Proliferative retinopathy is associated with impaired increase in BDNF and RANTES expression levels after preterm

Gunnel Hellgren1, Keirnan Willett, Eva Engstrom

  • 1Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. gunnel.hellgren @ vgregion.se

Neonatology
|November 11, 2010
PubMed

Insights

Cytokine markers like BDNF and RANTES may predict retinopathy of prematurity (ROP) risk in preterm infants. Lower levels of these markers in early life indicate a higher risk for developing ROP later.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Immunology

Background:

  • Retinopathy of prematurity (ROP) is a significant complication of extremely preterm birth.
  • ROP can lead to vision impairment and blindness due to abnormal retinal blood vessel growth.
  • Early identification of risk factors is crucial for preventing ROP progression.

Purpose of the Study:

  • To identify cytokine biomarkers in early life for predicting ROP risk.
  • To establish predictive markers for the development of retinopathy of prematurity.

Main Methods:

  • Serum cytokine levels (27 analytes) were measured in preterm infants (gestational weeks 23-30) using multiplex immunoassay.
  • Comparison of cytokine profiles between infants who developed proliferative ROP and those who did not.
  • Analysis of brain-derived neurotrophic factor (BDNF) mRNA in mouse retinas under hyperoxia using quantitative real-time PCR.

Main Results:

  • Infants who did not develop ROP had higher IL-5 levels at birth.
  • Lower serum levels of BDNF and RANTES were observed 10-14 days after birth in infants who later developed proliferative ROP.
  • Significantly lower BDNF mRNA expression was found in mouse retinas exposed to hyperoxia.

Conclusions:

  • BDNF and RANTES show potential as predictive biomarkers for ROP development in preterm infants.
  • These findings suggest a role for BDNF and RANTES in the pathogenesis of ROP.
  • Further research may lead to novel strategies for ROP prevention and treatment.
Abstract

Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
The Retinoblastoma Gene01:20

The Retinoblastoma Gene

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...