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脐血浆血管生成素-1 和内皮抑素水平预测早产儿支气管肺发育不良的发生。

Angiopoietin-1 and endostatin levels in cord plasma predict the development of bronchopulmonary dysplasia in preterm infants.

机构信息

Department of Pediatrics, College of Medicine, King Khalid University, Abha, Saudi Arabia.

出版信息

J Trop Pediatr. 2011 Oct;57(5):385-8. doi: 10.1093/tropej/fmq112. Epub 2010 Dec 2.

Abstract

OBJECTIVE

To determine whether angiopoietin-1 and endostatin levels in the cord blood could predict the subsequent development of bronchopulmonary dysplasia (BPD) in preterm infants.

PATIENTS AND METHODS

A total of 102 preterm (gestational age ≤ 32 weeks) infants (28 infants developed BPD and 74 had no BPD) were enrolled in the study. Cord plasma levels of angiopoietin-1 and endostatin were measured by enzyme-linked immunosorbent assay.

RESULTS

Preterm infants who subsequently developed BPD had significantly lower cord plasma levels of angiopoietin-1 than those who did not (p < 0.001). Our results showed that cord plasma levels of endostatin were significantly higher in infants with BPD than in those without (p < 0.001). In infants with BPD, angiopoietin-1 levels in cord plasma correlated negatively with endostatin (r = -0.48; p = 0.008).

CONCLUSION

In preterm infants, low-angiopoietin-1 and high-endostatin levels in cord plasma at birth predict the subsequent development of BPD.

摘要

目的

探讨脐血血管生成素-1(angiopoietin-1,Ang-1)和内皮抑素(endostatin)水平能否预测早产儿支气管肺发育不良(bronchopulmonary dysplasia,BPD)的发生。

方法

选择胎龄≤32 周的早产儿 102 例,其中 28 例发生 BPD,74 例未发生 BPD。采用酶联免疫吸附法检测脐血 Ang-1 和内皮抑素水平。

结果

发生 BPD 的早产儿脐血 Ang-1 水平明显低于未发生 BPD 的早产儿(p<0.001);BPD 组脐血内皮抑素水平明显高于未发生 BPD 的早产儿(p<0.001);BPD 组脐血 Ang-1 水平与内皮抑素水平呈负相关(r=-0.48,p=0.008)。

结论

出生时脐血 Ang-1 水平降低和内皮抑素水平升高可能预测早产儿 BPD 的发生。

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