論文

国際誌
2022年5月10日

Oxidative and Inflammatory Markers Are Higher in Full-Term Newborns Suffering Funisitis, and Higher Oxidative Markers Are Associated with Admission.

Children (Basel, Switzerland)
  • Michi Kamei
  • Mohamed Hamed Hussein
  • Ayako Hattori
  • Marwa Saleh
  • Hiroki Kakita
  • Ghada Abdel-Hamid Daoud
  • Akio Ishiguro
  • Fumihiko Namba
  • Makoto Yazaki
  • Haruo Goto
  • Ineko Kato
  • Hisanori Sobajima
  • Kabe Kazuhiko
  • Koichi Moriwaki
  • Hajime Togari
  • 全て表示

9
5
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/children9050702

The aim of this study was to assess whether oxidative and inflammatory mediators in the cord blood of newborns with funisitis and chorioamnionitis can serve as indicators of their inflammatory status, and whether there is a positive association between higher mediator levels and an increased risk of admission to the neonatal intensive care unit (NICU). This study was conducted prospectively in a neonatology department of a university hospital. In total, 52 full-term newborns were evaluated, including 17 funisitis cases, 13 chorioamnionitis cases, and 22 control newborns without funisitis or chorioamnionitis. Cord blood samples were measured for oxidative stress and inflammatory status markers. The oxidative stress markers included the total nitric oxide (NO), total hydroperoxide (TH), biological antioxidant potential (BAP), and TH/BAP ratio, comprising the oxidative stress index (OSI). Inflammatory markers included interleukin (IL)-1b, IL-6, IL-8, IL-10, tumor necrosis factor alpha (TNFα), interferon γ (IFNγ), and complement component C5a. TH, OSI, IL-1b, IL-6, and IL-8 concentrations were higher in the funisitis group than in the chorioamnionitis and control groups. C5a was higher in the funisitis and chorioamnionitis groups than in the control group. Among all enrolled newborns, 14 were admitted to the NICU. Multiple logistic regression analysis showed that elevated umbilical cord blood levels of OSI and TH were associated with a higher risk of admission to the NICU (OSI: R = 2.3, 95% CI 1.26-4.29, p = 0.007 and TH: R = 1.02, 95%CI = 1.004-1.040, p = 0.015). In conclusion, OSI and TH in cord blood from full-term newborns can provide an index of inflammatory status, and higher levels are associated with the risk of admission to the NICU and, therefore, could serve as an early indicator of inflammatory conditions in newborns.

リンク情報
DOI
https://doi.org/10.3390/children9050702
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35626879
ID情報
  • DOI : 10.3390/children9050702
  • PubMed ID : 35626879

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