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评估小于胎龄儿(IUGR)新生儿血清中白细胞介素-6、白细胞介素-8和白细胞介素-18的计数。

Assessment of interleukin-6, interleukin-8 and interleukin-18 count in the serum of IUGR newborns.

作者信息

Krajewski Pawel, Sieroszewski Piotr, Karowicz-Bilinska Agata, Kmiecik Magdalena, Chudzik Anita, Strzalko-Gloskowska Barbara, Kwiatkowska Maria, Pokrzywnicka Malgorzata, Wyka Krystyna, Chlapinski Jakub, Kaminski Marek, Wieckowska Katarzyna

机构信息

Department of Neonatology, Medical University of Lodz , Lodz , Poland .

出版信息

J Matern Fetal Neonatal Med. 2014 Jul;27(11):1142-5. doi: 10.3109/14767058.2013.851186. Epub 2013 Nov 29.

Abstract

AIM

Aim of this study was to assess concentrations of interleukin-6 (IL-6), interleukin-8 (IL-8) and interleukin-18 (IL-18) in the serum of newborns with diagnosed intrauterine growth restriction (IUGR) in comparison to concentrations in serum of newborns with weight appropriate for gestational age (AGA).

MATERIALS

Research was conducted at the Lodz Medical University Clinic of Neonatology during 2010-2011. Surveyed group consisted of 50 hypotrophic full-term infants of single pregnancies (average weight: 2329 ± 287 g); control group, enclosing 50 infants AGA (average weight: 3544 ± 2161 g). Both groups received average Apgar score of 9 points. Concentrations of analysed cytokines were marked between 4-6 hours after birth. The enzyme-linked immunosorbent assay (ELISA) test was used to determine interleukins concentrations. Study was prospective. Statistics on the data were conducted with the Kolmogorov-Smirnov test. Significance level: p < 0.05.

RESULTS

Concentrations of IL-6 and IL-18 were elevated in the IUGR group in a statistically significant manner in comparison to the control group.

CONCLUSIONS

An elevated level of IL-6 and IL-18 in the IUGR group, comparing to control group, signifies the existence of inflammation in the process of developing IUGR, therefore, screening tests estimating levels of interleukins as IL-6 and IL-18 might be clinically useful in predicting the occurrence of IUGR and help preventing it.

摘要

目的

本研究旨在评估诊断为宫内生长受限(IUGR)的新生儿血清中白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和白细胞介素-18(IL-18)的浓度,并与适于胎龄(AGA)新生儿血清中的浓度进行比较。

材料

研究于2010 - 2011年在罗兹医科大学新生儿科诊所进行。观察组由50名单胎足月低体重儿组成(平均体重:2329 ± 287 g);对照组包含50名AGA新生儿(平均体重:3544 ± 2161 g)。两组新生儿的平均阿氏评分均为9分。出生后4 - 6小时测定分析细胞因子的浓度。采用酶联免疫吸附测定(ELISA)试验测定白细胞介素浓度。本研究为前瞻性研究。数据统计采用柯尔莫哥洛夫-斯米尔诺夫检验。显著性水平:p < 0.05。

结果

与对照组相比,IUGR组中IL-6和IL-18的浓度显著升高。

结论

与对照组相比,IUGR组中IL-6和IL-18水平升高表明在IUGR发生过程中存在炎症,因此,评估IL-6和IL-18等白细胞介素水平的筛查试验可能在临床上有助于预测IUGR的发生并预防其发生。

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