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Updated: May 28, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
[The values of serum cytokines in chronic lung disease in newborn]
1Institut za bolesti dece, Centar za neonatologiju, Klinicki centar Crne Gore Podgorica. drbanjac@t-com.me
Insights
This study investigated insulin-like growth factor I (IGF-I) in newborns at risk for chronic lung disease. Low IGF-I levels in preterm infants were not found to be significantly correlated with developing this condition.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Endocrinology
Context:
- Chronic lung disease (CLD) is a significant complication in newborns requiring mechanical ventilation.
- Early identification of infants at risk for CLD is crucial for timely intervention.
- Insulin-like growth factor I (IGF-I) has been implicated in lung development and repair.
Purpose:
- To investigate the hypothesis that low serum insulin-like growth factor I (IGF-I) levels at 33 post-conceptual weeks are associated with the development of chronic lung disease in preterm newborns.
- To evaluate the potential of IGF-I as a biomarker for triaging newborns at risk for CLD.
Summary:
- A prospective cohort study included preterm newborns (≤33 gestational weeks) and measured serum IGF-I levels at 33 post-conceptual weeks using enzyme immunoassay.
- Results confirmed a statistically significant correlation between gestational age and birth weight with serum IGF-I levels.
- No statistically significant correlation was found between serum IGF-I values and the development of chronic lung disease in newborns.
Impact:
- The study suggests that IGF-I may not be a reliable biomarker for predicting chronic lung disease in newborns at the assessed time point.
- Further research is warranted to explore the role of IGF-I at different stages of prematurity-related diseases.
- Potential for refining the timing of IGF-I measurements to identify a significant correlation with chronic lung disease.
Introduction:
Chronic lung disease in the newborn is a complication of mechanical ventilation. The diagnosis of chronic lung disease is made in children of over 36 post-conceptual weeks' age who still require additional oxygen and who have abnormal chest x-ray findings. This study was aimed at triaging newborns at risk of developing chronic lung disease. The operating study hypothesis was that the values of insulin-like growth factor I below 30 microg/L in the 33rd post-conceptual week were associated with the development of chronic lung disease.
Material And Methods:
The above hypothesis was verified by a cohort, prospective study, which included preterm newborns of 33 gestational weeks' age or less who were hospitalised at the Department of Neonatology of the Clinical Centre of Montenegro from Aril 2008 to July 2009. The blood sample was taken in the 33rd post-conceptual week and the insulin-like growth factor value was determined by the method of enzyme immunoassay.
Results:
Our study results confirmed the theory of statistically significant correlation of the length of pregnancy and birth body weight with insulin-like growth factor serum level.
Discussion:
We did not find any statistically significant correlation between the insulin-like growth factor serum value and chronic lung disease in the newborn. It is possible that the insulin-like growth factor has a different role at various stages of pathogenesis of diseases of prematurity.
Conclusion:
We believe that by correcting the term for determining the levels we can get a significant correlation between low values of insulin-like growth factor -1 and chronic lung disease.
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