PMID- 26001700 OWN - NLM STAT- MEDLINE DCOM- 20160810 LR - 20220311 IS - 1432-198X (Electronic) IS - 0931-041X (Print) IS - 0931-041X (Linking) VI - 30 IP - 11 DP - 2015 Nov TI - Impact of gestational age, sex, and postnatal age on urine biomarkers in premature neonates. PG - 2037-44 LID - 10.1007/s00467-015-3129-z [doi] AB - BACKGROUND: Urine proteins may help in understanding physiology and diagnosing disease in premature infants. Determining how urine proteins vary by degree of prematurity, sex, and postnatal day is warranted. METHODS: We performed a prospective cohort study to assess the independent correlation of 14 urine biomarkers (measured on postnatal days 1-4) with gestational age (GA), sex, and postnatal age in 81 premature infants (mean, 1017 g) without acute kidney injury using a random-effects mixed model. RESULTS: Neutrophil gelatinase-associated lipocalin (NGAL) and vascular endothelial growth factor (VEGF) showed significant associations for sex, GA, and postnatal age. Cystatin C, osteopontin (OPN), and trefoil factor 3 (TFF3) were associated with postnatal age and GA, but not sex. Epithelial growth factor (EGF) and uromodulin were associated with GA only. Clusterin was associated with postnatal age and sex. Albumin was associated with sex only. Beta-2-microglbulin (B2M), osteoactivin, kidney injury molecule -1 (KIM-1), and alpha glutathione S-transferase (alphaGST) were associated with postnatal age only. CONCLUSIONS: Postnatal age affects B2M, cystatin C, NGAL, OPN, clusterin, Kim-1, osteoactivin, TFF3, VEGF, alphaGST. GA affects cystatin C, EGF, NGAL, OPN, UMOD, TFF3, and VEGF. Sex affects albumin, NGAL, and clusterin. Interpretation of urine biomarkers will need to account for these associations. FAU - Saeidi, Behtash AU - Saeidi B AD - Division of Pediatric Nephrology Department of Pediatrics, University of Alabama at Birmingham, 1600 7th Ave S, Lowder 516, Birmingham, AL, 35233, USA. FAU - Koralkar, Rajesh AU - Koralkar R AD - Division of Pediatric Nephrology Department of Pediatrics, University of Alabama at Birmingham, 1600 7th Ave S, Lowder 516, Birmingham, AL, 35233, USA. FAU - Griffin, Russell L AU - Griffin RL AD - Department of Epidemiology, University of Alabama at Birmingham, 1665 University Blvd. Ryals Public Health Building Room 220, Birmingham, AL, 35294-0022, USA. FAU - Halloran, Brian AU - Halloran B AD - Division of Pediatric Nephrology Department of Pediatrics, University of Alabama at Birmingham, 1600 7th Ave S, Lowder 516, Birmingham, AL, 35233, USA. FAU - Ambalavanan, Namasivayam AU - Ambalavanan N AD - Division of Neonatology Department of Pediatrics, University of Alabama at Birmingham, 1700 Sixth Avenue South, Birmingham, AL, 35249, USA. FAU - Askenazi, David J AU - Askenazi DJ AD - Division of Pediatric Nephrology Department of Pediatrics, University of Alabama at Birmingham, 1600 7th Ave S, Lowder 516, Birmingham, AL, 35233, USA. daskenazi@peds.uab.edu. LA - eng GR - UL1TR00165/TR/NCATS NIH HHS/United States GR - U10 HD34216/HD/NICHD NIH HHS/United States GR - UL1 TR000165/TR/NCATS NIH HHS/United States GR - R01 HD066982/HD/NICHD NIH HHS/United States GR - R01 HD067126/HD/NICHD NIH HHS/United States GR - R01 DE013608/DE/NIDCR NIH HHS/United States GR - R01 DK13608-01/DK/NIDDK NIH HHS/United States GR - P30 DK079337/DK/NIDDK NIH HHS/United States GR - U01 HL122626/HL/NHLBI NIH HHS/United States GR - UL1 TR001417/TR/NCATS NIH HHS/United States GR - U10 HD034216/HD/NICHD NIH HHS/United States GR - P30-DK079337/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150523 PL - Germany TA - Pediatr Nephrol JT - Pediatric nephrology (Berlin, Germany) JID - 8708728 RN - 0 (Biomarkers) SB - IM MH - Age Factors MH - Biomarkers/urine MH - Cohort Studies MH - Female MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Infant, Premature/*urine MH - Infant, Very Low Birth Weight/*urine MH - Male MH - Prospective Studies MH - Sex Characteristics PMC - PMC4581905 MID - NIHMS693982 OTO - NOTNLM OT - Acute kidney injury OT - Acute renal failure OT - Baseline OT - Cystatin C OT - Infant OT - KIM-1 OT - NGAL OT - Reference COIS- Potential Conflicts of interest: Dr. Askenazi is speaker for The AKI Foundation. EDAT- 2015/05/24 06:00 MHDA- 2016/08/11 06:00 PMCR- 2016/11/01 CRDT- 2015/05/24 06:00 PHST- 2015/01/29 00:00 [received] PHST- 2015/05/04 00:00 [accepted] PHST- 2015/05/01 00:00 [revised] PHST- 2015/05/24 06:00 [entrez] PHST- 2015/05/24 06:00 [pubmed] PHST- 2016/08/11 06:00 [medline] PHST- 2016/11/01 00:00 [pmc-release] AID - 10.1007/s00467-015-3129-z [pii] AID - 10.1007/s00467-015-3129-z [doi] PST - ppublish SO - Pediatr Nephrol. 2015 Nov;30(11):2037-44. doi: 10.1007/s00467-015-3129-z. Epub 2015 May 23.