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Soluble intercellular adhesion molecule-1 in newborn infants
I Phocas1, A Sarandakou, G Giannaki
1Second Department of Obstetrics and Gynaecology, Areteion University Hospital, Athens, Greece.
Insights
Neonatal serum soluble intercellular adhesion molecule-1 (sICAM-1) significantly increases during the first month of life. This suggests a developing neonatal immune system response in healthy infants.
Area of Science:
- Neonatal immunology
- Biomarkers of immune activation
Background:
- Soluble intercellular adhesion molecule-1 (sICAM-1) is an early marker of immune response.
- Understanding sICAM-1 levels in neonates is crucial for assessing immune system development.
Purpose of the Study:
- To evaluate the impact of increasing postnatal age on serum sICAM-1 levels in healthy newborns.
- To assess sICAM-1 as a marker of immune activation in early neonatal life.
Main Methods:
- Serum sICAM-1 was measured using EIA in 43 healthy neonates and 20 healthy adults.
- Measurements were taken on the 1st, 5th, and 30th day of life.
- Factors like gestational age and mode of delivery were considered.
Main Results:
- Neonatal serum sICAM-1 significantly increased from day 1 to day 30 (137.3 to 415.0 ng/ml).
- Day 1 sICAM-1 levels were lower than in adults, while day 30 levels were higher.
- Early sICAM-1 levels were influenced by delivery mode and gestational age.
Conclusions:
- Serum sICAM-1 shows a significant rise in the first month of life in healthy neonates.
- This indicates a progressively increasing activation of the neonatal immune system.
Unlabelled:
The aim of this study was to evaluate the effect of increasing postnatal age on soluble intercellular adhesion molecule-1 (sICAM-1), a very early and sensitive marker of immune activation and response in the serum of newborn infants. Serum sICAM-1 was measured by EIA (T Cell Diagnostics) in 20 healthy adults (controls) and in 43 (24 females/19 males) healthy neonates, of whom 28 were full term, and 15 were born at a gestational age between 35 and 38 weeks of pregnancy, on the 1st, 5th and 30th day of life. Neonatal serum sICAM-1 values showed a very significant increase (P < 0.01) from the 1st day (137.3+/-62.0 ng/ml) to the 5th day (259.3+/-124.0 ng/ml) and then to the 30th day of life (415.0+/-114.0 ng/ml), being significantly lower on the 1st day (P < 0.01), whereas significantly higher on the 30th day of life (P < 0.05), than those in healthy adults (305+/-195 ng/ml). Serum sICAM-1 values on the 1st day of life depended on both the mode of delivery (significantly higher in neonates born vaginally) and the gestational age at birth (significantly lower in those born at a gestational age over 38 weeks). A significant strong correlation was found in sICAM-1 values between the 1st and the 5th day following delivery (rp = 0.77, P < 0.009).
Conclusion:
The results of this study demonstrate a significant rise of serum sICAM-1 during the 1st month of life in healthy neonates suggesting a progressively increased activation of the neonatal immune system.
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