Serum chemokine levels and developmental outcome in preterm infants |
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Authors: | Kinjo Tadamune Ohga Shouichi Ochiai Masayuki Honjo Satoshi Tanaka Tamami Takahata Yasushi Ihara Kenji Hara Toshiro |
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Institution: | a Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japanb Comprehensive Maternity and Perinatal Care Center, Kyushu University Hospital, Fukuoka, Japanc Department of Pediatrics, Fukuoka National Hospital, Fukuoka, Japan |
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Abstract: | BackgroundCytokines and chemokines during perinatal period may involve the neurological development of newborns.AimsWe investigated the association of circulating chemokines during neonatal period with the outcome of premature infants.Study designThe prospective study enrolled 29 very low birth weight (< 1500 g) and appropriate-for-date infants having no underlying diseases. Serum concentrations of chemokines (CXCL8, CXCL9, CXCL10 and CCL2) and cytokines at birth and 4 weeks postnatal age were measured. Developmental quotients (DQ) at 3 years of age by the Kyoto Scale of Psychological Development were studied for the association with chemokine/cytokine levels and clinical variables including chorioamnionitis, Apgar scores, ventilator treatment and supplemental oxygen.ResultsCXCL8 levels at birth and days of ventilator treatment were negatively, CCL2 levels at 4 weeks after birth and 5-minute Apgar scores were positively correlated with the DQ of postural-motor P-M] area at 3 years of age, respectively (CXCL8: correlation coefficient CC] = − 0.394, p = 0.037, ventilation: CC = − 0.518, p = 0.006, CCL2: CC = 0.528, p = 0.013, and Apgar score: CC = 0.521, p = 0.005). Infants showing both ≥ 50 pg/ml of CXCL8 at birth and < 250 pg/ml of CCL2 4 weeks after birth had lower DQ of P-M than those who did not (p < 0.001). Multivariate analyses indicated that CCL2 levels at 4 weeks of age were higher in infants who attained normal DQ of P-M (≥ 85) (adjusted mean, 338.4 95% confidence interval, 225.5-507.8]) than in those who did not (< 85) (159.0, 108.2-233.7]) (p = 0.019).ConclusionCirculating patterns of CXCL8 (IL-8) and CCL2 (MCP-1) during the neonatal period might affect the neurological development of preterm infants. |
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Keywords: | FIRS fetal inflammatory response syndrome IL interleukin TNF tumor necrosis factor CP cerebral palsy CNS central nervous system CC correlation coefficient MCP monocyte chemoattractant protein VLBW very low birth weight AGA appropriate-for-gestational age RDS respiratory distress syndrome KSPD Kyoto Scale of Psychological Development DQ Developmental quotient |
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