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Inflammation at birth and the insulin-like growth factor system in very preterm infants.

Pupp, Ingrid LU orcid ; Hellström-Westas, Lena LU ; Cilio, Corrado LU ; Andersson, S ; Fellman, Vineta LU orcid and Ley, David LU (2007) In Acta Pædiatrica 96(6). p.830-836
Abstract
Background: Foetal inflammation is associated with an increased risk of brain damage in preterm infants whereas IGF-I is essential for cerebral development and exhibits anti-apoptotic properties. Aim: To assess levels of IGF-I and IGF binding proteins at very preterm birth and to evaluate their relationship with foetal pro-inflammation and cerebral damage. Methods: Levels of IGF-I, IGF binding protein 3 (IGFBP-3), high- (hp) and low-phosphorylated (lp) IGFBP-1 in cord blood and neonatal blood at 72 h after delivery were analysed in relation to levels of cytokines and cerebral damage as detected by ultrasound in 74 inborn infants [mean gestational age (GA) 27.1 weeks]. Evaluation was performed separately according to birth weight for GA.... (More)
Background: Foetal inflammation is associated with an increased risk of brain damage in preterm infants whereas IGF-I is essential for cerebral development and exhibits anti-apoptotic properties. Aim: To assess levels of IGF-I and IGF binding proteins at very preterm birth and to evaluate their relationship with foetal pro-inflammation and cerebral damage. Methods: Levels of IGF-I, IGF binding protein 3 (IGFBP-3), high- (hp) and low-phosphorylated (lp) IGFBP-1 in cord blood and neonatal blood at 72 h after delivery were analysed in relation to levels of cytokines and cerebral damage as detected by ultrasound in 74 inborn infants [mean gestational age (GA) 27.1 weeks]. Evaluation was performed separately according to birth weight for GA. Results: In cord blood of infants appropriate for gestational age (AGA) higher levels of IL-6 and IL-8 were associated with lower IGF-I (r = -0.38, p = 0.008 and r = -0.36, p = 0.014). Higher levels of IL-6, IL-8 and TNF-alpha were associated with both higher levels of lpIGFBP-1 (r = 0.54, p < 0.001, r = 0.50, p < 0.001 and r = 0.13, p = 0.012, respectively) and hpIGFBP-1 (r = 0.55, p < 0.001, r = 0.45, p = 0.002 and r = 0.32, p = 0.026, respectively). Infants with intraventricular haemorrhage grade III (n = 5) had higher levels of lp/hpIGFBP-1 in cord blood (p = 0.001 and 0.002, respectively). Conclusion: Pro-inflammation at birth is associated with changes in the IGF-system. This may be of importance for development of brain damage in preterm infants. (Less)
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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
foetal inflammation, insulin-like growth factor, brain damage, cytokine, I, preterm
in
Acta Pædiatrica
volume
96
issue
6
pages
830 - 836
publisher
Wiley-Blackwell
external identifiers
  • wos:000246789600012
  • scopus:34249818501
ISSN
1651-2227
DOI
10.1111/j.1651-2227.2007.00276.x
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Paediatrics (Lund) (013002000), Pediatrics/Urology/Gynecology/Endocrinology (013240400), Cellular Autoimmunity Unit (013241520)
id
d62799fb-662d-4daa-8a77-9ef1cfa7010a (old id 167319)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17465986&dopt=Abstract
date added to LUP
2016-04-01 16:39:36
date last changed
2023-09-18 22:32:59
@article{d62799fb-662d-4daa-8a77-9ef1cfa7010a,
  abstract     = {{Background: Foetal inflammation is associated with an increased risk of brain damage in preterm infants whereas IGF-I is essential for cerebral development and exhibits anti-apoptotic properties. Aim: To assess levels of IGF-I and IGF binding proteins at very preterm birth and to evaluate their relationship with foetal pro-inflammation and cerebral damage. Methods: Levels of IGF-I, IGF binding protein 3 (IGFBP-3), high- (hp) and low-phosphorylated (lp) IGFBP-1 in cord blood and neonatal blood at 72 h after delivery were analysed in relation to levels of cytokines and cerebral damage as detected by ultrasound in 74 inborn infants [mean gestational age (GA) 27.1 weeks]. Evaluation was performed separately according to birth weight for GA. Results: In cord blood of infants appropriate for gestational age (AGA) higher levels of IL-6 and IL-8 were associated with lower IGF-I (r = -0.38, p = 0.008 and r = -0.36, p = 0.014). Higher levels of IL-6, IL-8 and TNF-alpha were associated with both higher levels of lpIGFBP-1 (r = 0.54, p &lt; 0.001, r = 0.50, p &lt; 0.001 and r = 0.13, p = 0.012, respectively) and hpIGFBP-1 (r = 0.55, p &lt; 0.001, r = 0.45, p = 0.002 and r = 0.32, p = 0.026, respectively). Infants with intraventricular haemorrhage grade III (n = 5) had higher levels of lp/hpIGFBP-1 in cord blood (p = 0.001 and 0.002, respectively). Conclusion: Pro-inflammation at birth is associated with changes in the IGF-system. This may be of importance for development of brain damage in preterm infants.}},
  author       = {{Pupp, Ingrid and Hellström-Westas, Lena and Cilio, Corrado and Andersson, S and Fellman, Vineta and Ley, David}},
  issn         = {{1651-2227}},
  keywords     = {{foetal inflammation; insulin-like growth factor; brain damage; cytokine; I; preterm}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{830--836}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Pædiatrica}},
  title        = {{Inflammation at birth and the insulin-like growth factor system in very preterm infants.}},
  url          = {{http://dx.doi.org/10.1111/j.1651-2227.2007.00276.x}},
  doi          = {{10.1111/j.1651-2227.2007.00276.x}},
  volume       = {{96}},
  year         = {{2007}},
}