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健康新生儿血清和尿液中肾损伤分子-1的浓度是否取决于出生体重、胎龄或性别?

Do serum and urinary concentrations of kidney injury molecule-1 in healthy newborns depend on birth weight, gestational age or gender?

作者信息

Kamianowska M, Szczepański M, Kulikowska E E, Bebko B, Wasilewska A

机构信息

Department of Neonatology and Neonatal Intensive Care, Medical University of Bialystok, Bialystok, Poland.

Department of Pediatrics and Nephrology, Medical University of Bialystok, Bialystok, Poland.

出版信息

J Perinatol. 2017 Jan;37(1):73-76. doi: 10.1038/jp.2016.169. Epub 2016 Sep 29.

Abstract

OBJECTIVE

The aim of work was to establish the normal levels of serum and urinary kidney injury molecule-1 (sKIM-1 and uKIM-1) in healthy full-term newborns.

STUDY DESIGN

The study included 88 healthy full-term neonates from normal, uncomplicated pregnancies. The serum and urinary concentrations of KIM-1 in the material obtained in the first or second day of life were determined with a commercially available enzyme-linked immunosorbent assay kits. In addition, uKIM-1 was normalized for urinary creatinine concentration.

RESULTS

Male and female newborns, as well as children in whom the samples were obtained in the first or second day of life, did not differ significantly in terms of their sKIM-1 and uKIM-1 levels. Gestational age correlated inversely with sKIM-1 and positively with uKIM-1, but not with uKIM-1/cr. No correlation was found with birth weight and gender.

CONCLUSION

This is the first report of sKIM-1 and uKIM-1 levels in healthy full-term newborns during the first postnatal days. The data from healthy newborns may serve as the reference values for future studies in the youngest children.

摘要

目的

本研究旨在确定健康足月儿血清和尿中肾损伤分子-1(sKIM-1和uKIM-1)的正常水平。

研究设计

该研究纳入了88例来自正常、无并发症妊娠的健康足月儿。使用市售酶联免疫吸附测定试剂盒测定出生后第1天或第2天采集样本中的KIM-1血清和尿浓度。此外,uKIM-1根据尿肌酐浓度进行标准化。

结果

男、女新生儿以及出生后第1天或第2天采集样本的儿童,其sKIM-1和uKIM-1水平无显著差异。胎龄与sKIM-1呈负相关,与uKIM-1呈正相关,但与uKIM-1/肌酐无关。未发现与出生体重和性别相关。

结论

这是关于出生后最初几天健康足月儿sKIM-1和uKIM-1水平的首次报告。健康新生儿的数据可为未来针对最小儿童的研究提供参考值。

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