PMID- 17881265 OWN - NLM STAT- MEDLINE DCOM- 20080618 LR - 20080304 IS - 1090-3798 (Print) IS - 1090-3798 (Linking) VI - 12 IP - 2 DP - 2008 Mar TI - Neurotrophic factor expression in newborns with myelomeningocele: preliminary data. PG - 113-8 AB - BACKGROUND: Neurotrophic factors play a crucial role in the stimulation of sprouting, synaptic plasticity and reorganization after spinal cord damage. The aim of this study was to investigate the expression of some neurotrophic factors [brain derived neurotrophic factor (BDNF), glial derived neurotrophic factor (GDNF), and nerve growth factor (NGF)] in the cerebrospinal fluid (CSF) of newborns with myelomeningocele (MMC) and to determine their correlations with this malformation. METHODS: To measure the expression of BDNF, GDNF, and NGF, we collected CSF samples of six newborns during the neurosurgical operation to correct the open MMC and of 10 matched controls. Endogenous neurotrophic factor levels were quantified using a two-site immuno-enzymatic assay. The statistical analysis was performed using the Mann-Whitney two-tailed two-sample test. FINDINGS: In the CSF of patients analysis of neurotrophic factor expression showed a significant increase of BDNF, GDNF, and NGF compared to the mean level of the control group (445.8+/-82.3, 86.5+/-2.6, and 59.9+/-6.2 pg/mL, respectively, respect to 10.2+/-5.9, 19.9+/-11.3, and 15.3+/-2.6 pg/mL) (p<0.001). INTERPRETATION: Our study shows an over-expression of neurotrophic factors in the CSF of newborns with MMC. This neurotrophin up-regulation may stimulate axonal sprouting and synaptic reorganization of the damaged neural cells at the site of spinal cord lesion. The neurotrophic factor up-regulation may represent a particularly important biochemical markers of spinal cord damage and might be associated with the severity of spine injury in MMC patients. FAU - Chiaretti, A AU - Chiaretti A AD - Department of Paediatric Science, Catholic University Medical School, Rome, Italy. FAU - Ausili, E AU - Ausili E FAU - Di Rocco, C AU - Di Rocco C FAU - Antonelli, A AU - Antonelli A FAU - Tabacco, F AU - Tabacco F FAU - Focarelli, B AU - Focarelli B FAU - Rendeli, C AU - Rendeli C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070918 PL - England TA - Eur J Paediatr Neurol JT - European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society JID - 9715169 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Glial Cell Line-Derived Neurotrophic Factor) RN - 0 (Nerve Growth Factors) SB - IM MH - Axons/physiology MH - Brain-Derived Neurotrophic Factor/biosynthesis/cerebrospinal fluid MH - Female MH - Glial Cell Line-Derived Neurotrophic Factor/biosynthesis/cerebrospinal fluid MH - Humans MH - Immunoenzyme Techniques MH - Infant, Newborn/*metabolism MH - Male MH - Meningomyelocele/*metabolism MH - Nerve Growth Factors/*biosynthesis/cerebrospinal fluid EDAT- 2007/09/21 09:00 MHDA- 2008/06/19 09:00 CRDT- 2007/09/21 09:00 PHST- 2007/03/22 00:00 [received] PHST- 2007/07/12 00:00 [revised] PHST- 2007/07/12 00:00 [accepted] PHST- 2007/09/21 09:00 [pubmed] PHST- 2008/06/19 09:00 [medline] PHST- 2007/09/21 09:00 [entrez] AID - S1090-3798(07)00118-3 [pii] AID - 10.1016/j.ejpn.2007.07.003 [doi] PST - ppublish SO - Eur J Paediatr Neurol. 2008 Mar;12(2):113-8. doi: 10.1016/j.ejpn.2007.07.003. Epub 2007 Sep 18.