Biomarkers of renal function in preterm neonates at 72 h and 3 weeks of life

Objective: Serum levels of creatinine in neonates are quite variable and suffer interference from the immature kidney and maternal creatinine concentration. The aim of this study was to measure novel biomarkers of gtomerular and tubular function in healthy preterm neonates at 72 h and 3 weeks of life. Methods: Urine samples were collected in 40 preterm neonates with 28-34 incomplete weeks of gestational age. None of the participants had comorbidities, malformations and infections. The samples were collected at 72 h of life and at 3 weeks after birth. Measurements of Calbindin, Collagen IV, FABP1, alpha GST, IP-10, KIM-1, Osteoactivin, Renin, TFF-3, TIMP-1, alpha-1-Microglobulin, Albumin, Clusterin, Cystatin C, EGF, Lipocatin-2/NGAL and Osteopontin were performed using panels 1 and 2 of multiplex kits of kidney injury. Data were analyzed using the software GraphPad Prism version 6.0. Results: The preterm neonates included 55% of males with gestational age of 30 +/- 1 weeks. The most frequent maternal condition associated with preterm birth was preeclampsia (80%). Molecules related to gtomerular function showed a significant increase in the concentrations obtained at 3 weeks of life compared to 72 h of life. Markers related to tubular injury (KIM-1 and NGAL) also showed an increase. On the other hand, cystatin C did not change. Conclusion: The elevation of molecules related to glomerular function indicates an increase of glomerular filtration rate from 72 h up until 3 weeks of life, which was not clearly detected with the measurement of cystatin C. (C) 2020 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda.