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Urinary excretion of epidermal growth factor in the newborn
Insights
Newborns excrete epidermal growth factor (EGF) from birth. Urinary EGF levels are higher in term infants and rise with age, with preterm infants showing a delayed increase.
Area of Science:
- Neonatal physiology
- Biomarkers in pediatrics
Background:
- Urinary epidermal growth factor (EGF) is a key protein.
- Understanding EGF excretion patterns in newborns is crucial for assessing development.
Purpose of the Study:
- To investigate serial urinary EGF excretion in newborns.
- To correlate EGF levels with gestational age and postnatal development.
Main Methods:
- Serial urinary EGF measurements were performed on 36 infants.
- Infants ranged from 26 to 40 weeks gestation, studied from birth to 3 months.
Main Results:
- All infants excreted EGF from birth.
- Term infants showed higher initial excretion than preterm infants.
- Urinary EGF excretion correlated with conceptional age, not birth status, and showed a delayed rise in preterm infants.
Conclusions:
- Urinary EGF excretion is a reliable indicator of conceptional age in newborns.
- EGF levels do not correlate with rapid lung and skin maturation in preterm infants.
Abstract:
Urinary epidermal growth factor (EGF) excretion was studied serially in 36 newborn infants, from 26 to 40 weeks gestation, from birth to three months of age. All infants excreted EGF from birth. Excretion was significantly higher in term infants than in preterm infants at birth; in term infants excretion rose steadily in early infancy and there was a similar but delayed rise in EGF excretion by preterm infants. Urinary EGF excretion appears to be related to age from conception and birth does not influence it. There was no correlation between urinary EGF excretion and the rapid maturation of the lungs and skin which occurs in preterm infants in the early neonatal period.
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