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Published on: January 28, 2013
Retinol-binding protein 4 in neonates born small for gestational age
C Giacomozzi1, P Ghirri, R Lapolla
1Molecular Endocrinology Unit, D.P.U.O. Bambino Gesù Children's Hospital, Rina Balducci Center of Pediatric Endocrinology, Tor Vergata University, Rome, Italy.
Insights
Retinol-binding protein 4 (RBP4) levels are lower in newborns small for gestational age (SGA). Birth weight, not insulin sensitivity, predicts RBP4 in these infants.
Area of Science:
- Endocrinology
- Metabolic Research
- Neonatal Studies
Background:
- Retinol-binding protein 4 (RBP4), an adipocyte-derived signal, is implicated in insulin resistance and Type 2 diabetes pathogenesis.
- Small for gestational age (SGA) newborns face increased risk for insulin resistance and Type 2 diabetes.
- RBP4's role as an early marker for insulin resistance in SGA children remains uninvestigated.
Purpose of the Study:
- To quantify RBP4 concentrations in cord blood of SGA newborns compared to appropriate for gestational age (AGA) newborns.
- To investigate the correlation between RBP4 levels at birth and markers of insulin sensitivity.
Main Methods:
- Study included 64 newborns: 17 SGA and 47 AGA.
- Measurements comprised anthropometry, lipid profile, insulin, homeostasis model assessment, quantitative insulin-sensitivity check index, adiponectin, and RBP4.
Main Results:
- RBP4 concentrations were significantly lower in SGA newborns (p<0.002).
- No correlation was observed between RBP4 and insulin sensitivity parameters.
- Birth weight was identified as the primary predictor of serum RBP4 concentrations (p<0.001).
Conclusions:
- RBP4 is reduced in SGA newborns, with birth weight being the main determinant.
- RBP4 levels at birth do not correlate with insulin sensitivity in this cohort.
- No significant differences in adiponectin or insulin sensitivity markers were found between SGA and AGA neonates.
Background:
Retinol-binding protein 4 (RBP4) is an adipocyte-derived 'signal' that may contribute to the pathogenesis of insulin resistance and Type 2 diabetes. The relationship of RBP4 with insulin resistance and metabolic risk in human beings has been the subject of several studies. Subjects born small for gestational age (SGA) are at risk of insulin resistance and Type 2 diabetes. Though RBP4 could represent an early marker of insulin resistance, to date, none have determined RBP4 in SGA children.
Aim:
Our aim was to measure RBP4 concentrations in cord blood of SGA newborns compared with those in children born with a birth weight appropriate for gestational age (AGA) and to determine whether serum RBP4 levels at birth correlate with insulin sensitivity markers.
Subjects And Methods:
Sixty-four newborns, 17 born SGA (mean gestational age: 36.4+/-2.1 weeks), and 47 born AGA (mean gestational age: 37.0+/-3.6 weeks) were studied. The main outcome measures included anthropometry, lipid profile, insulin, homeostasis model assessment, quantitative insulin-sensitivity check index, adiponectin, and RBP4.
Results:
RBP4 concentrations were significantly reduced in SGA newborns (p<0.002). No relationship was found between RBP4 and insulin sensitivity parameters. Stepwise regression analysis revealed that birth weight was the major predictor of RBP4 serum concentrations (p<0.001).
Conclusion:
RBP4 is reduced in SGA newborns, birth weight representing the major determinant of RBP4 concentrations, and is not related to insulin sensitivity. No significant difference in adiponectin levels and insulin sensitivity markers was found between SGA and AGA neonates.
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