Influence of Perinatal Factors on Blood Tryptase and Fecal Calprotectin Levels in Newborns

Background: Blood tryptase and fecal calprotectin levels may serve as biomarkers of necrotizing enterocolitis. However, their interpretation may be hindered by the little-known effects of perinatal factors. The aim of this study was to compare the tryptase and calprotectin levels in newborns accordi...

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Main Authors: Justine Paysal (Author), Charlotte Oris (Author), Ugo Troin (Author), Pierre-Nicolas Limeri (Author), Jeanne Allard (Author), Marie Tadrent (Author), Bruno Pereira (Author), Etienne Merlin (Author), Emmanuelle Rochette (Author), Bertrand Evrard (Author), Julie Durif (Author), Vincent Sapin (Author), Maguelonne Pons (Author)
Format: Book
Published: MDPI AG, 2023-02-01T00:00:00Z.
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001 doaj_ed939f1faf7c4ece99aa148a4c3db758
042 |a dc 
100 1 0 |a Justine Paysal  |e author 
700 1 0 |a Charlotte Oris  |e author 
700 1 0 |a Ugo Troin  |e author 
700 1 0 |a Pierre-Nicolas Limeri  |e author 
700 1 0 |a Jeanne Allard  |e author 
700 1 0 |a Marie Tadrent  |e author 
700 1 0 |a Bruno Pereira  |e author 
700 1 0 |a Etienne Merlin  |e author 
700 1 0 |a Emmanuelle Rochette  |e author 
700 1 0 |a Bertrand Evrard  |e author 
700 1 0 |a Julie Durif  |e author 
700 1 0 |a Vincent Sapin  |e author 
700 1 0 |a Maguelonne Pons  |e author 
245 0 0 |a Influence of Perinatal Factors on Blood Tryptase and Fecal Calprotectin Levels in Newborns 
260 |b MDPI AG,   |c 2023-02-01T00:00:00Z. 
500 |a 10.3390/children10020345 
500 |a 2227-9067 
520 |a Background: Blood tryptase and fecal calprotectin levels may serve as biomarkers of necrotizing enterocolitis. However, their interpretation may be hindered by the little-known effects of perinatal factors. The aim of this study was to compare the tryptase and calprotectin levels in newborns according to their term, trophicity, and sex. Method: One hundred and fifty-seven premature newborns and 157 full-term newborns were included. Blood tryptase and fecal calprotectin were assayed. Results: Blood tryptase levels were higher in premature than in full-term newborns (6.4 vs. 5.2 µg/L; <i>p</i> < 0.001). In situations of antenatal use of corticosteroids (<i>p</i> = 0.007) and non-exclusive use of human milk (<i>p</i> = 0.02), these levels were also higher. However, in multiple linear regression analyses, only prematurity significantly influenced tryptase levels. Fecal calprotectin levels were extremely wide-ranging and were much higher in female than in male newborns (300.5 vs. 110.5 µg/g; <i>p</i> < 0.001). Conclusions: The differences in tryptase levels according to term could be linked to early aggression of the still-immature digestive wall in premature newborns, in particular, by enteral feeding started early. The unexpected influence of sex on fecal calprotectin levels remains unexplained. 
546 |a EN 
690 |a blood tryptase 
690 |a fecal calprotectin 
690 |a newborns 
690 |a perinatal factors 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Children, Vol 10, Iss 2, p 345 (2023) 
787 0 |n https://www.mdpi.com/2227-9067/10/2/345 
787 0 |n https://doaj.org/toc/2227-9067 
856 4 1 |u https://doaj.org/article/ed939f1faf7c4ece99aa148a4c3db758  |z Connect to this object online.