Skip to main content
Log in

‘Haptoglobin concentrations in preterm and term newborns’

  • Original Article
  • Published:
Journal of Perinatology Submit manuscript

Abstract

Objective:

To measure systemic haptoglobin (HPT) concentrations from birth in preterm (PT) and T newborns. To compare HPT in newborns without hemolysis or infection with values in bacteremic newborns.

Study Design:

HPT was measured using enzyme-linked immunosorbent assay in 30 PT and 28 T newborns without hemolysis or infection at birth (cord blood), on days of life 2 to 4, and at 1 to 2 weeks of life. Concentrations were measured in eight additional newborns with bacteremia. Wilcoxon–Mann–Whitney test was used for comparisons.

Result:

HPT concentrations were consistently measurable from birth in PT and T neonates. Values were significantly greater in 2- to 4-day-old PT and T newborns than in newborns at birth (P<0.01). Bacteremic newborns had higher HPT concentrations than newborns without infection (P=0.033).

Conclusion:

HPT is detectable from birth in PT and T newborns. HPT concentrations increase in bacteremic newborns. HPT levels may have clinical utility in the evaluation of neonatal sepsis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. Wicher KB, Fries E . Haptoglobin, a hemoglobin-binding plasma protein, is present in bony fish and mammals but not in frog and chicken. Proc Natl Acad Sci USA 2006; 103 (11): 4168–4173.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Levy AP, Asleh R, Blum S, Levy NS, Miller-Lotan R, Kalet-Litman S et al. Haptoglobin: basic and clinical aspects. Antioxid Redox Signal 2010; 12 (2): 293–304.

    Article  CAS  PubMed  Google Scholar 

  3. Kristiansen M, Graversen JH, Jacobsen C, Sonne O, Hoffman HJ, Law SK et al. Identification of the haemoglobin scavenger receptor. Nature 2001; 409 (6817): 198–201.

    Article  CAS  PubMed  Google Scholar 

  4. Sadrzadeh SM, Bozorgmehr J . Haptoglobin phenotypes in health and disorders. Am J Clin Pathol 2004; 121 (Suppl:S9): 7–104.

    Google Scholar 

  5. Marchand A, Galen RS, Van Lente F . The predictive value of serum haptoglobin in hemolytic disease. JAMA 1980; 243 (19): 1909–1911.

    Article  CAS  PubMed  Google Scholar 

  6. Kormoczi GF, Saemann MD, Buchta C, Peck-Radosavljevic M, Mayr WR, Schwartz DW et al. Influence of clinical factors on the haemolysis marker haptoglobin. Eur J Clin Invest 2006; 36 (3): 202–209.

    Article  CAS  PubMed  Google Scholar 

  7. Yee BL, Bollard CM GS . Appendix: normal blood values: selected reference values for neonatal, pediatric, and adult populations. In: Hoffman R Benz EJ SS, Furie B, Silberstein LE, McGlave P, Heslop H, Anastasi J, (eds). Hoffman: Hematology: Basic Principles and Practice. Churchill Livingstone Elsevier: Philadelphia, PA, 2008. pp 2431–2442.

    Google Scholar 

  8. Shinton NK, Richardson RW, Williams JD . Diagnostic value of serum haptoglobin. J Clin Pathol 1965; 18: 114–118.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Kanakoudi F, Drossou V, Tzimouli V, Diamanti E, Konstantinidis T, Germenis A et al. Serum concentrations of 10 acute-phase proteins in healthy term and preterm infants from birth to age 6 months. Clin Chem 1995; 41 (4): 605–608.

    CAS  PubMed  Google Scholar 

  10. Cakmak A, Calik M, Atas A, Hirfanoglu I, Erel O . Can haptoglobin be an indicator for the early diagnosis of neonatal jaundice? J Clin Lab Anal 2008; 22 (6): 409–414.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Liberatori S, Bini L, De Felice C, Magi B, Marzocchi B, Raggiaschi R et al. Acute-phase proteins in perinatal human plasma. Electrophoresis 1997; 18 (3–4): 520–526.

    Article  CAS  PubMed  Google Scholar 

  12. Arnon S, Litmanovitz I . Diagnostic tests in neonatal sepsis. Curr Opin Infect Dis 2008; 21 (3): 223–227.

    Article  PubMed  Google Scholar 

  13. Benitz WE, Han MY, Madan A, Ramachandra P . Serial serum C-reactive protein levels in the diagnosis of neonatal infection. Pediatrics 1998; 102 (4): E41.

