Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China
Objective This study aimed to evaluate endothelial microparticles (EMPs) as a potential prognostic marker in hemolytic disease of the Chinese neonate. Methods We compared 29 newborns with ABO hemolytic disease of the newborn (ABO HDN), 22 newborns with Rh HDN, and 21 healthy newborns with matched mo...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-11-01
|
| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060519870947 |
| _version_ | 1819140996006412288 |
|---|---|
| author | Xiao-jing Zhu Jin-kai Wei Cong-min Zhang |
| author_facet | Xiao-jing Zhu Jin-kai Wei Cong-min Zhang |
| author_sort | Xiao-jing Zhu |
| collection | DOAJ |
| description | Objective This study aimed to evaluate endothelial microparticles (EMPs) as a potential prognostic marker in hemolytic disease of the Chinese neonate. Methods We compared 29 newborns with ABO hemolytic disease of the newborn (ABO HDN), 22 newborns with Rh HDN, and 21 healthy newborns with matched mother and infant blood groups (controls). Markers of hemolysis and von Willebrand factor antigen (vWF Ag) were analyzed. EMP (CD144+) levels were measured before and after therapy. Results vWF Ag and pretherapy EMP levels were higher in the ABO HDN and Rh HDN groups than in the control group. Additionally, vWF Ag and pretherapy EMP levels were significantly higher in the ABO HDN group than in the Rh HDN group. Posttherapy EMP levels were decreased compared with pretherapy levels in the ABO HDN and Rh HDN groups. Moreover, hemoglobin and indirect bilirubin levels were independently correlated with pretherapy EMP levels in the ABO HDN group. Conclusion Our findings indicate that EMP measurement in neonates with HDN may provide a novel method of monitoring possible severe vascular dysfunction in patients in China. An external validation in larger datasets is necessary for further study. |
| first_indexed | 2024-12-22T11:47:25Z |
| format | Article |
| id | doaj.art-71818c4f43ec457ca9c508eb1ce64cf4 |
| institution | Directory Open Access Journal |
| issn | 0300-0605 1473-2300 |
| language | English |
| last_indexed | 2024-12-22T11:47:25Z |
| publishDate | 2019-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-71818c4f43ec457ca9c508eb1ce64cf42022-12-21T18:27:07ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-11-014710.1177/0300060519870947Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in ChinaXiao-jing ZhuJin-kai WeiCong-min ZhangObjective This study aimed to evaluate endothelial microparticles (EMPs) as a potential prognostic marker in hemolytic disease of the Chinese neonate. Methods We compared 29 newborns with ABO hemolytic disease of the newborn (ABO HDN), 22 newborns with Rh HDN, and 21 healthy newborns with matched mother and infant blood groups (controls). Markers of hemolysis and von Willebrand factor antigen (vWF Ag) were analyzed. EMP (CD144+) levels were measured before and after therapy. Results vWF Ag and pretherapy EMP levels were higher in the ABO HDN and Rh HDN groups than in the control group. Additionally, vWF Ag and pretherapy EMP levels were significantly higher in the ABO HDN group than in the Rh HDN group. Posttherapy EMP levels were decreased compared with pretherapy levels in the ABO HDN and Rh HDN groups. Moreover, hemoglobin and indirect bilirubin levels were independently correlated with pretherapy EMP levels in the ABO HDN group. Conclusion Our findings indicate that EMP measurement in neonates with HDN may provide a novel method of monitoring possible severe vascular dysfunction in patients in China. An external validation in larger datasets is necessary for further study.https://doi.org/10.1177/0300060519870947 |
| spellingShingle | Xiao-jing Zhu Jin-kai Wei Cong-min Zhang Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China Journal of International Medical Research |
| title | Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China |
| title_full | Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China |
| title_fullStr | Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China |
| title_full_unstemmed | Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China |
| title_short | Evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in China |
| title_sort | evaluation of endothelial microparticles as a prognostic marker in hemolytic disease of the newborn in china |
| url | https://doi.org/10.1177/0300060519870947 |
| work_keys_str_mv | AT xiaojingzhu evaluationofendothelialmicroparticlesasaprognosticmarkerinhemolyticdiseaseofthenewborninchina AT jinkaiwei evaluationofendothelialmicroparticlesasaprognosticmarkerinhemolyticdiseaseofthenewborninchina AT congminzhang evaluationofendothelialmicroparticlesasaprognosticmarkerinhemolyticdiseaseofthenewborninchina |