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Inflammatory cytokine response and reduced heart rate variability in newborns with hypoxic-ischemic encephalopathy
T Al-Shargabi1, R B Govindan1,2, R Dave2
1Division of Fetal and Transitional Medicine, Fetal Medicine Institute, Children's National Health System, Washington, DC USA.
Objective:
To determine whether systemic inflammation-modulating cytokine expression is related to heart rate variability (HRV) in newborns with hypoxic-ischemic encephalopathy (HIE).
Study Design:
The data from 30 newborns with HIE were analyzed. Cytokine levels (IL-2, IL-4, IL-6, IL-8, IL-10, IL-13, IL-1β, TNF-α, IFN-λ) were measured either at 24 h of cooling (n=5), 72 h of cooling (n=4) or at both timepoints (n=21). The following HRV metrics were quantified in the time domain: alpha_S, alpha_L, root mean square (RMS) at short time scales (RMS_S), RMS at long time scales (RMS_L), while low-frequency power (LF) and high-frequency power (HF) were quantified in the frequency domain. The relationships between HRV metrics and cytokines were evaluated using mixed-models.
Result:
IL-6, IL-8, IL-10, and IL-13 levels were inversely related to selected HRV metrics.
Conclusion:
Inflammation-modulating cytokines may be important mediators in the autonomic dysfunction observed in newborns with HIE.
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