Araştırma Makalesi
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Does Phototherapy Influence Alpha Melanocyte Stimulating Hormone Levels?

Yıl 2021, , 201 - 206, 05.06.2021
https://doi.org/10.26453/otjhs.881968

Öz

Objective: We aimed to investigate the effect of phototherapy on plasma alpha-melanocyte-stimulating hormone (α-MSH) levels of newborns with indirect hyperbilirubinemia (IHB) for the first time.
Materials and Methods: A total of 45 cases, who were hospitalized in neonatal intensive care units between July 1, 2019, to September 30, 2019, and received phototherapy, were retrospectively included in the study. Plasma α-MSH and bilirubin levels were measured before and after the phototherapy.
Results: A total of 45 newborns (19 girls and 26 boys) were included in to study. The average birth weight was 3202 grams and the mean total bilirubin level was 17.2 mg/dL. α-MSH levels before and after phototherapy were 326.2 (4.0-2228.0) ng/L and 373.9 (8.7-2283.0) ng/L, respectively and did not represent a significant difference (p>0.05).
Conclusion: This study demonstrated that there was no effect between phototherapy applied for newborn IHB and plasma α-MSH levels.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

The authors would like to thank İbrahim Caner, Serpil Çakır Çetin, as well as NICU workers for their contributions.

Kaynakça

  • Hansen TWR, Wong RJ, Stevenson DK. Molecular Physiology and Pathophysiology of Bilirubin Handling by the Blood, Liver, Intestine, and Brain in the Newborn. Physiol Rev. 2020;100:1291-1346.
  • Schwartz HP, Haberman BE, Ruddy RM. Hyperbilirubinemia. Pediatric Emergency Care. 2011;27:884-889.
  • Kaplan M, Muraca M, Hammerman C, et al. Imbalance Between Production and Conjugation of Bilirubin: A Fundamental Concept in the Mechanism of Neonatal Jaundice. PEDIATRICS. 2002;110:e47. doi:10.1542/peds.110.4.e47
  • Vreman HJ, Wong RJ, Stevenson DK. Phototherapy: current methods and future directions. Semin Perinatol. 2004;28:326-333.
  • Chakraborty AK, Funasaka Y, Slominski A, et al. Production and release of proopiomelanocortin (POMC) derived peptides by human melanocytes and keratinocytes in culture: regulation by ultraviolet B. Biochim Biophys Acta. 1996;1313:130-138.
  • Knigge U, Matzen S, Hannibal T, Jørgensen H, Warberg J. Involvement of Histamine in the Mediation of the Stress-Induced Release of Alpha-Melanocyte-Stimulating Hormone in Male Rats. Neuroendocrinology. 1991;54:646-52. doi:10.1159/000125974
  • Dong L, Wen J, Pier E, et al. Melanocyte-Stimulating Hormone Directly Enhances UV-Induced DNA Repair in Keratinocytes by a Xeroderma Pigmentosum Group A–Dependent Mechanism. Cancer Research. 2010;70:3547-3556. doi:10.1158/0008-5472.can-09-4596
  • Varga B, Gesztelyi R, Bombicz M, et al. Protective Effect of Alpha-Melanocyte-Stimulating Hormone (α-MSH) on the Recovery of Ischemia/Reperfusion (I/R)-Induced Retinal Damage in A Rat Model. Journal of Molecular Neuroscience. 2013;50:558-570. doi:10.1007/s12031-013-9998-3
  • Abdel-Malek ZA, Ruwe A, Kavanagh-Starner R, et al. α-MSH tripeptide analogs activate the melanocortin 1 receptor and reduce UV-induced DNA damage in human melanocytes. Pigment Cell & Melanoma Research. 2009;22:635-644. doi:10.1111/j.1755-148x.2009.00598.x
  • American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.
  • Ayyappan S, Philip S, Bharathy N, et al. Antioxidant status in neonatal jaundice before and after phototherapy. J Pharm Bioallied Sci. 2015;7:S16-21.
  • Xiong T, Tang J, Mu D-Z. Side effects of phototherapy for neonatal hyperbilirubinemia. Zhongguo Dang Dai Er Ke Za Zhi. 2012;14:396-400.
  • Pichler R, Crespillo C, Maschek W, et al. Plasma levels of α-melanotropin and ACTH-like immunoreactivities do not vary by season or skin type in women from southern and central Europe. Neuropeptides. 2004;38:325-330. doi:10.1016/j.npep.2004.07.003
  • Spiro J, Parker S, Oliver I, Fraser C, Marks JM, Thody AJ. Effect of PUVA on plasma and skin immunoreactive alpha-melanocyte stimulating hormone concentrations. Br J Dermatol. 1987;117:703-707.
  • Videira IF dos S, Moura DFL, Magina S. Mechanisms regulating melanogenesis. An Bras Dermatol. 2013;88:76-83.

Fototerapi Alfa Melanosit Uyarıcı Hormon Seviyelerini Etkiler mi?

