Can IL-33 and Endocan be New Markers for Retinopathy of Prematurity?

Ufuk Cakir1, Cuneyt Tayman1, Cigdem Yucel2

  • 1Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey.

Insights

Interleukin-33 (IL-33) and endocan show promise as sensitive biomarkers for predicting severe Retinopathy of Prematurity (ROP). Their serum levels decreased significantly after laser treatment in infants with ROP.

Area of Science:

  • Neonatal ophthalmology
  • Vascular biology
  • Biomarker discovery

Background:

  • Retinopathy of Prematurity (ROP) is a condition characterized by abnormal retinal vessel proliferation in premature infants.
  • Early diagnosis and monitoring are crucial for managing ROP and preventing vision loss.

Purpose of the Study:

  • To evaluate the diagnostic and follow-up potential of vascular endothelial growth factor (VEGF), insulin-like growth factor-1 (IGF-1), interleukin-33 (IL-33), and endocan in Retinopathy of Prematurity.
  • To identify novel biomarkers for predicting severe ROP.

Main Methods:

  • A prospective cohort study involving 146 preterm infants (gestational age ≤32 weeks, birth weight ≤1500g) diagnosed with ROP.
  • Measurement of VEGF, IGF-1, IL-33, and endocan levels in cord blood and serum before and after treatment in ROP and control groups.

Main Results:

  • Cord blood VEGF was higher, while IGF-1 was lower in the ROP group compared to controls.
  • IL-33 and endocan levels in cord blood were similar between groups.
  • Serum IL-33, VEGF, and endocan levels were elevated before laser treatment and decreased significantly post-treatment.

Conclusions:

  • Serum IL-33 and endocan levels may serve as sensitive novel markers for predicting severe ROP.
  • These biomarkers warrant further investigation for clinical application in ROP management.
Abstract

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