Document Detail


Cord blood carbohydrate-deficient transferrin levels are markedly higher than maternal.
MedLine Citation:
PMID:  9029385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Regular, heavy alcohol intake results in transferrin that is deficient in carbohydrate moieties. Carbohydrate-deficient transferrin (CDT) has been used as a biologic marker of heavy alcohol exposure in nonpregnant humans. There have been no reports of CDT levels in pregnancy. Our objective was to determine maternal and cord blood levels of CDT. Parturients were recruited at delivery based on graded representative alcohol consumption, from abstainers to heavy drinkers, as determined by screeners skilled at eliciting drug and alcohol histories. Maternal and cord blood serum samples were obtained at delivery. A double antibody radioimmunoassay was used to determine CDT in each sample. There were 83 paired specimens analyzed by paired t tests and stepwise regression analysis. Cord blood CDT units/liter (44.0 +/- 29.5) were significantly (P < 0.0001) higher than maternal (18.4 +/- 7.0). Maternal and cord CDT did not correlate with race, perinatal risk score, gestational age at delivery, birth weight, Apgar scores, or reported alcohol intake. Maternal CDT levels had a significant negative correlation with cigarette smoking. Cord blood CDT levels are significantly higher than maternal. While regular, heavy alcohol consumption by adults results in serum transferrin deficient in carbohydrate moieties, the reason for elevated fetal CDT is unknown.
Authors:
J E Whitty; M P Dombrowski; S S Martier; M G Subramanian; R J Sokol
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of maternal-fetal medicine     Volume:  6     ISSN:  1057-0802     ISO Abbreviation:  J Matern Fetal Med     Publication Date:    1997 Jan-Feb
Date Detail:
Created Date:  1997-06-19     Completed Date:  1997-06-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9211288     Medline TA:  J Matern Fetal Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  45-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University, Detroit, MI 48201, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking / blood*,  epidemiology,  ethnology
Biological Markers / blood
Ethnic Groups
Female
Fetal Blood / chemistry*
Humans
Incidence
Maternal Exposure*
Michigan / epidemiology
Pregnancy
Pregnancy Complications / blood*,  enzymology,  epidemiology
Prenatal Exposure Delayed Effects*
Transferrin / analogs & derivatives*,  analysis
Grant Support
ID/Acronym/Agency:
5P50AA-0760608/AA/NIAAA NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; 0/carbohydrate-deficient transferrin; 11096-37-0/Transferrin

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