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Urinary β2‐microglobulin and bronchopulmonary dysplasia: Trends in preterm infants
Author(s) -
Shima Yoshio,
Kumasaka Sakae,
Nishimaki Shigeru
Publication year - 2017
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13407
Subject(s) - medicine , bronchopulmonary dysplasia , beta 2 microglobulin , urinary system , gestational age , pregnancy , genetics , biology
Background The developmental process of bronchopulmonary dysplasia ( BPD ) is not identical between very preterm infants born small for gestational age ( SGA ) and those born appropriate for gestational age ( AGA ). In this study, we compared the pattern of the inflammatory response in infants of each group, by measuring urinary β2‐microglobulin (Uβ2M) as an alternative, concise, and less‐invasive biomarker. Methods Uβ2M and clinical details were examined at birth and at 4 weeks of age in 146 very preterm infants. Results Of the 57 infants diagnosed with BPD , 18 were SGA , and 39 were AGA . Uβ2M at birth was significantly lower in SGA BPD infants than in AGA BPD infants, but it increased with time. The prevalence of chorioamnionitis ( CAM ) was significantly lower in SGA BPD infants than in AGA BPD infants, while that of pregnancy‐induced hypertension was the opposite. Conclusions Exposure to prenatal factors other than CAM may sensitize fetal lungs to become vulnerable to postnatal inflammation in very preterm SGA infants with BPD .