Urinary Claudin-2 Measurements as a Predictor of Necrotizing Enterocolitis: A Pilot Study

Autor: Brian P Blackwood, Douglas R Wood, Carrie Y Yuan, Joseph D Nicolas, Anne Griffiths, Karen Mestan, Catherine J Hunter
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Neonatal Surgery, Vol 4, Iss 4 (2015)
Druh dokumentu: article
ISSN: 2226-0439
DOI: 10.21699/jns.v4i4.282
Popis: Background: Necrotizing Enterocolitis (NEC) affects 5-10% of NICU patients where initially patients may have only nonspecific clinical findings. A noninvasive tool for detection would aid in diagnosis. Increased urinary claudins have been associated with active adult inflammatory bowel disease. Methods: Institutional Review Board approval was obtained. Neonatal intestinal tissue samples were obtained from patients with and without NEC. Immunofluorescence analysis of claudin-2 was performed on the intestinal tissue. Thirty two urine samples were collected from 6 NICU patients. Proteins were extracted and urinary claudin-2 expression was measured using Western Blot Analysis. All sample concentrations were normalized to urinary creatinine. Differences were analyzed with ANOVA or Student’s T-test. Findings were correlated to the patient’s clinical status. Results: Neonatal intestinal immunofluorescence analysis revealed that claudin-2 is present in healthy intestinal epithelium and is decreased in NEC intestinal tissue (p=0.0001). Of the six patients evaluated, three patients had NEC. All 3 patients with NEC had spikes in urinary claudin-2 levels (p
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