Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period

Copeptin (CTproAVP) is a stable by-product of arginine–vasopressin synthesis and reflects its secretion by the pituitary gland, considered as a potential new marker of dehydration. The objective of the study was to investigate CTproAVP measured after the first 48 h of postnatal life in relation to s...

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Main Authors: Anna Jarosz-Lesz, Aniceta Brzozowska, Iwona Maruniak-Chudek
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/3/443
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author Anna Jarosz-Lesz
Aniceta Brzozowska
Iwona Maruniak-Chudek
author_facet Anna Jarosz-Lesz
Aniceta Brzozowska
Iwona Maruniak-Chudek
author_sort Anna Jarosz-Lesz
collection DOAJ
description Copeptin (CTproAVP) is a stable by-product of arginine–vasopressin synthesis and reflects its secretion by the pituitary gland, considered as a potential new marker of dehydration. The objective of the study was to investigate CTproAVP measured after the first 48 h of postnatal life in relation to serum effective osmolality, urine osmolality, and vessels filling according to the following variables: delivery mode, postnatal weight loss, fluids administered intravenously to the mother, and fluids given orally to the neonate. A prospective observational study was conducted with 200 healthy term infants (53% male) enrolled. Serum CTproAVP concentrations were measured using the ELISA kit; haematocrit, urine osmolality, serum effective osmolality were assessed after 48 h of life. Sonographic measurements of inferior vena cava (IVC) and aorta (Ao) were performed and IVC/Ao ratios were calculated. No correlations were found between CTproAVP concentrations and both serum effective osmolality and urine osmolality. There was also no association between CTproAVP concentrations and vessel filling represented by IVC/Ao index at 48 h of life.
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spelling doaj.art-455bc378b19d4a56ba57ffcffbae5ad02023-11-24T00:48:08ZengMDPI AGChildren2227-90672022-03-019344310.3390/children9030443Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation PeriodAnna Jarosz-Lesz0Aniceta Brzozowska1Iwona Maruniak-Chudek2Neonatology Unit, The Guardian Angels Hospital of the Brothers Hospitallers of St. John of God in Katowice, 40-211 Katowice, PolandHealth Promotion and Obesity Management Unit, Department of Pathophysiology, Faculty of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, PolandDepartment of Neonatology and Neonatal Intensive Care, Faculty of Medicine in Katowice, Medical University of Silesia, 40-752 Katowice, PolandCopeptin (CTproAVP) is a stable by-product of arginine–vasopressin synthesis and reflects its secretion by the pituitary gland, considered as a potential new marker of dehydration. The objective of the study was to investigate CTproAVP measured after the first 48 h of postnatal life in relation to serum effective osmolality, urine osmolality, and vessels filling according to the following variables: delivery mode, postnatal weight loss, fluids administered intravenously to the mother, and fluids given orally to the neonate. A prospective observational study was conducted with 200 healthy term infants (53% male) enrolled. Serum CTproAVP concentrations were measured using the ELISA kit; haematocrit, urine osmolality, serum effective osmolality were assessed after 48 h of life. Sonographic measurements of inferior vena cava (IVC) and aorta (Ao) were performed and IVC/Ao ratios were calculated. No correlations were found between CTproAVP concentrations and both serum effective osmolality and urine osmolality. There was also no association between CTproAVP concentrations and vessel filling represented by IVC/Ao index at 48 h of life.https://www.mdpi.com/2227-9067/9/3/443copeptinnewbornshydration statuselectrolyte-water homeostasis
spellingShingle Anna Jarosz-Lesz
Aniceta Brzozowska
Iwona Maruniak-Chudek
Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
Children
copeptin
newborns
hydration status
electrolyte-water homeostasis
title Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
title_full Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
title_fullStr Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
title_full_unstemmed Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
title_short Copeptin Concentrations in Plasma of Healthy Neonates in Relation to Water–Electrolyte Homeostasis in the Early Adaptation Period
title_sort copeptin concentrations in plasma of healthy neonates in relation to water electrolyte homeostasis in the early adaptation period
topic copeptin
newborns
hydration status
electrolyte-water homeostasis
url https://www.mdpi.com/2227-9067/9/3/443
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AT anicetabrzozowska copeptinconcentrationsinplasmaofhealthyneonatesinrelationtowaterelectrolytehomeostasisintheearlyadaptationperiod
AT iwonamaruniakchudek copeptinconcentrationsinplasmaofhealthyneonatesinrelationtowaterelectrolytehomeostasisintheearlyadaptationperiod