CHANGES IN ALPHA-DEFENSIN AS AN INFLAMMATORY MARKER DURING NEONATAL SEPSIS IN TERM AND PRETERM INFANTS
Clinical medicine

CHANGES IN ALPHA-DEFENSIN AS AN INFLAMMATORY MARKER DURING NEONATAL SEPSIS IN TERM AND PRETERM INFANTS

Published 2026-06-30

Authors:

Polukhova A.E.
Scientific Research Institute of Pediatrics named after K.Y. Farajova
https://orcid.org/0009-0005-5647-4840
Kerimova N.T.
Scientific Research Institute of Pediatrics named after K.Y. Farajova
https://orcid.org/0000-0003-4549-4465

Abstract:
Neonatal sepsis remains one of the most important causes of infectious morbidity in newborns, especially among infants born prematurely. The study evaluated alpha-defensin as an inflammatory marker in 130 newborns, including term and preterm infants with sepsis and healthy newborns in the control group. The concentration of alpha-defensin was markedly higher in septic newborns than in healthy infants and decreased during repeated assessment, reflecting attenuation of the inflammatory process. In term infants with sepsis, alpha-defensin exceeded control values by more than fifteenfold, and a similar increase was observed in preterm infants with both early and late disease onset. Positive associations with interleukin-6 and interleukin-8 indicate that alpha-defensin reflects activation of innate immune mechanisms. The findings support the use of alpha-defensin as an additional laboratory marker for assessing the severity of inflammation and immune status in neonatal sepsis.
Keywords:
neonatal sepsis alpha-defensin innate immunity inflammatory markers preterm infants term infants
References:
  1. Agakidou E, Agakidis C, Kontou A, Chotas W, Sarafidis K. Antimicrobial peptides in early-life host defense, perinatal infections, and necrotizing enterocolitis. J Clin Med. 2022;11(17):5074. doi: 10.3390/jcm11175074.
  2. Battersby AJ, Khara J, Wright VJ, Levy O, Kampmann B. Antimicrobial proteins and peptides in early life: ontogeny and translational opportunities. Front Immunol. 2016;7:309. doi: 10.3389/fimmu.2016.00309.
  3. Boscarino G, Migliorino R, Carbone G, Davino G, Dell’Orto VG, Perrone S, et al. Biomarkers of neonatal sepsis: where we are and where we are going. Antibiotics (Basel). 2023;12(8):1233. doi: 10.3390/antibiotics12081233.
  4. Gilfillan M, Bhandari V. Neonatal sepsis biomarkers: where are we now? Res Rep Neonatol. 2019;9:9-20. doi: 10.2147/RRN.S163082.
  5. Gude SS, Peddi NC, Vuppalapati S, Gopal SV, Ramesh HM, Suryadevara N. Biomarkers of neonatal sepsis: from being mere numbers to becoming guiding diagnostics. Cureus. 2022;14(3):e23215. doi: 10.7759/cureus.23215.
  6. Humberg A, Neuenburg L, Boeckel H, Fortmann MI, Härtel C, Herting E, et al. Antimicrobial skin peptides in premature infants: comparison with term infants and impact of perinatal factors. Front Immunol. 2023;14:1093340. doi: 10.3389/fimmu.2023.1093340.
  7. Kerimova NT. Comparative characterization of alpha-defensins, endotoxins, and several biochemical parameters in early and late neonatal sepsis. Azerbaijan Journal of Physiology. 2024;39(1):51-58. doi: 10.59883/ajp.96.
  8. Li X, Wei Y, Xu Z, Li T, Dong G, Liu X, et al. Lymphocyte-to-C-reactive protein ratio as an early sepsis biomarker for neonates with suspected sepsis. Mediators Inflamm. 2023;2023:9077787. doi: 10.1155/2023/9077787.
  9. Ma J, Chen X, Wang X, Liang J, Guo L, Su Y, et al. The accuracy of soluble urokinase-type plasminogen activator receptor for the diagnosis of neonatal sepsis: a meta-analysis. Front Med (Lausanne). 2023;10:1169114. doi: 10.3389/fmed.2023.1169114.
  10. Morad EA, Rabie RA, Almalky MA, Gebriel MG. Evaluation of procalcitonin, C-reactive protein, and interleukin-6 as early markers for diagnosis of neonatal sepsis. Int J Microbiol. 2020;2020:8889086. doi: 10.1155/2020/8889086.
  11. Mubaraki MA, Faqihi A, AlQhtani F, Hafiz TA, Alalhareth A, Thagfan FA, et al. Blood biomarkers of neonatal sepsis with special emphasis on the monocyte distribution width value as an early sepsis index. Medicina (Kaunas). 2023;59(8):1425. doi: 10.3390/medicina59081425.
  12. Mwesigye P, Rizwan F, Alassaf N, Khan R. The role and validity of diagnostic biomarkers in late-onset neonatal sepsis. Cureus. 2021;13(8):e17065. doi: 10.7759/cureus.17065.
  13. Oncul U, Dalgıç N, Demir M, Karadeniz P, Karadağ ÇA. Use of procalcitonin as a biomarker for sepsis in pediatric burns. Eur J Pediatr. 2023;182(4):1561-1567. doi: 10.1007/s00431-023-04831-6.
  14. Pariente N, on behalf of the PLOS Biology Staff Editors. The antimicrobial resistance crisis needs action now. PLoS Biol. 2022;20(11):e3001918. doi: 10.1371/journal.pbio.3001918.
  15. Rallis D, Giapros V, Serbis A, Kosmeri C, Baltogianni M. Fighting Antimicrobial Resistance in Neonatal Intensive Care Units: Rational Use of Antibiotics in Neonatal Sepsis. Antibiotics (Basel). 2023 Mar 3;12(3):508. doi: 10.3390/antibiotics12030508.
  16. Raymond SL, Stortz JA, Mira JC, Larson SD, Wynn JL, Moldawer LL. Immunological defects in neonatal sepsis and potential therapeutic approaches. Front Pediatr. 2017;5:14. doi: 10.3389/fped.2017.00014.
Publication:
«World of Medicine and Biology» Vol. 22 No. 96 (2026) , с. 107-110
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