    Article  CAS  PubMed  Google Scholar 

  14. Haque KN . Defining common infections in children and neonates. J Hosp Infect 2007; 65 (Suppl 2): 110–114.

    Article  PubMed  Google Scholar 

  15. Linder N, Arad I . Plasma haptoglobin levels in vacuum extracted neonates. J Perinat Med 1984; 12 (1): 35–37.

    CAS  PubMed  Google Scholar 

  16. Orro T, Jacobsen S, LePage JP, Niewold T, Alasuutari S, Soveri T . Temporal changes in serum concentrations of acute phase proteins in newborn dairy calves. Vet J 2008; 176 (2): 182–187.

    Article  CAS  PubMed  Google Scholar 

  17. Turner D, Hammerman C, Rudensky B, Schlesinger Y, Goia C, Schimmel MS . Procalcitonin in preterm infants during the first few days of life: introducing an age related nomogram. Arch Dis Child Fetal Neonatal Ed 2006; 91 (4): F283–F286.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Oliviero S, Cortese R . The human haptoglobin gene promoter: interleukin-6-responsive elements interact with a DNA-binding protein induced by interleukin-6. EMBO J 1989; 8 (4): 1145–1151.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Kishimoto T, Akira S, Narazaki M, Taga T . Interleukin-6 family of cytokines and gp130. Blood 1995; 86 (4): 1243–1254.

    CAS  PubMed  Google Scholar 

  20. Cancelier AC, Petronilho F, Reinke A, Constantino L, Machado R, Ritter C et al. Inflammatory and oxidative parameters in cord blood as diagnostic of early-onset neonatal sepsis: a case-control study. Pediatr Crit Care Med 2009; 10 (4): 467–471.

    Article  PubMed  Google Scholar 

  21. Santana C, Guindeo MC, Gonzalez G, Garcia-Munoz F, Saavedra P, Domenech E . Cord blood levels of cytokines as predictors of early neonatal sepsis. Acta Paediatr 2001; 90 (10): 1176–1181.

    Article  CAS  PubMed  Google Scholar 

  22. Kurt AN, Aygun AD, Godekmerdan A, Kurt A, Dogan Y, Yilmaz E . Serum IL-1beta, IL-6, IL-8, and TNF-alpha levels in early diagnosis and management of neonatal sepsis. Mediators Inflamm 2007; 2007: 31397.

    Article  PubMed  Google Scholar 

  23. Moestrup SK, Moller HJ . CD163: a regulated hemoglobin scavenger receptor with a role in the anti-inflammatory response. Ann Med 2004; 36 (5): 347–354.

    Article  CAS  PubMed  Google Scholar 

  24. Nielsen MJ, Moestrup SK . Receptor targeting of hemoglobin mediated by the haptoglobins: roles beyond heme scavenging. Blood 2009; 114 (4): 764–771.

    Article  CAS  PubMed  Google Scholar 

  25. Arredouani M, Matthijs P, Van Hoeyveld E, Kasran A, Baumann H, Ceuppens JL et al. Haptoglobin directly affects T cells and suppresses T helper cell type 2 cytokine release. Immunology 2003; 108 (2): 144–151.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Arredouani MS, Kasran A, Vanoirbeek JA, Berger FG, Baumann H, Ceuppens JL . Haptoglobin dampens endotoxin-induced inflammatory effects both in vitro and in vivo. Immunology 2005; 114 (2): 263–271.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Arnon S, Litmanovitz I, Regev R, Lis M, Shainkin-Kestenbaum R, Dolfin T . The prognostic virtue of inflammatory markers during late-onset sepsis in preterm infants. J Perinat Med 2004; 32 (2): 176–180.

    PubMed  Google Scholar 

  28. Ng PC, Lam HS . Diagnostic markers for neonatal sepsis. Curr Opin Pediatr 2006; 18 (2): 125–131.

    Article  PubMed  Google Scholar 

  29. Kaplan M, Hammerman C, Vreman HJ, Wong RJ, Stevenson DK . Hemolysis and hyperbilirubinemia in antiglobulin positive, direct ABO blood group heterospecific neonates. J Pediatr 2010; 157 (5): 772–777.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Kaplan M, Hammerman C, Renbaum P, Levy-Lahad E, Vreman HJ, Stevenson DK . Differing pathogenesis of perinatal bilirubinemia in glucose-6-phosphate dehydrogenase-deficient versus-normal neonates. Pediatr Res 2001; 50 (4): 532–537.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank Dr Kris Sekar for his thoughtful review and valuable comments to this manuscript, and Chee Yoon S Bauer for technical assistance with laboratory assays. We gratefully acknowledge the support of the Children's Medical Research Institute.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S Chavez-Bueno.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chavez-Bueno, S., Beasley, J., Goldbeck, J. et al. ‘Haptoglobin concentrations in preterm and term newborns’. J Perinatol 31, 500–503 (2011). https://doi.org/10.1038/jp.2010.197

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2010.197

  • Springer Nature America, Inc.

Keywords

This article is cited by

Navigation