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Published on: May 13, 2016
Circulating levels of endothelin and atrial natriuretic factor during postnatal life
T Kojima1, Y Isozaki-Fukuda, M Takedatsu
1Department of Pediatrics, Kansai Medical University, Osaka, Japan.
Insights
Newborn infants have higher circulating endothelin-1 levels than their mothers, which decrease with age. These levels correlate with atrial natriuretic factor, suggesting endothelin
Area of Science:
- Neonatal physiology
- Cardiovascular regulation
Background:
- Endothelin-1 (ET-1) is a potent vasoconstrictor.
- Atrial natriuretic factor (ANF) plays a role in fluid and electrolyte balance.
- Limited data exists on ET-1 and ANF in the neonatal period.
Purpose of the Study:
- To determine plasma ET-1-like immunoreactivity and ANF concentrations in newborns.
- To compare these levels between preterm and full-term infants.
- To investigate the relationship between ET-1 and ANF in neonates.
Main Methods:
- Measurement of plasma ET-1-like immunoreactivity.
- Measurement of plasma ANF concentrations.
- Comparison of levels in neonates and maternal blood.
Main Results:
- Neonatal plasma ET-1 levels were significantly higher than maternal levels.
- Highest ET-1 levels were observed on day 1 of life, decreasing with age.
- No significant difference in ET-1 levels between preterm and full-term infants.
- A significant positive correlation was found between ET-1 and ANF levels (p < 0.01).
Conclusions:
- Circulating ET-1 may play a regulatory role in the neonatal cardiovascular system.
- ET-1 levels are elevated in newborns and decrease postnatally.
- The correlation between ET-1 and ANF suggests a potential interplay in neonatal cardiovascular homeostasis.
Abstract:
We determined plasma endothelin-1-like immunoreactivity and atrial natriuretic factor concentrations in preterm and full-term newborn infants during the first month of life. Plasma endothelin-1-like immunoreactivity levels were far greater than those of maternal blood in the newborn infants. The highest plasma endothelin-1-like immunoreactivity levels were observed on the first day of life (8.7 +/- 3.7 pmol/l) and gradually decreased with age. There was no significant difference in plasma endothelin-1-like immunoreactivity levels between preterm and full-term infants. A good correlation was observed between plasma endothelin-1-like immunoreactivity levels and atrial natriuretic factor concentrations (p < 0.01). These results suggest that circulating endothelin may regulate the cardiovascular system in the newborn period.
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