Increased platelet activating factor in the tracheal aspirates from neonates with patent ductus arteriosus

We investigated platelet-activating factor (PAF) in the tracheal aspirate from 3 intubated low birth weight infants with symptomatic patent ductus arteriosus (PDA). PAF increased with the onset of symptomatic PDA and decreased to the control range soon after the ductal closure. The concentration of...

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Veröffentlicht in:Clinica chimica acta 1993-04, Vol.215 (1), p.73-79
Hauptverfasser: Koyama, Norihisa, Ogawa, Yunosuke, Kamiya, Kenji, Eguchi, Hideshi, Tanaka, Taihei, Takasaki, Jiro, Ohama, Yoichi, Itakura, Yukino, Kaneko, Kohji
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container_title Clinica chimica acta
container_volume 215
creator Koyama, Norihisa
Ogawa, Yunosuke
Kamiya, Kenji
Eguchi, Hideshi
Tanaka, Taihei
Takasaki, Jiro
Ohama, Yoichi
Itakura, Yukino
Kaneko, Kohji
description We investigated platelet-activating factor (PAF) in the tracheal aspirate from 3 intubated low birth weight infants with symptomatic patent ductus arteriosus (PDA). PAF increased with the onset of symptomatic PDA and decreased to the control range soon after the ductal closure. The concentration of PAF in 26 samples taken during symptomatic PDA (median 16 pg/μg lipid phosphorus, range 1.4–1,200 pg/μg lipid phosphorus) was significantly higher than that of 31 samples from the same three patients during the periods without symptomatic PDA (median 1.9 pg/μg lipid phosphorus, range 0–12 pg/μg lipid phosphorus; P < 0.001). All 3 infants later developed chronic lung disease. These results suggest that large shunting PDA provokes PAF release to the air way of the neonate and that PAF might play a role in chronic lung disease developing after symptomatic PDA.
doi_str_mv 10.1016/0009-8981(93)90250-8
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PAF increased with the onset of symptomatic PDA and decreased to the control range soon after the ductal closure. The concentration of PAF in 26 samples taken during symptomatic PDA (median 16 pg/μg lipid phosphorus, range 1.4–1,200 pg/μg lipid phosphorus) was significantly higher than that of 31 samples from the same three patients during the periods without symptomatic PDA (median 1.9 pg/μg lipid phosphorus, range 0–12 pg/μg lipid phosphorus; P &lt; 0.001). All 3 infants later developed chronic lung disease. These results suggest that large shunting PDA provokes PAF release to the air way of the neonate and that PAF might play a role in chronic lung disease developing after symptomatic PDA.</description><subject>Biological and medical sciences</subject><subject>Bronchopulmonary dysplasia</subject><subject>Cardiology. Vascular system</subject><subject>Chronic lung disease</subject><subject>Congenital heart diseases. 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subjects Biological and medical sciences
Bronchopulmonary dysplasia
Cardiology. Vascular system
Chronic lung disease
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Ductus Arteriosus, Patent - metabolism
Ductus Arteriosus, Patent - surgery
Female
Heart
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Low birth weight infant
Male
Medical sciences
Patent ductus arteriosus
Platelet activating factor
Platelet Activating Factor - metabolism
Suction
Trachea - metabolism
Tracheal aspirate
title Increased platelet activating factor in the tracheal aspirates from neonates with patent ductus arteriosus
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