1. Iron Homeostasis in Full Term, Normal Birthweight Gambian Neonates Over the First Week of Life
- Author
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Andrew M. Prentice, Ousman Jarjou, Nuredin Mohammed, James H. Cross, Buba Touray, Carla Cerami, and Santiago Rayment-Gomez
- Subjects
chemistry.chemical_classification ,medicine.medical_specialty ,medicine.diagnostic_test ,biology ,business.industry ,Transferrin saturation ,Birth weight ,Gestational age ,Ferritin ,chemistry ,Transferrin ,Hepcidin ,Internal medicine ,Serum iron ,biology.protein ,Medicine ,business ,Full Term - Abstract
Background: Human neonates elicit a profound hypoferremia to protect against bacterial and fungal sepsis on their first day of life. We examined the transience of this effect by measuring iron and its chaperone proteins, inflammatory and hematological parameters over the first post-partum week. Methods: We prospectively studied term (>37 completed gestational weeks), normal weight (>2500g) newborns at Kanifing General Hospital, The Gambia. Blood was sampled from the umbilical cord vein (CDV) and artery (CDA). Neonatal venous blood was sampled at 6-24h (V1) in all babies who were then randomized to a second blood draw at 25-80h (V2), 81-136h (V3) or 137-192h (V4). Hepcidin, serum iron, transferrin saturation, transferrin, haptoglobin, CRP, AGP, sTfR, ferritin, TIBC, UIBC and full blood count were assayed. Findings: 278 neonates (54.3% males, gestational age 39.4±1.3wk, birth weight 3299±368g) were enrolled. We confirmed the profound early post-natal decrease in serum iron (CDV=22.7±7.0µmol/L to V1=7.3±4.3µmol/L, P
- Published
- 2021