Leptin, IL-6 and TNF-α levels in umbilical cord blood of healthy term newborns in relation to mode of delivery

J Obstet Gynaecol. 2016 Aug;36(6):719-721. doi: 10.3109/01443615.2016.1148128. Epub 2016 Mar 25.

Abstract

In the development of the foetal immune system, cytokines play an important role in its function. Therefore, we sought to determine whether the mode of delivery affects the expression of leptin, IL-6 and TNF-α in umbilical cord blood in healthy term newborns. We collected 125 samples of umbilical cord blood to analyse leptin, IL-6 y TNF-α levels with multiplex immunoassay (MIA). The samples were classified according to mode of delivery: vaginal delivery (VD) and caesarean section (CS). Leptin and IL-6 had higher concentrations in umbilical cord blood in VD than in CS: 42.55 ng/ml (11.92-104.28) versus 35.20 ng/ml (3.26-9326.76), p = 0.039; 9.32 pg/ml (1.13-2020.31) versus 3.81 pg/ml (0.52-834.69) p < 0.001, respectively. Also, a weak correlation between TNF-α and IL-6 was found (r = 0.238, p = 0.007). The most important finding in our study was the differential concentrations of leptin and IL-6 according to mode of delivery.

Keywords: IL-6; Leptin; TNF-α; cord blood; mode of delivery; term newborn.

MeSH terms

  • Cohort Studies
  • Delivery, Obstetric / methods*
  • Female
  • Fetal Blood / chemistry*
  • Humans
  • Infant, Newborn
  • Interleukin-6 / blood*
  • Leptin / blood*
  • Male
  • Pregnancy
  • Term Birth / blood*
  • Tumor Necrosis Factor-alpha / blood*

Substances

  • IL6 protein, human
  • Interleukin-6
  • Leptin
  • Tumor Necrosis Factor-alpha