The Journal of Pediatrics
Volume 154, Issue 1 , Pages 39-43.e3 , January 2009

Blood Cytokines during the Perinatal Period in Very Preterm Infants: Relationship of Inflammatory Response and Bronchopulmonary Dysplasia

  • Reija Paananen, PhD

      Affiliations

    • Department of Pediatrics, University of Oulu, Oulu, Finland
  • ,
  • Anna-Karin Husa, MSc

      Affiliations

    • Department of Pediatrics, University of Oulu, Oulu, Finland
  • ,
  • Reetta Vuolteenaho, PhD

      Affiliations

    • Department of Pediatrics, University of Oulu, Oulu, Finland
  • ,
  • Riitta Herva, MD, PhD

      Affiliations

    • Department of Pathology, University of Oulu, Oulu, Finland
  • ,
  • Tuula Kaukola, MD, PhD

      Affiliations

    • Department of Pediatrics, University of Oulu, Oulu, Finland
  • ,
  • Mikko Hallman, MD, PhD

      Affiliations

    • Department of Pediatrics, University of Oulu, Oulu, Finland
    • Corresponding Author InformationReprint requests: Mikko Hallman, MD, Children's Hospital, Oulu University Central Hospital, 90220 Oulu, Finland

Received 21 December 2007 ,Revised 5 June 2008 ,Accepted 8 July 2008.

  • Image Result

    Concentration of plasma cytokines during the perinatal transition of VLGA infants born with CA (n = 48) and without CA (no CA; n = 75). The results for infants developing BPD (n = 32) and for infants

    Concentration of plasma cytokines during the perinatal transition of VLGA infants born with CA (n = 48) and without CA (no CA; n = 75). The results for infants developing BPD (n = 32) and for infants with no BPD (n = 91) are shown. Plasma concentrations (pg/mL) are shown as box blots: medians, interquartile ranges, 10th and 90th percentiles, and means. *Significant (P < .05) and **very significant (P < .01) differences between the 2 groups (covariance analysis, using gestation at birth as covariate).

  • Image Result
    ROC analysis of the risk of BPD for infants born with CA and those without CA (no CA). Mean plasma IL-8 concentration at age 1 day (A, 83.3 [41.2 to 151] pg/ml; B, 98.9 [51.8 to 211]) and mean oxidati

    ROC analysis of the risk of BPD for infants born with CA and those without CA (no CA). Mean plasma IL-8 concentration at age 1 day (A, 83.3 [41.2 to 151] pg/ml; B, 98.9 [51.8 to 211]) and mean oxidation index during the first day (C, 26.6 [19.7 to 50.5 cmH2O/kPa]; D, 31.0 [16.4 to 48.0]) were evaluated. The areas under the ROC curves (mean ± standard error) were as follows: A, 0.694 ± 0.076, P = .034; B, 0.829 ± 0.053, P < .0001; C, 0.705 ± 0.083, P = .028; D, 0.788 ± 0.058, P = .0001.

 Supported by the Sigrid Jusélius Foundation, Foundation for Pediatric Research Finland, and Biocenter Oulu. The authors declare no potential conflicts of interest, real or perceived.

 Reija Paananen and Anna-Karin Husa contributed equally to this work.

PII: S0022-3476(08)00593-3

doi: 10.1016/j.jpeds.2008.07.012

The Journal of Pediatrics
Volume 154, Issue 1 , Pages 39-43.e3 , January 2009