The Early Prognosis Value of Activin A in Premature Infants’ Brain Injury

Authors

  • Ahmad Daniyal Shahid School of Medicine, Jiangsu Universtiy, Jiangsu, Zhenjiang, P.R China
  • Haitao Zhu Department of Pediatrics, Affiliated hospital of Jiangsu University Jiangsu, Zhenjiang, P.R China
  • Hong Yan Lu (Department of Pediatrics, Affiliated hospital of Jiangsu University Jiangsu, Zhenjiang, P.R China
  • Ming Chang (School of Medicine, Jiangsu Universtiy, Jiangsu, Zhenjiang, P.R China
  • Abdul Malik (School of Medicine, Jiangsu Universtiy, Jiangsu, Zhenjiang, P.R China
  • Murad Ali Sher School of Medicine, Jiangsu Universtiy, Jiangsu, Zhenjiang, P.R China
  • Walid Ullah Adil School of Medicine, Jiangsu Universtiy, Jiangsu, Zhenjiang, P.R China

DOI:

https://doi.org/10.53555/nnmhs.v3i3.622

Keywords:

Activin A, severity levels, preterm neonates, intraventricular hemorrhage, periventricular leukomalaica

Abstract

The purpose of this research is to explore the predictive value of amniotic fluid, umbilical cord blood and neonatal blood activin A in early brain injury in preterm neonates. 98 cases of premature infants were divided into brain injury group and control group according to the cranial imaging examination, and the brain injury group was further divided into mild brain injury group and severe brain injury group. The activin A level was measured in both preterm brain injury group and control group with enzyme-linked immunosorbent assay (ELISA) kit, then the comparisons of activin A levels between brain injury group and control group, mild and severe brain injury group were implemented to find out their differences. The results demonstrated that activin A levels of umbilical cord blood, amniotic fluid and 3-day-old premature infant peripheral blood in brain injury group were significantly higher than the control group (P<0.05), activin A levels of amniotic fluid, umbilical cord blood and 3-day-old infant blood in the severe brain injury group were significantly higher than the mild brain injury group (P<0.05), intragroup comparison among the brain injury group showed amniotic fluid and 3-day-old premature infant serum activin A levels were significantly higher than umbilical cord blood (P<0.05), activin A has a certain value in early prediction and severity assessment of preterm brain injury. 

References

Florio P., Gazzolo D., Luisi S., Petraglia F., Activin A in brain injury, 2007

He J. T., Mang J., Mei C. L., Yang L., Wang J. Q., Xing Y., et al., Neuroprotective effects of exogenous activin A on oxygen-glucose deprivation in PC12 cells, 2012

Mukerji S. S., Katsman E. A., Wilber C., Haner N. A., Selman W. R., Hall A. K., Activin is a neuronal survival factor that is rapidly increased after transient cerebral ischemia and hypoxia in mice, 2007

Boyce, G.C., Smith, T.B., & Casto, G., Health and educational outcomes of children who experienced severe neonatal medical complications, 1999

Whitaker, A.M., Feldman, J.F., Van Rossem, R., Schonfeld, I.S., Pinto-Martin, J.A.,Torre, C., et al., Neonatal cranial ultrasound abnormalities in low birth weight infants: Relation to cognitive outcomes at six years of age, 1996

Wilson-Costello D., Friedman H., Minich N., Fanaroff A. A., Hack M., Improved survival rates with increased neural developmental disability for extremely low birth weight infants, 2005

Volpe, J.J., 2001a. Intracranial hemorrhage: germinal matrix-intraventricular hemorrhage, 2001a

Volpe, J.J., Neurology of the Newborn, 2001b

Bassan, H., Intracranial hemorrhage in the preterm infant: understanding it, preventing it, 2009

Hack, M., Wilson-Costello, D., Friedman, H., Taylor, H.G., Schlucter, M., & Fanaroff, A.A. Neurodevelopment and predictors of outcomes of children with birth weights of less than 1000 g: 1992-1995, 2000

Boyce, G.C., Smith, T.B., & Casto, G. Health and educational outcomes of children who experienced severe neonatal medical complications, 1999

O’Shea, T.M., Klinepeter, K.L., Meis, P.J., Dillard, R.G., Intrauterine infection and the risk of cerebral palsy in very low-birth weight infants,1998

Holcroft, C.J., Blakemore, K.J., Allen, M., Graham, E.M. Association of prematurity and neonatal infection with neurologic morbidity in very low birth weight infants, 2003

Graham, E.M., Holcroft, C.J., Rai, K.K., Donohue, P.K., Allen, M.C. Neonatal cerebral white matter injury in preterm infants is associated with culture positive infections and only rarely with metabolic acidosis, 2004

Whitaker, A.M., Johnson, J., Sebris, S., Pinto, J., Wasserman, G., Kairam, R., et al. Neonatal cranial ultrasound abnormalities: association with developmental delay at age one in low birth weight infants, 1990

Volpe J. J., Kinney H. C., Jensen F. E., Rosenberg P. A. The developing oligodendrocyte: key cellular target in brain injury in the premature infant, 2011

Bouvier D., Castellani C., Fournier M., Dauphin J. B., Ughetto S., Breton M., et al. Reference ranges for serum S100B protein during the first three years of life, 2011

Bass W.T, Periventricular leukomalacia, 2011

Galli K. K., Zimmerman R. A., Jarvik G. P., Wernovsky G., Kuypers M. K., Clancy R. R., et al.Periventricular leukomalacia is common after neonatal cardiac surgery, 2004

Gazzolo D., Bruschettini M., Corvino V., Lituania M., Sarli R., Bruschettini P., et al. . Amniotic fluid levels of S100B protein in normal and trisomy-21, 2003a

L. An, X.Y Wang, J.Wu Protective effects of activin on the neurons of neonatal rats with hypoxic ischemic brain injury, 2006

Sutton, P.S., Darmstadt, G.L. Preterm birth and neurodevelopment: a review of outcomes and recommendations for early identification and cost-effective interventions, 2013

Petraglia F, Garuti GC, Calza' Let al. lnhibin subunits in human placenta: localization and messenger ribonucleic acid levels during pregnancy, l991

Wallace EM, Riley SC, Crossley JA et al. Dimeric inhibins in amniotic fluid, maternal serum and fetal serum in human pregnancy,1997

Petraglia F, Gag S, Florio Pet al. Activin A and activin B measured in maternal serum,cord blood serum and in amniotic fluid during human pregnancy,1993

Muttukrishna S, Fowler PA, George L, Grmme NP, Knight PG. Changes in peripheral serum levels of total activin A during menstrual cycle and pregnancy,1996

Petraglia F, Luisi S, Benedetto C et al. Changes of dimeric inhibin B levels in maternal serum throughout healthy gestation and in women with gestational diseases, 1997

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Published

2017-03-31

How to Cite

Shahid, A. D., Zhu, H., Lu, H. Y., Chang, M., Malik, A., Sher, M. A., & Adil, W. U. (2017). The Early Prognosis Value of Activin A in Premature Infants’ Brain Injury. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 3(3), 06-10. https://doi.org/10.53555/nnmhs.v3i3.622