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在表现为貌似威胁生命的事件(ALTE)的婴儿呼吸暂停中,外源性阿片肽和 DPPIV 血清活性。

The exogenous opioid peptides and DPPIV serum activity in infants with apnoea expressed as apparent life threatening events (ALTE).

机构信息

Department of Paediatrics, Gastroenterology and Allergic Diseases, The Medical University of Białystok, Poland.

出版信息

Neuropeptides. 2011 Jun;45(3):189-95. doi: 10.1016/j.npep.2011.01.005. Epub 2011 Feb 21.

DOI:10.1016/j.npep.2011.01.005
PMID:21334743
Abstract

Casein-derived peptides have been suggested to play a role in sudden infant death syndrome (SIDS). In this study, we have determined the content of bovine β-casomorphin-7 (bBCM-7) and the activity of dipeptidyl peptidase-IV (DPPIV) in sera of infants with apparent life threatening events (ALTE syndromes, 'near miss SIDS'). We have found that the sera of some infants after an apnoea event contained more β-casomorphin-7 than that of the healthy infants in the same age. In all the children after an apnoea event, however, a lowered DPPIV was detected. We suspect that the low activity of that peptidase may be responsible for opioid-induced respiratory depression, induced by bBCM-7 in the general circulation.

摘要

酪蛋白衍生肽被认为在婴儿猝死综合征(SIDS)中发挥作用。在这项研究中,我们测定了表现出危及生命的呼吸暂停事件(ALTE 综合征,“疑似 SIDS”)婴儿血清中的牛 β-酪啡肽-7(bBCM-7)含量和二肽基肽酶-IV(DPPIV)活性。我们发现,一些发生呼吸暂停事件的婴儿血清中的 β-酪啡肽-7含量高于同龄健康婴儿。然而,在所有发生呼吸暂停事件的儿童中,均检测到 DPPIV 活性降低。我们怀疑该肽酶的低活性可能是由 bBCM-7 在全身循环中引起的阿片类药物诱导的呼吸抑制所致。

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