Activin A and Acvr2b mRNA from Umbilical Cord Blood Are Not Reliable Markers of Mild or Moderate Neonatal Hypoxic–Ischemic Encephalopathy
| Autor: | Geraldine B. Boylan, Caroline Ahearne, NM Denihan, Mikael Finder, Gerard Clarke, Marc Paul O'Sullivan, Deirdre M. Murray, Klaudia M Sikora, Boubou Hallberg |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Activin Receptors Type II Encephalopathy Umbilical cord Gastroenterology 03 medical and health sciences 0302 clinical medicine Pregnancy Internal medicine medicine Humans RNA Messenger Whole blood Messenger RNA business.industry Infant Newborn Infant General Medicine Fetal Blood medicine.disease Activins Perinatal asphyxia 030104 developmental biology medicine.anatomical_structure Real-time polymerase chain reaction Hypoxia-Ischemia Brain Pediatrics Perinatology and Child Health Cohort Female Neurology (clinical) business Biomarkers 030217 neurology & neurosurgery ACVR2B |
| Zdroj: | Neuropediatrics. 52:261-267 |
| ISSN: | 1439-1899 0174-304X |
| DOI: | 10.1055/s-0041-1725012 |
| Popis: | Background Activin A protein and its receptor ACVR2B have been considered viable biomarkers for the diagnosis of hypoxic–ischemic encephalopathy (HIE). This study aimed to assess umbilical cord blood (UCB) levels of Activin A and Acvr2b messenger RNA (mRNA) as early biomarkers of mild and moderate HIE and long-term neurodevelopmental outcome. Methods One-hundred and twenty-six infants were included in the analyses from the BiHiVE2 cohort, a multi-center study, recruited in Ireland and Sweden (2013 to 2015). UCB serum Activin A and whole blood Acvr2b mRNA were measured using enzyme-linked immunosorbent assay and quantitative polymerase chain reaction, respectively. Results Activin A analysis included 101 infants (controls, n = 50, perinatal asphyxia, n = 28, HIE, n = 23). No differences were detected across groups (p = 0.69). No differences were detected across HIE grades (p = 0.12). Acvr2b mRNA analysis included 67 infants (controls, n = 22, perinatal asphyxia, n = 23, and HIE, n = 22), and no differences were observed across groups (p = 0.75). No differences were detected across HIE grades (p = 0.58). No differences were detected in neurodevelopmental outcome in infants followed up to 18 to 36 months in serum Activin A or in whole blood Acvr2b mRNA (p = 0.55 and p = 0.90, respectively). Conclusion UCB Activin A and Acvr2b mRNA are not valid biomarkers of infants with mild or moderate HIE; they are unable to distinguish infants with HIE or infants with poor neurodevelopmental outcomes. |
| Databáze: | OpenAIRE |
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