Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots

Abstract Background: Neonatal herpes simplex virus (HSV) infection is life-threatening, with a mortality of up to 70–80% when disseminated, often due to vague symptoms and delayed treatment. Neonatal screening using dried blood spot (DBS) samples is among the most impactful preventative health measu...

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Main Authors: Kia Hee Schultz Dungu, Christian Munch Hagen, Marie Bækvad-Hansen, Victor Yakimov, Alfonso Buil Demur, Emma Malchau Carlsen, Nadja Hawwa Vissing, Tine Brink Henriksen, Trine Hyrup Mogensen, David Michael Hougaard, Ulrikka Nygaard, Jonas Bybjerg-Grauholm
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Communications Medicine
Online Access:https://doi.org/10.1038/s43856-024-00711-8
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author Kia Hee Schultz Dungu
Christian Munch Hagen
Marie Bækvad-Hansen
Victor Yakimov
Alfonso Buil Demur
Emma Malchau Carlsen
Nadja Hawwa Vissing
Tine Brink Henriksen
Trine Hyrup Mogensen
David Michael Hougaard
Ulrikka Nygaard
Jonas Bybjerg-Grauholm
author_facet Kia Hee Schultz Dungu
Christian Munch Hagen
Marie Bækvad-Hansen
Victor Yakimov
Alfonso Buil Demur
Emma Malchau Carlsen
Nadja Hawwa Vissing
Tine Brink Henriksen
Trine Hyrup Mogensen
David Michael Hougaard
Ulrikka Nygaard
Jonas Bybjerg-Grauholm
author_sort Kia Hee Schultz Dungu
collection DOAJ
description Abstract Background: Neonatal herpes simplex virus (HSV) infection is life-threatening, with a mortality of up to 70–80% when disseminated, often due to vague symptoms and delayed treatment. Neonatal screening using dried blood spot (DBS) samples is among the most impactful preventative health measures ever implemented, but screening for HSV has not been investigated. Methods: We investigated high throughput multiplexed proteomics on DBS samples collected on days 2–3 of life from a nationwide cohort of neonates with HSV infection (n = 53) and matched controls. We measured 2941 proteins using the Olink Explore 3072 panels and proximity extension assays, followed by differential protein expression by Analysis of Variance with post-hoc correction and functional annotation. Results: Here, we show distinct protein profiles in neonates with disseminated HSV disease, with differences in 20 proteins compared to controls. These proteins are associated with innate and adaptive immune responses and cytokine activation. Conclusions: Our findings indicate the potential of neonatal screening for disseminated HSV disease to ensure early treatment and reduce the high mortality.
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spelling doaj-art-cdc60cf2c66442f4a8475c7364f1ac272024-12-22T12:44:06ZengNature PortfolioCommunications Medicine2730-664X2024-12-01411810.1038/s43856-024-00711-8Proteomic profiling of neonatal herpes simplex virus infection on dried blood spotsKia Hee Schultz Dungu0Christian Munch Hagen1Marie Bækvad-Hansen2Victor Yakimov3Alfonso Buil Demur4Emma Malchau Carlsen5Nadja Hawwa Vissing6Tine Brink Henriksen7Trine Hyrup Mogensen8David Michael Hougaard9Ulrikka Nygaard10Jonas Bybjerg-Grauholm11Department of Paediatrics and Adolescent Medicine, Copenhagen University HospitalDepartment for Congenital Disorders, Statens Serum InstitutDepartment for Congenital Disorders, Statens Serum InstitutDepartment for Congenital Disorders, Statens Serum InstitutMental Health Centre Sct. Hans, Capital Region of Denmark, Institute of Biological Psychiatry, Copenhagen University HospitalDepartment of Clinical Medicine, University of CopenhagenDepartment of Paediatrics and Adolescent Medicine, Copenhagen University HospitalDepartment of Paediatrics & Adolescent Medicine, Aarhus University HospitalDepartment of Infectious Diseases, Aarhus University HospitalDepartment for Congenital Disorders, Statens Serum InstitutDepartment of Paediatrics and Adolescent Medicine, Copenhagen University HospitalDepartment for Congenital Disorders, Statens Serum InstitutAbstract Background: Neonatal herpes simplex virus (HSV) infection is life-threatening, with a mortality of up to 70–80% when disseminated, often due to vague symptoms and delayed treatment. Neonatal screening using dried blood spot (DBS) samples is among the most impactful preventative health measures ever implemented, but screening for HSV has not been investigated. Methods: We investigated high throughput multiplexed proteomics on DBS samples collected on days 2–3 of life from a nationwide cohort of neonates with HSV infection (n = 53) and matched controls. We measured 2941 proteins using the Olink Explore 3072 panels and proximity extension assays, followed by differential protein expression by Analysis of Variance with post-hoc correction and functional annotation. Results: Here, we show distinct protein profiles in neonates with disseminated HSV disease, with differences in 20 proteins compared to controls. These proteins are associated with innate and adaptive immune responses and cytokine activation. Conclusions: Our findings indicate the potential of neonatal screening for disseminated HSV disease to ensure early treatment and reduce the high mortality.https://doi.org/10.1038/s43856-024-00711-8
spellingShingle Kia Hee Schultz Dungu
Christian Munch Hagen
Marie Bækvad-Hansen
Victor Yakimov
Alfonso Buil Demur
Emma Malchau Carlsen
Nadja Hawwa Vissing
Tine Brink Henriksen
Trine Hyrup Mogensen
David Michael Hougaard
Ulrikka Nygaard
Jonas Bybjerg-Grauholm
Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
Communications Medicine
title Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
title_full Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
title_fullStr Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
title_full_unstemmed Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
title_short Proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
title_sort proteomic profiling of neonatal herpes simplex virus infection on dried blood spots
url https://doi.org/10.1038/s43856-024-00711-8
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