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Proteomics applied to pediatric medicine: opportunities and challenges
Authors:Gavino Faa  Irene Messana  Vassilios Fanos  Tiziana Cabras  Barbara Manconi  Giovanni Vento
Affiliation:1. Dipartimento di Scienze Chirurgiche, Università di Cagliari, Cagliari, Italy;2. Istituto di Chimica del Riconoscimento Molecolare – UOS Roma, Consiglio Nazionale delle Ricerche, Rome, Italy;3. Istituto di Biochimica e Biochimica Clinica, Università Cattolica, Roma, Italy;4. Istituto di Clinica pediatrica Policlinico Universitario dell’Azienda Ospedaliera Universitaria, Monserrato, Italy;5. Dipartimento di Scienze della Vita e dell’Ambiente, Università di Cagliari, Monserrato, Italy;6. Istituto di Clinica Pediatrica, Università Cattolica, Roma, Italy
Abstract:Introduction: Care in pediatrics often refers to treatments directed to adults. However, childhood is a specific life period, with molecular pathways connected to development and thereby it requires distinctive considerations and special treatments under disease. Proteomics can help to elucidate the molecular mechanisms underlying the human development and disease onset in pediatric age and this review is devoted to underline the results recently obtained in the field.

Areas covered: The contribution of proteomics to the characterization of physiological modifications occurring during human development is presented. The proteomic studies carried out to elucidate the molecular mechanisms underlying different pediatric pathologies and to discover new markers for early diagnosis and prognosis of disease, comprising genetic and systemic pathologies, sepsis and pediatric oncology are thereafter reported. The investigations concerning milk composition in human and farm mammals are also presented. Finally, the chances offered by the integration of different -omic platforms are discussed.

Expert commentary: The growing utilization of holistic technologies such as proteomics, metabolomics and microbiomics will allow, in the near future, to define at the molecular level the complexity of human development and related diseases, with great benefit for future generations.

Keywords:Biomarkers  bodily fluids  human development  human milk  newborns  pediatric oncology  pediatric pathologies  pre-term  proteomics
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