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Archives of Disease in Childhood - Fetal and Neonatal Edition 1999;81:F184-F187; doi:10.1136/fn.81.3.F184
Copyright © 1999 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 1999;81:F184-F187 ( November )

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

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This article has been cited by other articles:

  • 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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