PMID- 26460781 OWN - NLM STAT- MEDLINE DCOM- 20161019 LR - 20220317 IS - 1873-3360 (Electronic) IS - 0306-4530 (Linking) VI - 63 DP - 2016 Jan TI - Determinants of brain-derived neurotrophic factor (BDNF) in umbilical cord and maternal serum. PG - 191-7 LID - S0306-4530(15)00931-2 [pii] LID - 10.1016/j.psyneuen.2015.09.028 [doi] AB - OBJECTIVE: Brain-derived neurotrophic factor (BDNF) plays a fundamental role in brain development; additionally, it is involved in various aspects of cerebral function, including neurodegenerative and psychiatric diseases. Involvement of BDNF in parturition has not been investigated. The aim of our study was to analyze determinants of umbilical cord BDNF (UC-BDNF) concentrations of healthy, term newborns and their respective mothers. METHODS: This cross-sectional prospective study was performed at a tertiary referral center. Maternal venous blood samples were taken on admission to labor ward; newborn venous blood samples were drawn from the umbilical cord (UC), before delivery of the placenta. Analysis was performed with a commercially available immunoassay. Univariate analyses and stepwise multivariate regression models were applied. RESULTS: 120 patients were recruited. UC-BDNF levels were lower than maternal serum concentrations (median 641 ng/mL, IQR 506 vs. median 780 ng/mL, IQR 602). Correlation between UC- and maternal BDNF was low (R=0.251, p=0.01). In univariate analysis, mode of delivery (MoD), gestational age (GA), body mass index at delivery, and gestational diabetes were determinants of UC-BDNF (MoD and smoking for maternal BDNF, respectively). Stepwise multivariate regression analysis revealed a model with MoD and GA as determinants for UC-BDNF (MoD for maternal BDNF). CONCLUSIONS: MoD and GA at delivery are determinants of circulating BDNF in the mother and newborn. We hypothesize that BDNF, like other neuroendocrine factors, is involved in the neuroendocrine cascade of delivery. Timing and mode of delivery may exert BDNF-induced effects on the cerebral function of newborns and their mothers. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Flock, A AU - Flock A AD - Department of Obstetrics and Prenatal Medicine, University Bonn Medical School, Germany. FAU - Weber, S K AU - Weber SK AD - Department of Obstetrics and Prenatal Medicine, University Bonn Medical School, Germany. FAU - Ferrari, N AU - Ferrari N AD - Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University, Cologne, Germany. FAU - Fietz, C AU - Fietz C AD - Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University, Cologne, Germany. FAU - Graf, C AU - Graf C AD - Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University, Cologne, Germany. FAU - Fimmers, R AU - Fimmers R AD - Institute for Medical Biometry, Informatics and Epidemiology, University Bonn Medical School, Germany. FAU - Gembruch, U AU - Gembruch U AD - Department of Obstetrics and Prenatal Medicine, University Bonn Medical School, Germany. FAU - Merz, W M AU - Merz WM AD - Department of Obstetrics and Prenatal Medicine, University Bonn Medical School, Germany. Electronic address: waltraut.merz@ukb.uni-bonn.de. LA - eng PT - Journal Article DEP - 20151020 PL - England TA - Psychoneuroendocrinology JT - Psychoneuroendocrinology JID - 7612148 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/*blood MH - Cross-Sectional Studies MH - Delivery, Obstetric/methods MH - Female MH - Fetal Blood/*metabolism MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Male MH - Mothers MH - Pregnancy/*blood MH - Umbilical Cord/metabolism OTO - NOTNLM OT - BDNF OT - Delivery OT - Neurotrophin OT - Newborn OT - Pregnancy OT - Umbilical cord EDAT- 2015/10/16 06:00 MHDA- 2016/12/30 06:00 CRDT- 2015/10/14 06:00 PHST- 2015/07/11 00:00 [received] PHST- 2015/09/07 00:00 [revised] PHST- 2015/09/28 00:00 [accepted] PHST- 2015/10/14 06:00 [entrez] PHST- 2015/10/16 06:00 [pubmed] PHST- 2016/12/30 06:00 [medline] AID - S0306-4530(15)00931-2 [pii] AID - 10.1016/j.psyneuen.2015.09.028 [doi] PST - ppublish SO - Psychoneuroendocrinology. 2016 Jan;63:191-7. doi: 10.1016/j.psyneuen.2015.09.028. Epub 2015 Oct 20.