Sodium potassium adenosine triphosphatase activity in preterm and term infants and its possible role in sodium homeostasis during maturation
T Bistritzera, M Berkovitcha, M J Rappoportb, S Evansc, S Arielid, M Goldberge, I Tavorie, M Aladjema
a Department
of Paediatrics Assaf Hroheh Medical Center
Zerifin 70300 Sackler
School of Medicine Tel Aviv University
Tel Aviv Israel, b Department of Internal Medicine, c Department of Biochemical Pathology, d Department of Obstetrics, e Department of Neonatology
Correspondence to: Dr Tzvy Bistritzer. Email: mberkovitch{at}asaf.health.gov.il
Accepted 25 May 1999
AIM
To investigate
sodium (NA+) potassium (K+) adenosine
triphosphatase (ATPase) activity in newborn infants at different
gestational ages, to elucidate the mechanism underlying poor renal
sodium conservation in preterm infants.
METHODS
Fifty three
healthy newborn infants, gestational age 30-42 weeks, were studied.
Umbilical cord red blood cell Na+ K+ATPase
activity, plasma renin activity, and plasma aldosterone activities were
measured in all of them. Red blood cell
Na+ K+ATPase activity was re-examined in eight
preterm infants, one and two weeks after birth. Total and ouabain
sensitive ATPase activity was measured spectrophotometrically using a
method that couples ATP hydrolysis with NADH oxidation.
RESULTS
Red blood cell
Na+ K+ATPase activity was significantly lower
(p<0.01) in preterm babies with a gestational age below 35 weeks, compared with those with aged 35 weeks and above: 2.3 (0.8) and 6.7 (1.3) nmol NADH/minute/mg protein, respectively. There was no
correlation between gestational age,
Na+ K+ATPase, plasma renin activity and
aldosterone values either in the preterm or term babies. Two weeks
after birth, irrespective of gestational age, the enzyme activity of
the preterm babies increased to values similar to those observed in the
term neonates at birth.
CONCLUSION
The
differences in sodium homeostasis between term and preterm babies are
modulated via changes in Na+ K+ATPase activity.
Keywords: Na+ K+ ATPase activity; sodium homeostasis
© 1999 by Archives of Disease in Childhood
This article has been cited by other articles:
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Vasarhelyi, B., Tulassay, T., Ver, A., Dobos, M., Kocsis, I., Seri, I.
(2000). Developmental changes in erythrocyte Na+,K+-ATPase subunit abundance and enzyme activity in neonates. Arch. Dis. Child. Fetal Neonatal Ed.
83: 135F-138
[Abstract] [Full Text]
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