Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury
Background: Neurofilament light chain (NfL) is a highly promising biomarker of neuroaxonal injury that has mainly been studied in adult neurodegenerative disease. Its involvement in neonatal disease remains largely unknown. Our aim was to establish NfL plasma concentrations in preterm and term infan...
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doaj-5c1ee6eb17904e00958c1e7c948465622020-11-24T21:46:37ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-11-01910.3389/fneur.2018.00984411107Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal InjuryAntoinette Depoorter0Roland P. Neumann1Christian Barro2Urs Fisch3Peter Weber4Jens Kuhle5Sven Wellmann6Department of Neuropediatrics and Developmental Medicine, University Children's Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Neonatology, University Children's Hospital Basel, University of Basel, Basel, SwitzerlandNeurologic Clinic and Policlinic, Departments of Medicine, Biomedicine and Clinical Research, University Hospital Basel, University of Basel, Basel, SwitzerlandNeurologic Clinic and Policlinic, Departments of Medicine, Biomedicine and Clinical Research, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Neuropediatrics and Developmental Medicine, University Children's Hospital Basel, University of Basel, Basel, SwitzerlandNeurologic Clinic and Policlinic, Departments of Medicine, Biomedicine and Clinical Research, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Neonatology, University Children's Hospital Basel, University of Basel, Basel, SwitzerlandBackground: Neurofilament light chain (NfL) is a highly promising biomarker of neuroaxonal injury that has mainly been studied in adult neurodegenerative disease. Its involvement in neonatal disease remains largely unknown. Our aim was to establish NfL plasma concentrations in preterm and term infants in the first week of life.Methods: Plasma NfL was measured by single molecule array immunoassay in two neonatal cohorts: cohort 1 contained 203 term and preterm infants, median gestational age (GA) 37.9 weeks (interquartile range [IQR] 31.9–39.4), in whom venous and arterial umbilical cord blood was sampled at birth and venous blood at day of life (DOL) 3; cohort 2 contained 98 preterm infants, median GA 29.3 weeks (IQR 26.9–30.6), in whom venous blood was sampled at DOL 7.Results: Median NfL concentrations in venous blood increased significantly from birth (18.2 pg/mL [IQR 12.8–30.8, cohort 1]) to DOL 3 (50.9 pg/mL [41.3–100, cohort 1]) and DOL 7 (126 pg/mL [78.8–225, cohort 2]) (p < 0.001). In both cohorts NfL correlated inversely with birth weight (BW, Spearman's rho −0.403, p < 0.001, cohort 1; R −0.525, p < 0.001, cohort 2) and GA (R −0.271, p < 0.001, cohort 1; R −0.487, p < 0.001, cohort 2). Additional significant correlations were found for maternal age at delivery, preeclampsia, delivery mode, 5-min Apgar, duration of oxygen supplementation, sepsis, and brain damage (intraventricular hemorrhage or periventricular leukomalacia). Multivariable logistic regression analysis identified the independent predictors of NfL in cohort 1 as BW (beta = −0.297, p = 0.003), delivery mode (beta = 0.237, p = 0.001) and preeclampsia (beta = 0.183, p = 0.022) and in cohort 2 as BW (beta = −0.385, p = 0.001) and brain damage (beta = 0.222, p = 0.015).Conclusion: Neonatal NfL levels correlate inversely with maturity and BW, increase during the first days of life, and relate to brain injury factors such as intraventricular hemorrhage and periventricular leukomalacia, and also to vaginal delivery.https://www.frontiersin.org/article/10.3389/fneur.2018.00984/fullcerebral injuryneuropathologybiomarkerinfantparturitionprematurity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Antoinette Depoorter Roland P. Neumann Christian Barro Urs Fisch Peter Weber Jens Kuhle Sven Wellmann |
spellingShingle |
Antoinette Depoorter Roland P. Neumann Christian Barro Urs Fisch Peter Weber Jens Kuhle Sven Wellmann Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury Frontiers in Neurology cerebral injury neuropathology biomarker infant parturition prematurity |
author_facet |
Antoinette Depoorter Roland P. Neumann Christian Barro Urs Fisch Peter Weber Jens Kuhle Sven Wellmann |
author_sort |
Antoinette Depoorter |
title |
Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury |
title_short |
Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury |
title_full |
Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury |
title_fullStr |
Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury |
title_full_unstemmed |
Neurofilament Light Chain: Blood Biomarker of Neonatal Neuronal Injury |
title_sort |
neurofilament light chain: blood biomarker of neonatal neuronal injury |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Neurology |
issn |
1664-2295 |
publishDate |
2018-11-01 |
description |
Background: Neurofilament light chain (NfL) is a highly promising biomarker of neuroaxonal injury that has mainly been studied in adult neurodegenerative disease. Its involvement in neonatal disease remains largely unknown. Our aim was to establish NfL plasma concentrations in preterm and term infants in the first week of life.Methods: Plasma NfL was measured by single molecule array immunoassay in two neonatal cohorts: cohort 1 contained 203 term and preterm infants, median gestational age (GA) 37.9 weeks (interquartile range [IQR] 31.9–39.4), in whom venous and arterial umbilical cord blood was sampled at birth and venous blood at day of life (DOL) 3; cohort 2 contained 98 preterm infants, median GA 29.3 weeks (IQR 26.9–30.6), in whom venous blood was sampled at DOL 7.Results: Median NfL concentrations in venous blood increased significantly from birth (18.2 pg/mL [IQR 12.8–30.8, cohort 1]) to DOL 3 (50.9 pg/mL [41.3–100, cohort 1]) and DOL 7 (126 pg/mL [78.8–225, cohort 2]) (p < 0.001). In both cohorts NfL correlated inversely with birth weight (BW, Spearman's rho −0.403, p < 0.001, cohort 1; R −0.525, p < 0.001, cohort 2) and GA (R −0.271, p < 0.001, cohort 1; R −0.487, p < 0.001, cohort 2). Additional significant correlations were found for maternal age at delivery, preeclampsia, delivery mode, 5-min Apgar, duration of oxygen supplementation, sepsis, and brain damage (intraventricular hemorrhage or periventricular leukomalacia). Multivariable logistic regression analysis identified the independent predictors of NfL in cohort 1 as BW (beta = −0.297, p = 0.003), delivery mode (beta = 0.237, p = 0.001) and preeclampsia (beta = 0.183, p = 0.022) and in cohort 2 as BW (beta = −0.385, p = 0.001) and brain damage (beta = 0.222, p = 0.015).Conclusion: Neonatal NfL levels correlate inversely with maturity and BW, increase during the first days of life, and relate to brain injury factors such as intraventricular hemorrhage and periventricular leukomalacia, and also to vaginal delivery. |
topic |
cerebral injury neuropathology biomarker infant parturition prematurity |
url |
https://www.frontiersin.org/article/10.3389/fneur.2018.00984/full |
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