Bhattacharya Sandeep, Ali Wahid, Ghildiyal Archana
Physiology, King George's Medical University, Lucknow, IND.
Pathology, King George's Medical University, Lucknow, IND.
Cureus. 2023 May 17;15(5):e39146. doi: 10.7759/cureus.39146. eCollection 2023 May.
Cytokines are small proteins that play an important role in cell signaling, particularly in inflammatory pathways. There are both pro- as well as anti-inflammatory cytokines that regulate this pathway and modulate the immune responses. Advancing maternal age is associated with systemic inflammation. The present study intends to evaluate the effect of advancing maternal age on cytokine (IL-6 and TGF-β) levels in colostrum, the first breast milk secreted by mothers.
A total of 77 term deliveries were enrolled in the study. Colostrum specimens were collected and evaluated for cytokine IL-6 and TGF-β levels. Colostrum IL-6 and TGF-β levels were correlated with maternal age and were assessed using the Spearman rank correlation coefficient. Multivariate analysis was done using a linear regression model comprising age, parity, and mode of delivery.
Mean colostrum IL-6 and TGF-β levels were 113.3±73.1 pg/ml and 20.9±23.6 pg/ml, respectively. No significant correlation between maternal age and colostrum IL-6 levels was observed (r=0.137; p=0.314). However, there was a significant positive correlation between maternal age and colostrum TGF-β levels (r=0.452; p<0.001).
The findings of the study show a significant association between maternal age and colostrum TGF-β levels. The impact of colostrum cytokine levels on neonatal growth and development in context with advancing maternal age needs to be evaluated.
细胞因子是一类在细胞信号传导中发挥重要作用的小蛋白质,特别是在炎症通路中。既有促炎细胞因子,也有抗炎细胞因子,它们调节这一通路并调节免疫反应。产妇年龄的增加与全身炎症有关。本研究旨在评估产妇年龄增加对初乳(母亲分泌的第一口母乳)中细胞因子(白细胞介素-6和转化生长因子-β)水平的影响。
本研究共纳入77例足月分娩病例。收集初乳样本并评估细胞因子白细胞介素-6和转化生长因子-β水平。初乳中白细胞介素-6和转化生长因子-β水平与产妇年龄相关,并使用Spearman等级相关系数进行评估。使用包含年龄、产次和分娩方式的线性回归模型进行多变量分析。
初乳中白细胞介素-6和转化生长因子-β的平均水平分别为113.3±73.1 pg/ml和20.9±23.6 pg/ml。未观察到产妇年龄与初乳白细胞介素-6水平之间存在显著相关性(r=0.137;p=0.314)。然而,产妇年龄与初乳转化生长因子-β水平之间存在显著正相关(r=0.452;p<0.001)。
该研究结果表明产妇年龄与初乳转化生长因子-β水平之间存在显著关联。需要评估初乳细胞因子水平对随着产妇年龄增加新生儿生长发育的影响。