Apolipoprotein A-1 in umbilical cord blood of newborn infants: Relation to gestational age and high-density lipoprotein cholesterol

C. R. Parker, S. J. Fortunato, B. R. Carr, J. Owen, Gary Hankins, J. C. Hauth

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Abstract

Apolipoprotein A-1 (Apo A-1) is the major protein constituent of high-density lipoprotein (HDL) and Apo A-1 plays an important role in lipid metabolism and may be protective against atherosclerosis in adults. However, little is known about HDL and Apo A-1 in the developing human fetus. Herein we investigated the relationship of Apo A-1 levels in umbilical cord blood at delivery to gestational age and HDL cholesterol. Fetal plasma levels of Apo A-1, which were not correlated with those in maternal plasma, were significantly lower among newborns delivered at 21-26 wk gestation (52 ± 4.4 mg/dl, mean ± SE) than in those delivered at 33-34 wk gestation (87 ± 5.8 mg/dl). Thereafter, the mean umbilical cord plasma levels of Apo A-1 remained relatively constant (101 mg/dl at 39-40 wk of gestation). We found no significant correlations between Apo A-1 levels and fetal sex, race, or delivery method. At equivalent gestational ages and birth weights, however, Apo A-1 levels in white newborns tended to be lower than those in black infants. The Apo A-1/HDL cholesterol ratio in umbilical cord blood rose progressively from 2.5 (27-28 wk gestation) to 3.8 at term, due largely to increased Apo A-1 levels but little change in the mean HDL cholesterol levels, which ranged from 22-24 mg/dl at each gestational period. These results are suggestive that fetal sources and that the rate of production and/or clearance of Apo A-1 is altered during the latter third of human intrauterine development.

Original languageEnglish (US)
Pages (from-to)348-351
Number of pages4
JournalPediatric Research
Volume23
Issue number4
StatePublished - 1988
Externally publishedYes

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Parker, C. R., Fortunato, S. J., Carr, B. R., Owen, J., Hankins, G., & Hauth, J. C. (1988). Apolipoprotein A-1 in umbilical cord blood of newborn infants: Relation to gestational age and high-density lipoprotein cholesterol. Pediatric Research, 23(4), 348-351.