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Gut hormone profiles in preterm and term infants during the first 2 months of life
Insights
Gut hormone levels, including leptin, GIP, GLP-1, and PYY, change distinctively after birth in preterm infants. These hormonal shifts are crucial for understanding infant development and metabolic regulation.
Area of Science:
- Neonatal physiology
- Endocrinology
- Gastroenterology
Background:
- Gut hormones play a vital role in infant development and metabolism.
- Limited understanding exists regarding the specific roles and dynamics of gut hormones in premature infants.
Purpose of the Study:
- To investigate the postnatal changes in various gut hormones in both term and preterm infants during the first two months of life.
- To elucidate the specific patterns and relationships of gut hormones in preterm infants.
Main Methods:
- Fasting serum concentrations of key gut hormones (leptin, GIP, GLP-1, PYY, pancreatic polypeptide, insulin, amylin, ghrelin) were measured.
- A bead array system was utilized for precise quantification of hormone levels.
- The study included a cohort of 29 preterm and 5 term infants.
Main Results:
- Serum leptin levels at birth positively correlated with gestational week and rapidly decreased postnatally.
- In preterm infants, serum GLP-1 levels at birth showed a negative correlation with gestational week.
- Serum GIP, GLP-1, and PYY levels demonstrated an increase after birth, remaining elevated for up to 10 weeks.
Conclusions:
- Gut hormone concentrations exhibit unique postnatal changes in preterm infants.
- These findings contribute to a better understanding of the endocrine-metabolic adaptations in preterm neonates.
Aim:
To investigate changes of gut hormones in term and preterm infants in the first 2 months after birth, as the role and relationships of gut hormones in premature infants has not been well elucidated.
Methods:
In 29 preterm and five term infants, fasting serum concentrations of leptin, glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1), peptide YY (PYY), pancreatic polypeptide, insulin, amylin, and ghrelin were measured using a bead array system.
Results:
Serum leptin concentration soon after birth showed a positive correlation with gestational week in all infants (r=0.623, p<0.01). Serum leptin level rapidly decreased in all infants. In preterm infants, serum GLP-1 levels at birth showed negative correlations with gestational week (r=-0.447, p=0.02). Serum GIP, GLP-1, and PYY levels increased after birth and were persistently high until 10 weeks of life.
Conclusion:
Serum concentrations of different gut hormones changed postnatally in their specific ways in preterm infants.
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