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Journal of Tropical Pediatrics Advance Access published online on October 12, 2009

Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp098
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Increased Umbilical Cord Plasma Interleukin-1β Levels was Correlated with Adverse Outcomes of Neonatal Hypoxic-ischemic Encephalopathy

Jing Liu and Zhi-Chun Feng

Department of Neonatology and NICU Feng, Bayi Children’s Hospital Affiliated with Beijing Military Region General Hospital, Beijing 100700, China

Correspondence: Zhi-Chun Feng, Department of Neonatology and NICU, Bayi Children's Hospital Affiliated with Beijing Military Region General Hospital, Beijing 100700, China. Tel.: +86-10-66721257. E-mail: <liujingbj{at}live.cn>.


   Abstract

To explore whether or not the umbilical blood levels of cytokines can be used to indicate the adverse outcomes of hypoxic-ischemic encephalopathy (HIE) patients. Umbilical artery blood and peripheral venous blood samples were collected on the 1st, 3rd and 7th days after birth to detect the levels of IL-1β, IL-8 and TNF-{alpha}. Neurological examination and Denver developmental screening test (DDST-II) were performed at the 6 and 12 months evaluations to detect any neurodevelopmental abnormalities. The results showed: (i) the serum concentrations of IL-1β, IL-8 and TNF-{alpha} in umbilical and peripheral blood were significantly higher in HIE patients than control groups; (ii) the umbilical blood concentrations of IL-1β exhibited the best positive correlation with HIE grades, when compared with IL-8 and TNF-{alpha}; and (iii) abnormal neurological outcomes at 6 and 12 months of age were best predicted by umbilical levels of IL-1β. Thus, umbilical concentrations of IL-1β were associated with the grades and adverse outcomes of HIE.


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