Evidence map›Paper›PMID 41238900›Full record

ArticlePediatric research2026

Exploring hemoglobin dynamics and scavenging mechanisms in preterm infants and preterm rabbits with cerebral intraventricular hemorrhage.

Amanda Kristiansson, Helena Karlsson, Suvi Vallius, Niklas Ortenlöf, Claes Ekström, Katarzyna Wiatrowska, Valérie Verdon, Sandra Mena Perez, Kirsten Guse, Thomas Gentinetta and 3 more

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Amanda KristianssonDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden. amanda.kristiansson@med.lu.se.ORCID http://orcid.org/0000-0003-2898-7129
Helena KarlssonDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Suvi ValliusDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Niklas OrtenlöfDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Claes EkströmDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Katarzyna WiatrowskaDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Valérie VerdonCSL Behring, CSL Biologics Research Center, Bern, Switzerland.
Sandra Mena PerezCSL Behring, CSL Biologics Research Center, Bern, Switzerland.
Kirsten GuseCSL Behring, CSL Biologics Research Center, Bern, Switzerland.
Thomas GentinettaCSL Behring, CSL Biologics Research Center, Bern, Switzerland.
Markus BrechmannCSL Innovation GmbH, Marburg, Germany.
David LeyDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.
Magnus GramDepartment of Clinical Sciences Lund, Pediatrics, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraventricular hemorrhage (IVH) is a leading cause of neurodevelopmental impairment in preterm infants, driven by vascular rupture, intraventricular blood accumulation, and secondary injury. Hemolysis releases extracellular hemoglobin (Hb) into the cerebrospinal fluid (CSF), where it promotes oxidative stress, inflammation, and cytotoxicity. The endogenous Hb-scavenging protein haptoglobin (Hp) may mitigate Hb-mediated injury, but its capacity in the immature brain remains unclear. This study aimed to characterize Hb and Hp dynamics in the CSF of preterm infants with severe IVH and to evaluate the translational utility of a preterm rabbit glycerol-induced IVH model.

methodsFourteen infants with grade III IVH or periventricular hemorrhagic infarction were enrolled in a prospective study. CSF was collected via ventricular access devices and analyzed alongside samples from rabbit pups with induced IVH.

resultsInfants showed markedly elevated CSF Hb (mean ± SEM: 133.3 ± 50.1 µmol/L, heme equivalents) and low Hp (0.87 ± 0.15 µg/mL). Similar patterns were observed in IVH-exposed rabbit pups, with elevated Hb and significantly reduced CSF Hp compared to non-IVH controls.

conclusionThese findings indicate a persistent deficit in endogenous Hb clearance following IVH and demonstrate that the rabbit pup model closely reflects the human condition, making it well-suited for preclinical evaluation of Hb-scavenging therapies. IMPACT: The aim of this study was to characterize the dynamics of hemoglobin and haptoglobin in the cerebrospinal fluid of preterm infants with severe IVH and to evaluate the translational validity of a preterm rabbit pup IVH model. By directly comparing hemoglobin and haptoglobin concentrations across species, this study revealed a profound imbalance between hemoglobin burden and scavenging capacity, highlighting a persistent deficit in endogenous clearance. These findings provide a strong rationale for therapeutic strategies targeting hemoglobin clearance in preterm IVH and support the use of the rabbit pup IVH model for translational studies.

Indexed as

Cerebral HemorrhageCerebral Intraventricular HemorrhageHaptoglobinsHemoglobinsInfant, PrematureAnimalsAnimals, NewbornDisease Models, AnimalFemaleGlycerolHumansInfant, NewbornMaleProspective StudiesRabbitsGlycerolHaptoglobinsHemoglobinsHP protein, human

Identifiers

PMID41238900
PMCPMC13485674

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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.