Intact parathyroid hormone levels during pregnancy, in healthy term neonates and in hypocalcemic preterm infants

G Saggese, GI Baroncelli, S Bertelloni… - Acta …, 1991 - Wiley Online Library
G Saggese, GI Baroncelli, S Bertelloni, C Cipolloni
Acta Pædiatrica, 1991Wiley Online Library
We measured parathyroid hormone levels in pregnant and nonpregnant women and at 1, 2
and 5 days of life in healthy term neonates and in hypocalcemic preterm infants using a new
immunoradiometric assay which measures only biologically active intact parathyroid
hormone and by a mid‐molecule parathyroid hormone radioimmunoassay. During
pregnancy intact and mid‐molecule parathyroid hormone levels did not show any
modification and were not different from parathyroid hormone levels of nonpregnant age …
Abstract
We measured parathyroid hormone levels in pregnant and nonpregnant women and at 1, 2 and 5 days of life in healthy term neonates and in hypocalcemic preterm infants using a new immunoradiometric assay which measures only biologically active intact parathyroid hormone and by a mid‐molecule parathyroid hormone radioimmunoassay. During pregnancy intact and mid‐molecule parathyroid hormone levels did not show any modification and were not different from parathyroid hormone levels of nonpregnant age‐matched controls. Serum calcium and phosphorus levels did not vary during each trimester of pregnancy. In cord serum intact and mid‐molecule parathyroid hormone values were low in both term and preterm infants. In term neonates intact and mid‐molecule parathyroid hormone levels peaked on day 1; in preterm infants intact parathyroid hormone levels peaked on day 1 while mid‐molecule parathyroid hormone values peaked on day 2. Intact parathyroid hormone levels showed a more marked increase in preterm (19‐fold) than in term neonates (7.5‐fold) on day 1. Our data do not confirm the previously reported “physiologic” hyperparathyroidism in pregnancy. Moreover we found a normal parathyroid gland responsiveness to decreasing serum calcium levels in the first days of life in term and preterm infants. Our results suggest that measurement of intact parathyroid hormone 1‐84 by immunoradiometric assay in the first days of life is a more sensitive index of parathyroid gland secretory function than the measurement of middle or carboxyl‐terminal parathyroid hormone fragments allowing the detection of the dynamic changes of parathyroid hormone which occur in hypocalcemic preterm infants.
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