PMID- 19561044 OWN - NLM STAT- MEDLINE DCOM- 20090922 LR - 20161018 IS - 1479-683X (Electronic) IS - 0804-4643 (Linking) VI - 161 IP - 3 DP - 2009 Sep TI - Influence of prematurity and growth restriction on the adipokine profile, IGF1, and ghrelin levels in cord blood: relationship with glucose metabolism. PG - 381-9 LID - 10.1530/EJE-09-0193 [doi] AB - OBJECTIVE: To determine the influence of gestational age and fetal growth restriction on the cord blood adipokine profile, IGF1, and ghrelin levels, and their relationship with glucose metabolism. STUDY DESIGN: One hundred and ninety newborns (99 preterm and 91 full term) were studied and, according to their anthropometry at birth, classified as small (SGA) or adequate for gestational age (AGA). METHODS: Venous cord blood serum levels of IGF1, IGF binding protein 3 (IGFBP-3), adiponectin, resistin, leptin, soluble leptin receptor (sOB-R), tumoral necrosis factor-alpha, interleukin 6 (IL-6), total ghrelin, and acylated ghrelin were determined and compared between preterm and full-term, as well as between SGA and AGA, newborns. Correlations with newborn weight, gestational age, and homeostatic model assessment (HOMA) index, as an index of insulin resistance, were determined. RESULTS: Preterm newborns had higher HOMA, sOB-R, resistin, and IL-6 and lower IGF1, IGFBP-3, leptin, and adiponectin levels than full-term newborns. SGA had lower IGF1, IGFBP-3, leptin, IL-6, and adiponectin and higher sOB-R and total ghrelin than AGA newborns. Adiponectin and HOMA showed independent positive and negative correlations with gestational age respectively, but not with neonatal weight. Birth weight was correlated positively with IGF1 and leptin levels and negatively with total ghrelin ones. CONCLUSIONS: Our findings suggest that the lack of proper acquisition of adipose tissue by the fetus either due to prematurity or to fetal growth restriction is associated with changes in the cord blood adipokine profile that may contribute to the impairment of glucose metabolism. FAU - Martos-Moreno, Gabriel A AU - Martos-Moreno GA AD - Department of Endocrinology, Hospital Infantil Universitario Nino Jesus, Universidad Autonoma de Madrid, E-28009 Madrid, Spain. FAU - Barrios, Vicente AU - Barrios V FAU - Saenz de Pipaon, Miguel AU - Saenz de Pipaon M FAU - Pozo, Jesus AU - Pozo J FAU - Dorronsoro, Izaskun AU - Dorronsoro I FAU - Martinez-Biarge, Miriam AU - Martinez-Biarge M FAU - Quero, Jose AU - Quero J FAU - Argente, Jesus AU - Argente J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090626 PL - England TA - Eur J Endocrinol JT - European journal of endocrinology JID - 9423848 RN - 0 (Adipokines) RN - 0 (Blood Glucose) RN - 0 (Ghrelin) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adipokines/*blood MH - Blood Glucose/*metabolism MH - Body Weights and Measures MH - Cohort Studies MH - Female MH - Fetal Blood/chemistry/metabolism MH - Fetal Growth Retardation/*blood/epidemiology MH - Gestational Age MH - Ghrelin/*blood MH - Humans MH - Infant, Newborn MH - Infant, Premature/blood MH - Infant, Small for Gestational Age/blood/metabolism MH - Insulin-Like Growth Factor I/*analysis MH - Male MH - Premature Birth/*blood MH - Sex Factors EDAT- 2009/06/30 09:00 MHDA- 2009/09/23 06:00 CRDT- 2009/06/30 09:00 PHST- 2009/06/30 09:00 [entrez] PHST- 2009/06/30 09:00 [pubmed] PHST- 2009/09/23 06:00 [medline] AID - EJE-09-0193 [pii] AID - 10.1530/EJE-09-0193 [doi] PST - ppublish SO - Eur J Endocrinol. 2009 Sep;161(3):381-9. doi: 10.1530/EJE-09-0193. Epub 2009 Jun 26.