abstract

Systems biology can unravel complex biology but has not been extensively applied to human newborns, a group highly vulnerable to a wide range of diseases. We optimized methods to extract transcriptomic, proteomic, metabolomic, cytokine/chemokine, and single cell immune phenotyping data from <1 ml of blood, a volume readily obtained from newborns. Indexing to baseline and applying innovative integrative computational methods reveals dramatic changes along a remarkably stable developmental trajectory over the first week of life. This is most evident in changes of interferon and complement pathways, as well as neutrophil-associated signaling. Validated across two independent cohorts of newborns from West Africa and Australasia, a robust and common trajectory emerges, suggesting a purposeful rather than random developmental path. Systems biology and innovative data integration can provide fresh insights into the molecular ontogeny of the first week of life, a dynamic developmental phase that is key for health and disease.

Highlights

  • Systems biology can unravel complex biology but has not been extensively applied to human newborns, a group highly vulnerable to a wide range of diseases

  • We profiled the peripheral blood of each participant twice over their first week of life, i.e. at Day of Life (DOL) 0 and at either DOL1, 3, or 7, and sought to identify variables that differed between the baseline and later time points across all participants

  • Based on the relevant univariate analysis, we found that plasma concentrations of C−X −C motif chemokine 10 (CXCL10), interleukin (IL)-17A, macrophage-derived chemokine (MDC), and interferon (IFN)γ increased, while IL-10, Chemokine C−C motif ligand (CCL) 5, granulocyte colony stimulating factor 2 (GCSF), and IL-6 decreased with age over the first week of life; many other soluble immune markers remained unchanged

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Summary

Introduction

Systems biology can unravel complex biology but has not been extensively applied to human newborns, a group highly vulnerable to a wide range of diseases. Systems biology approaches, employing highdimensional molecular and cellular measurements ( referred to as OMICs), along with unbiased analytic approaches, have increased our understanding of basal and altered molecular states in adults[3] and recently in newborns and infants after the first week of life[4,5], but such approaches have not been applied systematically to characterize molecular ontogeny over the most critical period, i.e. the first week of life[1] This is likely due to the analytical challenges posed by the limited amount of biosample that can be obtained[6,7,8] and the many rapid physiological changes around birth[1]. Despite the substantial variability between participants and these dramatic changes, ontogeny followed a robust trajectory common to newborns from very different areas of the world

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