Adrenal disease

Glucocorticoid Receptor Expression Pattern in Very Low Birth Weight Infants Changes Drastically within the First Week of Life

Horm Res PaediatrPublished Observational study

Authors' conclusion

The present results suggest that glucocorticoid sensitivity in VLBW infants increases after birth and this rapid change may play a role in surviving critical postnatal events.

Study context

Population
Very low birth weight (VLBW) and term infants; whole blood GRα and GRβ mRNA by RT-qPCR at birth and postnatal days 4–7
Exposure
VLBW infants vs term infants; day 0 vs days 4-7
  • VLBWn = 43
Outcome
GRα/GRβ expression ratio change in VLBW infants (fold change)
Follow-up
Day 0 to days 4-7
Methodological detailslongitudinal
  • Longitudinal

Main finding

As reported in the abstract

VLBW day 0

1.0

median · IQR 0.6–1.4 · fold change

VLBW days 4-7

1.7

median · IQR 0.6–1.4 · fold change

P < 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
GRα/GRβ expression ratio at birth, VLBW CS vs term planned CSSignificantly lower in VLBW (32 VLBW CS infants)P < 0.05

Original publication

Glucocorticoid Receptor Expression Pattern in Very Low Birth Weight Infants Changes Drastically within the First Week of Life. Horm Res Paediatr. Published 28 September 2022. doi:10.1159/000526915

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