NDLI: Assessment of the contribution of cytokine plasma levels to detect retinopathy of prematurity in very low birth weight infants.

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Assessment of the contribution of cytokine plasma levels to detect retinopathy of prematurity in very low birth weight infants.

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Assessment of the contribution of cytokine plasma levels to detect retinopathy of prematurity in very low birth weight infants.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Silveira, Rita C. Fortes Filho, Joao B. Procianoy, Renato S.
Description	Country affiliation: Brazil Author Affiliation: Silveira RC ( Department of Pediatrics, Newborn Section, Medical School, Federal University of Rio Grande do Sul, and Hospital de Clinicas de Porto Alegre, Porto Alegre RS, Brazil.)
Abstract	PURPOSE: To prospectively study the association of high cytokine plasma levels with later development of retinopathy of prematurity (ROP) in preterm infants with early-onset sepsis to assess a laboratory test to detect ROP. METHODS: A prospective cohort study was conducted of preterm infants with clinical early-onset sepsis whose birth weight (BW) was ≤1500 g and gestational age (GA) was ≤32 weeks. Plasma samples were assayed for cytokines IL-6, IL-8, IL-10, IL-1ß, and TNF- . ROP was diagnosed in screening assessments. For the univariate analysis of the known risk factors for ROP, all infants without ROP were designated as the No ROP group, patients with any stage of ROP formed the ROP group, and all treated patients formed the Severe ROP group. The best cutoff points for all cytokine levels were determined by ROC curves. RESULTS: Seventy-four patients were enrolled. Mean GA and BW were 29.6 ± 2.1 weeks and 1110.3 ± 232.5 g, respectively; 49 patients (66.2%) had no ROP and 25 (33.8%) had any stage of ROP (17 had stage 1 or 2 ROP and 8 had stage 3 ROP). IL-6 >357 pg/mL, IL-8 >216 pg/mL, and TNF- >245 pg/mL were significantly associated with treatable ROP. CONCLUSIONS: There is a relationship between high plasma levels of IL-6, IL-8, and TNF- in the first days of life with the later development of ROP severe enough to treat in preterm infants with early-onset sepsis. Further epidemiologic studies are needed to explore other possible associations of high serum levels of cytokines with ROP in this population at high risk.
ISSN	01460404
e-ISSN	15525783
Journal	Investigative Opthalmology & Visual Science
Issue Number	3
Volume Number	52
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2011-03-10
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Cytokines Blood Infant, Very Low Birth Weight Retinopathy Of Prematurity Diagnosis Gestational Age Infant, Newborn Prospective Studies Roc Curve Classification Risk Factors Research Support, Non-u.s. Gov't Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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