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Effect of congenital renal disease and neonatal thyroid status on urinary human epidermal growth factor
S M Scott1, C Guardian, C Rogers
1Pediatric Research Laboratory, Children's Hospital, Albuquerque, New Mexico.
Insights
Urinary epidermal growth factor (EGF) excretion in newborns is affected by thyroid and kidney function. Renal disease and hypothyroidism decrease EGF excretion, while hyperthyroidism increases it.
Area of Science:
- Neonatal physiology
- Endocrinology
- Nephrology
Background:
- Urinary epidermal growth factor (EGF)/creatinine ratios correlate with gestational age and gender.
- Chronic renal disease and thyroid dysfunction impact EGF and creatinine excretion in older individuals.
- The control of perinatal EGF excretion patterns remains unclear.
Purpose of the Study:
- To investigate the influence of congenital renal disease and thyroid function on EGF excretion during the perinatal period.
- To compare EGF and creatinine excretion in infants with specific conditions to healthy controls.
Main Methods:
- Collected and analyzed urine samples from infants with congenital renal disease, low T4/normal TSH, hypothyroidism, and neonatal Grave's disease.
- Compared EGF and creatinine excretion values with those from 190 healthy infants.
- Examined changes in EGF excretion following relief of urinary obstruction.
Main Results:
- EGF excretion increases earlier in gestation compared to creatinine excretion.
- Infants with renal disease or hypothyroidism exhibited decreased EGF excretion.
- Hyperthyroidism was associated with enhanced EGF excretion.
- Relief of urinary obstruction led to increased EGF excretion, though levels remained low; creatinine excretion was unaffected.
Conclusions:
- Thyroid and renal diseases significantly alter EGF excretion in preterm infants, mirroring effects seen in childhood.
- EGF excretion is sensitive to renal function and thyroid status during early development.
Abstract:
We have previously demonstrated that changes in urinary epidermal growth factor/creatinine ratios relate to gestational age and gender. It is unclear what controls this developmental pattern although chronic renal disease and thyroid aberrations have significant effects on epidermal growth factor and creatinine excretion in childhood and in adults. Therefore, we chose to explore the effects of these disease states on epidermal growth factor excretion during the perinatal time period. We collected urine samples from 8 infants with congenital renal disease and 45 infants with low T4 and normal TSH values who 'failed' the newborn screen. In addition, 2 infants with hypothyroidism and 2 infants with neonatal Grave's disease had urine samples examined. Values were compared with the epidermal growth factor and creatinine excretion from 190 infants. We demonstrated that epidermal growth factor excretion increased earlier in gestation than does creatinine excretion. In infants with renal disease or hypothyroidism, epidermal growth factor excretion was decreased while hyperthyroidism enhanced excretion. Epidermal growth factor excretion increased with relief of an obstruction but still remained low and creatinine excretion was unchanged. We confirm that in preterm infants as in childhood there are similar effects of thyroid and renal diseases on epidermal growth factor excretion.
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