Antenatal glucocorticoid treatment affects preterm infants' S100B urine concentration in a dose-dependent manner

Andrea Sannia, Francesco M. Risso, Laura D. Serpero, Rosanna Frulio, Fabrizio Michetti, Raul Abella, Alessandro Frigiola, Alessandro Giamberti, Diego Gazzolo

Research output: Contribution to journalArticle

Abstract

Background: Maternal glucocorticoid (GC) treatment is widely used to prevent lung immaturity in preterm infants. There is growing evidence that GCs may be detrimental to the Central Nervous System (CNS). We investigated whether antenatal GC administration affects CNS function in a dose-dependent manner by measuring urine concentrations of a well-established brain damage marker, S100B. Methods: We conducted a case-control-study in 70 preterm infants (1 GC vs 1 control) whose mothers received a complete GC-course (GC2, n=16), half-course (GC1, n=19), and controls (n=35). At four predetermined time-points, in the first 72. h from birth, we assessed S100B urine concentrations, using a commercially available immunoluminometric assay (Lia-mat Sangtec 100, AB Sangtec Medical, Bromma, Sweden). Data were correlated with primary neonatal outcomes (incidence of respiratory distress syndrome, length of ventilatory support and hospital stay, incidence of intraventricular hemorrhage, adverse 7th day neurological follow-up and neonatal death). Results: S100B in GC2 group at all monitoring time-points was significantly lower (P 0.05) were evident between controls and GC1 group. No significant differences (P >0.05) were shown in primary outcomes between half or complete GC-course treated groups. Conclusion: S100B levels of infants antenatally treated with GCs differed in a dose-dependent manner. Data on primary outcomes suggest that lowering antenatal GC-course may be less detrimental for brain without affecting lung maturation. Further clinical trials are needed to elucidate the low GC-course issue.

Original languageEnglish
Pages (from-to)1539-1541
Number of pages3
JournalClinica Chimica Acta
Volume411
Issue number19-20
DOIs
Publication statusPublished - Oct 2010

    Fingerprint

Keywords

  • Glucocorticoids
  • Prematurity
  • RDS
  • S100B protein
  • Side effects

ASJC Scopus subject areas

  • Biochemistry
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this