PMID- 30715770 OWN - NLM STAT- MEDLINE DCOM- 20190412 LR - 20190412 IS - 1442-200X (Electronic) IS - 1328-8067 (Linking) VI - 61 IP - 3 DP - 2019 Mar TI - High mobility group box 1 and markers of oxidative stress in human cord blood. PG - 264-270 LID - 10.1111/ped.13795 [doi] AB - BACKGROUND: Parturition induces considerable oxidative stress and many inflammatory mediators, such as high mobility group box 1 (HMGB1), are involved from the beginning of the pregnancy to birth. The aim of the present study was to evaluate serum cord blood concentration of diacron-reactive oxygen metabolites (d-ROM), biological antioxidant potential (BAP), and HMGB1 to investigate the perinatal oxidative status of neonates and correlation with mode of delivery, as well as the influence of labor. METHODS: The subjects consisted of 214 neonates delivered at University Hospital "G. Martino", Messina, in a 6 months period. Venous blood samples were collected from the umbilical cord after cord separation. RESULTS: Umbilical cord venous blood HMGB1 was significantly higher in the spontaneous vaginal delivery (SVD) group than in the elective or emergency cesarean section (CS) group (P = 0.018). Regarding labor, there was no significant difference in HMGB1 concentration in umbilical vein blood between the spontaneous and induced labor groups (P = 0.250). Furthermore, d-ROM was significantly different between the SVD group and the elective or emergency CS group (P = 0.044). BAP concentration, however, was not significantly different, not even with regard to mode of labor. CONCLUSION: Oxidation is higher in newborns delivered by SVD than in those delivered by CS, and HMGB1 may be involved in the mechanisms of birth, and responsible for decidual modifications that lead to birth. CI - (c) 2019 Japan Pediatric Society. FAU - D'Angelo, Gabriella AU - D'Angelo G AUID- ORCID: 0000-0003-3038-1759 AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. AD - Neonatal Intensive Care Unit, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Granese, Roberta AU - Granese R AD - Obstetrics and Gynecology Unit, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Marseglia, Lucia AU - Marseglia L AD - Neonatal Intensive Care Unit, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Impellizzeri, Pietro AU - Impellizzeri P AD - Unit of Paediatric Surgery, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Alibrandi, Angela AU - Alibrandi A AD - Department of Economical, Business and Environmental Sciences and Quantitative Methods, University of Messina, Messina, Italy. FAU - Palmara, Antonella AU - Palmara A AD - Neonatal Intensive Care Unit, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - La Rosa, Maria Angela AU - La Rosa MA AD - Unit of Paediatric Genetics and Immunology, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Manti, Sara AU - Manti S AD - Unit of Paediatric Genetics and Immunology, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Salpietro, Carmelo AU - Salpietro C AD - Unit of Paediatric Genetics and Immunology, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. FAU - Spina, Edoardo AU - Spina E AD - Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. FAU - Reiter, Russel J AU - Reiter RJ AD - Department of Cell Systems and Anatomy, University of Texas Health Science Center, San Antonio, Texas, USA. FAU - Falsaperla, Raffaele AU - Falsaperla R AD - General Pediatrics and Pediatric Acute and Emergency Unit, Policlinico-Vittorio-Emanuele University Hospital, University of Catania, Catania, Italy. FAU - Corsello, Giovanni AU - Corsello G AD - Department of Maternal and Child Health, University of Palermo, Palermo, Italy. FAU - Gitto, Eloisa AU - Gitto E AD - Neonatal Intensive Care Unit, Gaetano Barresi Department of Human Pathology in Adult and Developmental Age, University of Messina, Messina, Italy. LA - eng PT - Journal Article PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (HMGB1 Protein) RN - 0 (Reactive Oxygen Species) SB - IM MH - Antioxidants/metabolism MH - Biomarkers/blood MH - Delivery, Obstetric/*statistics & numerical data MH - Female MH - Fetal Blood/*metabolism MH - HMGB1 Protein/*blood MH - Humans MH - Infant, Newborn MH - Italy MH - Labor, Obstetric/metabolism/physiology MH - Oxidative Stress/*physiology MH - Pregnancy MH - Reactive Oxygen Species/metabolism OTO - NOTNLM OT - cord blood OT - high mobility group box 1 OT - newborn OT - oxidative stress OT - pregnancy EDAT- 2019/02/05 06:00 MHDA- 2019/04/13 06:00 CRDT- 2019/02/05 06:00 PHST- 2018/09/18 00:00 [received] PHST- 2019/01/31 00:00 [accepted] PHST- 2019/02/05 06:00 [pubmed] PHST- 2019/04/13 06:00 [medline] PHST- 2019/02/05 06:00 [entrez] AID - 10.1111/ped.13795 [doi] PST - ppublish SO - Pediatr Int. 2019 Mar;61(3):264-270. doi: 10.1111/ped.13795.