Evidence map›Paper›PMID 37365154›Full record

ArticleScientific reports2023

Iron homeostasis in full-term, normal birthweight Gambian neonates over the first week of life.

James H Cross, Ousman Jarjou, Nuredin Ibrahim Mohammed, Santiago Rayment Gomez, Bubacarr J B Touray, Noah J Kessler, Andrew M Prentice, Carla Cerami

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03353051 (Iron and Infection), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03353051 completednot on this map

Iron and Infection: Neonatal Nutritional Immunity (NeoInnate Study)

TypeobservationalSponsorLondon School of Hygiene and Tropical MedicineRan2017 to 2019Enrolled430ConditionsNeonatal Infection, Nutritional AnemiaArmsObservational study
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

James H CrossMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia.
Ousman JarjouMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia.
Nuredin Ibrahim MohammedMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia.
Santiago Rayment GomezCardiff University, Cardiff, CF10 3AT, Wales, UK.
Bubacarr J B TourayMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia.
Noah J KesslerDepartment of Genetics, University of Cambridge, Cambridge, CB2 3EH, UK.
Andrew M PrenticeMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia.
Carla CeramiMedical Research Council Unit The Gambia at the London, School of Hygiene & Tropical Medicine, Atlantic Boulevard, Fajara, P.O. Box 273, Banjul, The Gambia. ccerami@mrc.gm.
MRC Unit the Gambia · GMCardiff University · GBUniversity of Cambridge · GB

Funding

Gates Foundation OPP1152353Medical Research Council MC_U123292699Medical Research Council MC_UU_00026/3
6 · The paper itself

Abstract

Human neonates elicit a profound hypoferremia which may protect against bacterial sepsis. We examined the transience of this hypoferremia by measuring iron and its chaperone proteins, inflammatory and haematological parameters over the first post-partum week. We prospectively studied term, normal weight Gambian newborns. Umbilical cord vein and artery, and serial venous blood samples up to day 7 were collected. Hepcidin, serum iron, transferrin, transferrin saturation, haptoglobin, c-reactive protein, α1-acid-glycoprotein, soluble transferrin receptor, ferritin, unbound iron-binding capacity and full blood count were assayed. In 278 neonates we confirmed the profound early postnatal decrease in serum iron (22.7 ± 7.0 µmol/L at birth to 7.3 ± 4.6 µmol/L during the first 6-24 h after birth) and transferrin saturation (50.2 ± 16.7% to 14.4 ± 6.1%). Both variables increased steadily to reach 16.5 ± 3.9 µmol/L and 36.6 ± 9.2% at day 7. Hepcidin increased rapidly during the first 24 h of life (19.4 ± 14.4 ng/ml to 38.9 ± 23.9 ng/ml) and then dipped (32.7 ± 18.4 ng/ml) before rising again at one week after birth (45.2 ± 19.1 ng/ml). Inflammatory markers increased during the first week of life. The acute postnatal hypoferremia in human neonates on the first day of life is highly reproducible but transient. The rise in serum iron during the first week of life occurs despite very high hepcidin levels indicating partial hepcidin resistance.Trial Registration: clinicaltrials.gov (NCT03353051). Registration date: November 27, 2017.

Indexed as

HepcidinsIronBirth WeightFemaleGambiaHomeostasisHumansInfant, NewbornReceptors, TransferrinTransferrinHepcidinsIronReceptors, TransferrinTransferrin

Identifiers

PMID37365154
PMCPMC10293170
OpenAlexW4382020466

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.