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Serial plasma biomarkers of brain injury in infants with neonatal encephalopathy treated with therapeutic hypothermia.


ABSTRACT:

Background

Neonatal encephalopathy (NE) is a major cause of long-term neurodevelopmental disability in neonates. We evaluated the ability of serially measured biomarkers of brain injury to predict adverse neurological outcomes in this population.

Methods

Circulating brain injury biomarkers including BDNF, IL-6, IL-8, IL-10, VEGF, Tau, GFAP, and NRGN were measured at 0, 12, 24, 48, 72, and 96 h of cooling from 103 infants with NE undergoing TH. The biomarkers' individual and combinative ability to predict death or severe brain injury and adverse neurodevelopmental outcomes beyond 1 year of age was assessed.

Results

Early measurements of inflammatory cytokines IL-6, 8, and 10 within 24 HOL (AUC = 0.826) and late measurements of Tau from 72 to 96 HOL (AUC = 0.883, OR 4.3

SUBMITTER: McGowan MM 

PROVIDER: S-EPMC8483583 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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