Inflammatory cytokine response and reduced heart rate variability in newborns with hypoxic-ischemic encephalopathy

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Abstract

OBJECTIVE:

To determine whether systemic inflammation-modulating cytokine expression is related to heart rate variability (HRV) in newborns with hypoxic-ischemic encephalopathy (HIE).

STUDY DESIGN:

The data from 30 newborns with HIE were analyzed. Cytokine levels (IL-2, IL-4, IL-6, IL-8, IL-10, IL-13, IL-1β, TNF-α, IFN-λ) were measured either at 24 h of cooling (n = 5), 72 h of cooling (n = 4) or at both timepoints (n = 21). The following HRV metrics were quantified in the time domain: alpha_S, alpha_L, root mean square (RMS) at short time scales (RMS_S), RMS at long time scales (RMS_L), while low-frequency power (LF) and high-frequency power (HF) were quantified in the frequency domain. The relationships between HRV metrics and cytokines were evaluated using mixed-models.

RESULT:

IL-6, IL-8, IL-10, and IL-13 levels were inversely related to selected HRV metrics.

CONCLUSION:

Inflammation-modulating cytokines may be important mediators in the autonomic dysfunction observed in newborns with HIE.

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