Yıl 2021, , 201 - 206, 05.06.2021
https://doi.org/10.26453/otjhs.881968

Öz

Amaç: İlk kez bu araştırmayla indirekt hiperbilirubinemi (İHB) olan yenidoğanlarda fototerapinin plazma alfa-melanosit uyarıcı hormon (α-MSH) üzerine etkisinin araştırılması amaçlanmıştır.
Materyal ve Metot: İHB nedeniyle yenidoğan yoğun bakım ünitesinde yatarak fototerapi tedavisi uygulanan 45 olgu, 1 Temmuz 2019-30 Eylül 2019 tarihleri arasında prospektif olarak çalışmaya dahil edildi. Fototerapi öncesi ve sonrası plazma α-MSH ve bilirubin düzeyleri ölçüldü.
Bulgular: Çalışmaya 45 yenidoğan (19 kız, 26 erkek) dahil edildi. Ortalama doğum kilosu 3202 gr ve ortalama total bilirubin düzeyi 17,2 mg /dl idi. Fototerapi öncesi ve sonrası α-MSH seviyeleri sırasıyla 326,2 (4,0-2228,0) ng/L ve 373,9 (8,7-2283,0) ng/L olup benzerdi (p> 0,05).
Sonuç: Bu çalışmayla İHB için yenidoğanlara uygulanan fototerapinin, plazma α-MSH üzerine etkisi olmadığı saptanmıştır.

Proje Numarası

yok

Kaynakça

  • Hansen TWR, Wong RJ, Stevenson DK. Molecular Physiology and Pathophysiology of Bilirubin Handling by the Blood, Liver, Intestine, and Brain in the Newborn. Physiol Rev. 2020;100:1291-1346.
  • Schwartz HP, Haberman BE, Ruddy RM. Hyperbilirubinemia. Pediatric Emergency Care. 2011;27:884-889.
  • Kaplan M, Muraca M, Hammerman C, et al. Imbalance Between Production and Conjugation of Bilirubin: A Fundamental Concept in the Mechanism of Neonatal Jaundice. PEDIATRICS. 2002;110:e47. doi:10.1542/peds.110.4.e47
  • Vreman HJ, Wong RJ, Stevenson DK. Phototherapy: current methods and future directions. Semin Perinatol. 2004;28:326-333.
  • Chakraborty AK, Funasaka Y, Slominski A, et al. Production and release of proopiomelanocortin (POMC) derived peptides by human melanocytes and keratinocytes in culture: regulation by ultraviolet B. Biochim Biophys Acta. 1996;1313:130-138.
  • Knigge U, Matzen S, Hannibal T, Jørgensen H, Warberg J. Involvement of Histamine in the Mediation of the Stress-Induced Release of Alpha-Melanocyte-Stimulating Hormone in Male Rats. Neuroendocrinology. 1991;54:646-52. doi:10.1159/000125974
  • Dong L, Wen J, Pier E, et al. Melanocyte-Stimulating Hormone Directly Enhances UV-Induced DNA Repair in Keratinocytes by a Xeroderma Pigmentosum Group A–Dependent Mechanism. Cancer Research. 2010;70:3547-3556. doi:10.1158/0008-5472.can-09-4596
  • Varga B, Gesztelyi R, Bombicz M, et al. Protective Effect of Alpha-Melanocyte-Stimulating Hormone (α-MSH) on the Recovery of Ischemia/Reperfusion (I/R)-Induced Retinal Damage in A Rat Model. Journal of Molecular Neuroscience. 2013;50:558-570. doi:10.1007/s12031-013-9998-3
  • Abdel-Malek ZA, Ruwe A, Kavanagh-Starner R, et al. α-MSH tripeptide analogs activate the melanocortin 1 receptor and reduce UV-induced DNA damage in human melanocytes. Pigment Cell & Melanoma Research. 2009;22:635-644. doi:10.1111/j.1755-148x.2009.00598.x
  • American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.
  • Ayyappan S, Philip S, Bharathy N, et al. Antioxidant status in neonatal jaundice before and after phototherapy. J Pharm Bioallied Sci. 2015;7:S16-21.
  • Xiong T, Tang J, Mu D-Z. Side effects of phototherapy for neonatal hyperbilirubinemia. Zhongguo Dang Dai Er Ke Za Zhi. 2012;14:396-400.
  • Pichler R, Crespillo C, Maschek W, et al. Plasma levels of α-melanotropin and ACTH-like immunoreactivities do not vary by season or skin type in women from southern and central Europe. Neuropeptides. 2004;38:325-330. doi:10.1016/j.npep.2004.07.003
  • Spiro J, Parker S, Oliver I, Fraser C, Marks JM, Thody AJ. Effect of PUVA on plasma and skin immunoreactive alpha-melanocyte stimulating hormone concentrations. Br J Dermatol. 1987;117:703-707.
  • Videira IF dos S, Moura DFL, Magina S. Mechanisms regulating melanogenesis. An Bras Dermatol. 2013;88:76-83.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Meltem Karabay 0000-0001-7105-7176

Erdem Çokluk 0000-0002-6205-5109

Proje Numarası yok
Yayımlanma Tarihi 5 Haziran 2021
Gönderilme Tarihi 18 Şubat 2021
Kabul Tarihi 30 Nisan 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

AMA Karabay M, Çokluk E. Does Phototherapy Influence Alpha Melanocyte Stimulating Hormone Levels?. OTSBD. Haziran 2021;6(2):201-206. doi:10.26453/otjhs.881968

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