In 1998, a systemic fetal cytokine response, defined as a plasma interleukin-6 (IL-6) value above 11 pg/mL, was reported to be a major independent risk factor for the subsequent development of neonatal morbid events even after adjustments for gestational age and other confounders. Since then, the body of literature investigating the use of blood concentrations of IL-6 as a hallmark of the fetal inflammatory response syndrome (FIRS), a diagnostic marker of early-onset neonatal sepsis (EONS) and a risk predictor of white matter injury (WMI), has grown rapidly. In this article, we critically review: IL-6 biological functions; current evidence on the association between IL-6, preterm birth, FIRS and EONS; IL-6 reference intervals and dynamics in the early neonatal period; IL-6 response during the immediate postnatal period and perinatal confounders; accuracy and completeness of IL-6 diagnostic studies for EONS (according to the Standards for Reporting of Diagnostic Accuracy statement); and recent breakthroughs in the association between fetal blood IL-6, EONS, and WMI.

Fetal and early neonatal interleukin-6 response / C., Chiesa; Pacifico, Lucia; F., Natale; N., Hofer; B., Resch; Osborn, John Frederick. - In: CYTOKINE. - ISSN 1043-4666. - STAMPA. - 76:1(2015), pp. 1-12. [10.1016/j.cyto.2015.03.015]

Fetal and early neonatal interleukin-6 response

PACIFICO, Lucia;OSBORN, John Frederick
2015

Abstract

In 1998, a systemic fetal cytokine response, defined as a plasma interleukin-6 (IL-6) value above 11 pg/mL, was reported to be a major independent risk factor for the subsequent development of neonatal morbid events even after adjustments for gestational age and other confounders. Since then, the body of literature investigating the use of blood concentrations of IL-6 as a hallmark of the fetal inflammatory response syndrome (FIRS), a diagnostic marker of early-onset neonatal sepsis (EONS) and a risk predictor of white matter injury (WMI), has grown rapidly. In this article, we critically review: IL-6 biological functions; current evidence on the association between IL-6, preterm birth, FIRS and EONS; IL-6 reference intervals and dynamics in the early neonatal period; IL-6 response during the immediate postnatal period and perinatal confounders; accuracy and completeness of IL-6 diagnostic studies for EONS (according to the Standards for Reporting of Diagnostic Accuracy statement); and recent breakthroughs in the association between fetal blood IL-6, EONS, and WMI.
2015
Diagnostic accuracy; Early-onset neonatal sepsis; Fetal inflammatory response syndrome; Interleukin-6; Reference intervals; Data Accuracy; Female; Fetal Blood; Fetus; Gestational Age; Humans; Infant, Newborn; Interleukin-6; Leukoencephalopathies; Pregnancy; Premature Birth; Reference Values; Sepsis; Systemic Inflammatory Response Syndrome; Immunology and Allergy; Immunology; Biochemistry; Hematology; Molecular Biology
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Fetal and early neonatal interleukin-6 response / C., Chiesa; Pacifico, Lucia; F., Natale; N., Hofer; B., Resch; Osborn, John Frederick. - In: CYTOKINE. - ISSN 1043-4666. - STAMPA. - 76:1(2015), pp. 1-12. [10.1016/j.cyto.2015.03.015]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/780786
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