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Postnatal and postprandial changes in plasma concentrations of glicentin in term and preterm infants
R Tadokoro1, T Shimizu, A Hosaka
1Department of Paediatrics, Juntendo University School of Medicine, Tokyo, Japan.
Insights
Glicentin levels are higher in young children and increase after birth and feeding in infants. This suggests glicentin is crucial for intestinal growth in early life, especially in normal and low birthweight infants.
Area of Science:
- Endocrinology
- Pediatric Gastroenterology
- Neonatology
Background:
- Glicentin, an enteroglucagon component, influences intestinal mucosal trophic action.
- Understanding glicentin's role is key to infant gut development.
Purpose of the Study:
- To examine basal plasma glicentin concentrations in developing children.
- To investigate postnatal and postprandial changes in infant plasma glicentin levels.
Main Methods:
- Measured fasting plasma glicentin in healthy children and term/preterm infants.
- Collected samples before and 30 minutes post-feeding during the first 14 days of life.
Main Results:
- Higher basal glicentin in children under 1 year vs. 1-15 years.
- Significantly increased basal glicentin in normal birthweight (NBW) and low birthweight (LBW) infants at 5-6 and 14 days post-birth compared to 1-2 days.
- Postprandial glicentin increased significantly in NBW and LBW infants by 5-6 days, but not until 14 days in very-low birthweight (VLBW) infants.
- No significant differences in glicentin levels between breastfed and formula-fed infants.
Conclusions:
- Glicentin likely plays a vital role in intestinal mucosal growth during infancy.
- Further research is needed to clarify glicentin's function in very-low birthweight infants.
Aim:
To examined the changes in basal plasma concentrations of glicentin in developing children and the postnatal and postprandial changes in plasma glicentin levels in infants.
Methods:
Glicentin, an active component of enteroglucagon, is considered to have a significant trophic action on the intestinal mucosa. Fasting plasma concentrations of glicentin in healthy children and in term and preterm infants were measured before and 30 min after feeding during the first 14 d of life.
Results:
Plasma basal concentrations of glicentin in children under 1 y of age were significantly higher than those in children aged 1 to 15 y. Plasma basal concentrations of glicentin at 5 or 6 d (2496 and 2190 pg/ml) and at 14 d (2987 and 2817 pg/ml) after birth were significantly higher than those at 1 or 2 d (1098 and 1240 pg/ml) after birth in normal birthweight (NBW) and low-birthweight (LBW) infants. There was no significant difference in the glicentin level between infants at 1 or 2 d (1864 pg/ml) and at 5 or 6 d (1910 pg/ml) after birth in very-low birthweight (VLBW) infants, but the levels at 14 d (3310 pg/ml) after birth were significantly higher than either of those levels. Plasma glicentin concentrations after feeding were significantly higher than those before feeding at 1 or 2 d and at 5 or 6 d after birth in NBW and LBW infants, but a significant increase in the plasma glicentin level after feeding was first observed at 14 d after birth in VLBW infants. There were no significant differences in the basal plasma (2401 and 2718 pg/ml) and postprandial (3007 and 3912 pg/ml) glicentin levels between breastfed and formula-fed infants.
Conclusion:
The results of the study suggest that glicentin may play an important role in intestinal mucosal growth in the early period of life, although its role in VLBW infants should be further investigated.
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