PMID- 31101685 OWN - NLM STAT- MEDLINE DCOM- 20200803 LR - 20221207 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 39 IP - 6 DP - 2019 Jun 28 TI - Potential protective effects of bilirubin following the treatment of neonatal hypoxic-ischemic encephalopathy with hypothermia therapy. LID - BSR20182332 [pii] LID - 10.1042/BSR20182332 [doi] AB - Background: Therapeutic hypothermia (TH) is the standard therapy for hypoxic-ischemic encephalopathy (HIE) and is associated with a wide range of physiological changes. Objective: We re-evaluated the effects of HIE and TH on bilirubin measurements following HIE in a center involved in the China cooling randomized controlled trial (RCT). Methods: Serial serum bilirubin concentrations measured during the first week of life were compared among the HIE + NT (normothermia) group, HIE + TH treatment group and control group (without HIE). Survivors of HIE were followed and assessed at approximately 2 years of age, and the results were correlated with peak bilirubin levels during the first week of life. Results: One hundred and thirty-eight infants were available for analysis. Significantly lower bilirubin levels were recorded in the HIE + NT group than in the controls (P<0.05). Significant differences were not observed among the patients in the HIE + NT group (mild to severe) or between the HIE + TH group and the HIE + NT group at any time point (P>0.05). The peak serum bilirubin concentrations recorded at 96 h of age showed a good correlation with the results of the Bayley Scales of Infant and Toddler Development, third edition (BSID-III) (P=0.02). Conclusion: Bilirubin potentially exerts a neuroprotective effect during the first week of life, and low temperature does not affect the possible antioxidant function of bilirubin during TH following HIE. CI - (c) 2019 The Author(s). FAU - Zou, Liangyan AU - Zou L AD - Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China. FAU - Yuan, Hao AU - Yuan H AD - Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China. FAU - Liu, Qing AU - Liu Q AD - Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China. FAU - Lu, Chunmei AU - Lu C AD - Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China. FAU - Wang, Laishuan AU - Wang L AUID- ORCID: 0000-0002-4126-0701 AD - Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China laishuanwang@yahoo.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20190604 PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (Neuroprotective Agents) RN - RFM9X3LJ49 (Bilirubin) SB - IM MH - Asian People MH - Bilirubin/*blood MH - Child, Preschool MH - China MH - Female MH - Humans MH - Hypothermia, Induced/*methods MH - Hypoxia-Ischemia, Brain/blood/ethnology/*therapy MH - Infant MH - Infant, Newborn MH - Male MH - Neuroprotective Agents/*blood PMC - PMC6549084 OTO - NOTNLM OT - Bayley Scales OT - Therapeutic hypothermia OT - bilirubin OT - hypoxic-ischemic encephalopathy COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2019/05/19 06:00 MHDA- 2020/08/04 06:00 PMCR- 2019/06/04 CRDT- 2019/05/19 06:00 PHST- 2018/11/02 00:00 [received] PHST- 2019/04/21 00:00 [revised] PHST- 2019/05/07 00:00 [accepted] PHST- 2019/05/19 06:00 [pubmed] PHST- 2020/08/04 06:00 [medline] PHST- 2019/05/19 06:00 [entrez] PHST- 2019/06/04 00:00 [pmc-release] AID - BSR20182332 [pii] AID - 10.1042/BSR20182332 [doi] PST - epublish SO - Biosci Rep. 2019 Jun 4;39(6):BSR20182332. doi: 10.1042/BSR20182332. Print 2019 Jun 28.