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Iron deficiency in infancy predicts altered serum prolactin response 10 years later
Barbara Felt1, Elias Jimenez, Julia Smith
1Center for Human Growth and Development, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI 48109-0406, USA. truefelt@umich.edu
Insights
Childhood iron deficiency (ID) may alter serum prolactin levels long-term. Chronic ID in infancy was linked to an altered prolactin response pattern in adolescence, suggesting lasting effects on CNS regulation.
Area of Science:
- Neuroendocrinology
- Pediatric Iron Metabolism
Background:
- Serum prolactin may indicate central nervous system (CNS) dopaminergic function.
- Iron deficiency (ID) in rats affects brain dopamine, prompting investigation into infant iron status and serum prolactin.
- Previous studies linked high serum prolactin to behaviors associated with chronic ID in infants.
Purpose of the Study:
- To investigate the long-term impact of infant iron status on serum prolactin levels in early adolescence.
- To determine if early-life iron deficiency influences the neuroendocrine stress response later in life.
Main Methods:
- Serum prolactin levels were measured in adolescents (11-14 years) who were previously categorized by iron status in infancy (chronic ID vs. good iron).
- Measurements were taken after a stressor (catheter placement).
- Serum prolactin patterns were analyzed, controlling for sex, pubertal status, and background factors.
Main Results:
- Adolescents with a history of chronic ID showed a significantly different serum prolactin response pattern compared to the good iron group.
- Specifically, serum prolactin levels declined earlier in the chronic ID group.
- Sex and pubertal maturation influenced baseline prolactin levels, with females and more mature adolescents having higher concentrations.
Conclusions:
- Chronic iron deficiency in infancy may have lasting effects on the regulation of serum prolactin, observable a decade later.
- The altered prolactin response pattern suggests a potential long-term impact of early ID on CNS dopaminergic pathways.
- Further research is warranted to understand the full implications of early ID on neuroendocrine development.
Abstract:
Serum prolactin may reflect CNS dopaminergic function. Because iron deficiency (ID) alters brain dopamine in rats, serum prolactin levels were previously investigated in infants with varied iron status. High serum prolactin levels correlated with behaviors typical of chronic ID. The objective of this study was to determine the effect of infant iron status on serum prolactin levels after a stressor in early adolescence. One hundred fifty-nine of 191 children enrolled in infancy (chronic ID, n = 46; good iron comparison group, n = 113) had serum prolactin measurements after catheter placement at 11-14 y of age. Serum prolactin levels were compared by sex, pubertal status and infant iron status and the pattern of change over time was compared by infant iron status controlling for pubertal stage and background factors. Males and less mature adolescents had lower serum prolactin concentrations than females and more mature adolescents. Controlling for these factors, the serum prolactin response pattern differed significantly by infant iron status. Serum prolactin declined earlier for the chronic ID group. In conclusion, an altered serum prolactin response pattern was observed 10 y after chronic ID in infancy and may suggest a long-lasting effect of ID on the regulation of prolactin.
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