Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life

Presently, authors of scientific publications pay much attention to the study of individual neuromarkers of damage to the central nervous system in newborns. One such marker is the growth protein neuromodulin.The aim of the study is to estimate the concentration of neuromodulin in the first day of l...

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Main Authors: A. V. Andreev, N. V. Kharlamova, G. N. Kuzmenko, A. A. Pesenkina
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2022-06-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/1622
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author A. V. Andreev
N. V. Kharlamova
G. N. Kuzmenko
A. A. Pesenkina
author_facet A. V. Andreev
N. V. Kharlamova
G. N. Kuzmenko
A. A. Pesenkina
author_sort A. V. Andreev
collection DOAJ
description Presently, authors of scientific publications pay much attention to the study of individual neuromarkers of damage to the central nervous system in newborns. One such marker is the growth protein neuromodulin.The aim of the study is to estimate the concentration of neuromodulin in the first day of life in preterm infants with perinatal damage to the central nervous system and compare it with the clinical indicators of newborns in the early neonatal period.Characteristics of children and research methods. 81 extremely preterm newborns were examined, which were divided into groups depending on the presence of intraventricular hemorrhages: Group 1 — 48 preterm infants in whom intraventricular hemorrhage was verified during the observation in the early neonatal period; Group 2 — 33 preterm infants without intraventricular hemorrhage. Determination of the concentration of the GAP-43 protein in the blood serum was carried out by enzyme immunoassay. The groups were comparable in terms of weight and height parameters, gestational age, the degree of respiratory failure at birth, and the need for mechanical ventilation (p<0,05).Results. Group 1 had a significantly lower Apgar score at the end of the 1st (p=0,034) and 5th minutes of life (p=0,037) compared to Group 2. A comparative analysis of the concentration of neuromodulin revealed that in preterm infants of Group 1, the values of neuromodulin were significantly higher than in preterm infants of Group 2 (1,469 [1,284; 1;966] and 0,541 [0,461; 0,595] ng/mL, respectively; p<0,001). The degree of intraventricular hemorrhage (r=0,771; p<0,001), the minimum amplitude of the amplitude-integrated electroencephalography (r=–0,404, p=0,004), the Ballard score (r=–0,614, p=0,019) were statistically significantly correlated with serum neuromodulin concentration.Conclusions. Characteristics of the concentration of GAP-43 in preterm infants with perinatal lesions of the central nervous system are given depending on the presence of intraventricular hemorrhage and the gestational age on the first day of life, significant correlations between clinical data and the level of the studied protein are revealed.
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spelling doaj.art-1826d4a413ee42c69b04f2b941e843cd2023-03-13T09:12:52ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282022-06-01672768210.21508/1027-4065-2022-67-2-76-821180Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of lifeA. V. Andreev0N. V. Kharlamova1G. N. Kuzmenko2A. A. Pesenkina3ФГБУ «Ивановский научно-исследовательский институт материнства и детства им. В.Н. Городкова» Минздрава РоссииФГБУ «Ивановский научно-исследовательский институт материнства и детства им. В.Н. Городкова» Минздрава РоссииФГБУ «Ивановский научно-исследовательский институт материнства и детства им. В.Н. Городкова» Минздрава РоссииФГБУ «Ивановский научно-исследовательский институт материнства и детства им. В.Н. Городкова» Минздрава РоссииPresently, authors of scientific publications pay much attention to the study of individual neuromarkers of damage to the central nervous system in newborns. One such marker is the growth protein neuromodulin.The aim of the study is to estimate the concentration of neuromodulin in the first day of life in preterm infants with perinatal damage to the central nervous system and compare it with the clinical indicators of newborns in the early neonatal period.Characteristics of children and research methods. 81 extremely preterm newborns were examined, which were divided into groups depending on the presence of intraventricular hemorrhages: Group 1 — 48 preterm infants in whom intraventricular hemorrhage was verified during the observation in the early neonatal period; Group 2 — 33 preterm infants without intraventricular hemorrhage. Determination of the concentration of the GAP-43 protein in the blood serum was carried out by enzyme immunoassay. The groups were comparable in terms of weight and height parameters, gestational age, the degree of respiratory failure at birth, and the need for mechanical ventilation (p<0,05).Results. Group 1 had a significantly lower Apgar score at the end of the 1st (p=0,034) and 5th minutes of life (p=0,037) compared to Group 2. A comparative analysis of the concentration of neuromodulin revealed that in preterm infants of Group 1, the values of neuromodulin were significantly higher than in preterm infants of Group 2 (1,469 [1,284; 1;966] and 0,541 [0,461; 0,595] ng/mL, respectively; p<0,001). The degree of intraventricular hemorrhage (r=0,771; p<0,001), the minimum amplitude of the amplitude-integrated electroencephalography (r=–0,404, p=0,004), the Ballard score (r=–0,614, p=0,019) were statistically significantly correlated with serum neuromodulin concentration.Conclusions. Characteristics of the concentration of GAP-43 in preterm infants with perinatal lesions of the central nervous system are given depending on the presence of intraventricular hemorrhage and the gestational age on the first day of life, significant correlations between clinical data and the level of the studied protein are revealed.https://www.ped-perinatology.ru/jour/article/view/1622глубоконедоношенныенейромодулинвнутрижелудочковые кровоизлияния
spellingShingle A. V. Andreev
N. V. Kharlamova
G. N. Kuzmenko
A. A. Pesenkina
Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
Rossijskij Vestnik Perinatologii i Pediatrii
глубоконедоношенные
нейромодулин
внутрижелудочковые кровоизлияния
title Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
title_full Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
title_fullStr Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
title_full_unstemmed Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
title_short Serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
title_sort serum neuromodulin content in preterm infants with perinatal lesions of the central nervous system in the first day of life
topic глубоконедоношенные
нейромодулин
внутрижелудочковые кровоизлияния
url https://www.ped-perinatology.ru/jour/article/view/1622
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AT gnkuzmenko serumneuromodulincontentinpreterminfantswithperinatallesionsofthecentralnervoussysteminthefirstdayoflife
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