Early elevation of serum thrombopoietin levels and subsequent thrombocytosis in healthy preterm infants

Kousaku Matsubara, Kunizo Baba, Hiroyuki Nigami, Hidekazu Harigaya, Akira Ishiguro, Takashi Kato, Hiroshi Miyazaki

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

To verify pathophysiological mechanisms underlying thrombocytosis in low-birth-weight (LBW) preterm babies, we evaluated kinetic changes in platelet counts and thrombopoietic cytokines including thrombopoietin (TPO), interleukin 6 (IL-6) and IL-11 in 24 uncomplicated preterm infants. Platelet counts in cord blood (CB) (265 ± 64 × 109/l) were similar to adult levels, increased by d 14 (473 ± 140 × 109/l), and then remained fairly constant. Thrombocytosis (> 500 × 109/l) was observed in 9/24 (38%) subjects. Mean TPO level in CB was 5.11 ± 1.51 fmol/ml, peaked at d 2 (7.64 ± 3.28 fmol/ml), decreased at d 5 (3.93 ± 1.67 fmol/ml), and thereafter kept fairly constant during the remaining neonatal period. Compared with term infants, mean TPO levels of preterm infants in CB and at d 2 were significantly higher (P < 0.01). There was an inverse correlation between platelet counts and TPO levels (r = 0.45, P < 0.001, n = 88). Preterm neonates with thrombocytosis had significantly higher TPO values in CB than those without thrombocytosis (P < 0.05). There was no significant relationship between platelet counts and IL-6. IL-11 was not detectable. These results suggest that an early elevation of serum TPO levels is related to the subsequent thrombocytosis in LBW preterm infants.

Original languageEnglish
Pages (from-to)963-968
Number of pages6
JournalBritish Journal of Haematology
Volume115
Issue number4
DOIs
Publication statusPublished - 2001
Externally publishedYes

Fingerprint

Thrombopoietin
Thrombocytosis
Premature Infants
Platelet Count
Fetal Blood
Serum
Interleukin-11
Low Birth Weight Infant
Interleukin-6
Newborn Infant
Cytokines

Keywords

  • Cord blood
  • Interleukin 6
  • Preterm low-birth-weight infant
  • Reactive thrombocytosis
  • Thrombopoietin

ASJC Scopus subject areas

  • Hematology

Cite this

Early elevation of serum thrombopoietin levels and subsequent thrombocytosis in healthy preterm infants. / Matsubara, Kousaku; Baba, Kunizo; Nigami, Hiroyuki; Harigaya, Hidekazu; Ishiguro, Akira; Kato, Takashi; Miyazaki, Hiroshi.

In: British Journal of Haematology, Vol. 115, No. 4, 2001, p. 963-968.

Research output: Contribution to journalArticle

Matsubara, Kousaku ; Baba, Kunizo ; Nigami, Hiroyuki ; Harigaya, Hidekazu ; Ishiguro, Akira ; Kato, Takashi ; Miyazaki, Hiroshi. / Early elevation of serum thrombopoietin levels and subsequent thrombocytosis in healthy preterm infants. In: British Journal of Haematology. 2001 ; Vol. 115, No. 4. pp. 963-968.
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AB - To verify pathophysiological mechanisms underlying thrombocytosis in low-birth-weight (LBW) preterm babies, we evaluated kinetic changes in platelet counts and thrombopoietic cytokines including thrombopoietin (TPO), interleukin 6 (IL-6) and IL-11 in 24 uncomplicated preterm infants. Platelet counts in cord blood (CB) (265 ± 64 × 109/l) were similar to adult levels, increased by d 14 (473 ± 140 × 109/l), and then remained fairly constant. Thrombocytosis (> 500 × 109/l) was observed in 9/24 (38%) subjects. Mean TPO level in CB was 5.11 ± 1.51 fmol/ml, peaked at d 2 (7.64 ± 3.28 fmol/ml), decreased at d 5 (3.93 ± 1.67 fmol/ml), and thereafter kept fairly constant during the remaining neonatal period. Compared with term infants, mean TPO levels of preterm infants in CB and at d 2 were significantly higher (P < 0.01). There was an inverse correlation between platelet counts and TPO levels (r = 0.45, P < 0.001, n = 88). Preterm neonates with thrombocytosis had significantly higher TPO values in CB than those without thrombocytosis (P < 0.05). There was no significant relationship between platelet counts and IL-6. IL-11 was not detectable. These results suggest that an early elevation of serum TPO levels is related to the subsequent thrombocytosis in LBW preterm infants.

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