PMID- 30575339 OWN - NLM STAT- MEDLINE DCOM- 20200413 LR - 20210225 IS - 1099-0496 (Electronic) IS - 8755-6863 (Print) IS - 1099-0496 (Linking) VI - 54 IP - 3 DP - 2019 Mar TI - Serum neurotrophins at birth correlate with respiratory and neurodevelopmental outcomes of premature infants. PG - 303-312 LID - 10.1002/ppul.24218 [doi] AB - OBJECTIVE: Preterm birth is a significant cause of infant morbidity and mortality, which are primarily the result of respiratory and neurodevelopmental complications. However, no objective biomarker is currently available to predict at birth the risk and severity of such complications. Thus, we sought to determine whether serum neurotrophins concentrations measured at birth correlate with risk for later development of bronchopulmonary dysplasia (BPD) and long-term neurodevelopmental outcomes. METHODS: This study prospectively included 223 newborns admitted to neonatal intensive care units (NICU) and divided into three groups: (i) preterm infants who developed BPD; (ii) preterm infants who did not develop BPD; (iii) term infants. An exploratory cohort was enrolled in West Virginia, followed by a validation cohort recruited in four NICUs in Ohio. Specimens for serum and tracheal neurotrophins concentrations were collected within 48 h of admission. Infants requiring a fraction of inspired oxygen >0.21 for at least 28 days were diagnosed with BPD. Neurodevelopmental outcomes were extrapolated from Bayley Scales of Infant Development-Third Edition (BSID-III) administered at the 24-month follow-up visit. RESULTS: Serum brain-derived neurotrophic factor (BDNF) concentration at birth had significant negative correlation with later diagnosis of BPD (P = 0.011) and with duration of invasive ventilation and oxygen supplementation (P = 0.009 and 0.015, respectively). Serum nerve growth factor (NGF) concentration at birth had significant positive correlation with BSID-III cognitive and language composite scores at 24 months (P < 0.001 and 0.010, respectively). CONCLUSIONS: These data suggest that serum neurotrophins concentrations measured at birth provide prognostic information on subsequent respiratory and neurodevelopmental outcomes. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Simpson, Samantha L AU - Simpson SL AD - Lerner Research Institute, Cleveland Clinic Foundation, Center for Pediatric Research, Cleveland, Ohio. FAU - Grayson, Stephanie AU - Grayson S AD - Department of Pediatrics, West Virginia University, Morgantown, West Virginia. FAU - Peterson, Jennifer H AU - Peterson JH AD - Lerner Research Institute, Cleveland Clinic Foundation, Center for Pediatric Research, Cleveland, Ohio. FAU - Moore, John J AU - Moore JJ AD - Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio. FAU - Mhanna, Maroun J AU - Mhanna MJ AD - Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio. FAU - Perez, Miriam K AU - Perez MK AD - Lerner Research Institute, Cleveland Clinic Foundation, Center for Pediatric Research, Cleveland, Ohio. FAU - Rezaee, Fariba AU - Rezaee F AD - Lerner Research Institute, Cleveland Clinic Foundation, Center for Pediatric Research, Cleveland, Ohio. FAU - Piedimonte, Giovanni AU - Piedimonte G AUID- ORCID: 0000-0003-1640-1928 AD - Lerner Research Institute, Cleveland Clinic Foundation, Center for Pediatric Research, Cleveland, Ohio. LA - eng GR - K08 AI112781/AI/NIAID NIH HHS/United States GR - R01 HL061007/HL/NHLBI NIH HHS/United States GR - R01 HL148057/HL/NHLBI NIH HHS/United States GR - RO1 HL-061007/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20181221 PL - United States TA - Pediatr Pulmonol JT - Pediatric pulmonology JID - 8510590 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Brain-Derived Neurotrophic Factor/*blood/metabolism MH - Bronchopulmonary Dysplasia/*epidemiology MH - Cohort Studies MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Infant, Premature/*blood/metabolism MH - Infant, Premature, Diseases/*epidemiology MH - Intensive Care Units, Neonatal MH - Male MH - Nerve Growth Factor/*blood/metabolism MH - Neurodevelopmental Disorders/*epidemiology MH - Ohio MH - Prognosis MH - Trachea/metabolism MH - West Virginia/epidemiology PMC - PMC7306099 MID - NIHMS1570577 OTO - NOTNLM OT - biomarkers OT - bronchopulmonary dysplasia (BPD) OT - developmental biology OT - neonatal pulmonary medicine COIS- CONFLICT OF INTEREST None. EDAT- 2018/12/24 06:00 MHDA- 2020/04/14 06:00 PMCR- 2020/06/21 CRDT- 2018/12/22 06:00 PHST- 2018/08/23 00:00 [received] PHST- 2018/11/03 00:00 [accepted] PHST- 2018/12/24 06:00 [pubmed] PHST- 2020/04/14 06:00 [medline] PHST- 2018/12/22 06:00 [entrez] PHST- 2020/06/21 00:00 [pmc-release] AID - 10.1002/ppul.24218 [doi] PST - ppublish SO - Pediatr Pulmonol. 2019 Mar;54(3):303-312. doi: 10.1002/ppul.24218. Epub 2018 Dec 21.