Skip to main content
Erschienen in: Annals of Hematology 4/2023

27.02.2023 | Review Article

Neonatal hematological parameters: the translational aspect of developmental hematopoiesis

verfasst von: Rozeta Sokou, Stavroula Parastatidou, Aikaterini Konstantinidi, Georgios Ioakeimidis, Andreas G. Tsantes, Dimitra Houhoula, Nicoletta Iacovidou, Argirios E. Tsantes

Erschienen in: Annals of Hematology | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

Abstract

Hematopoiesis is a process constantly evolving from fetal life through adulthood. Neonates present with qualitative and quantitative differences in hematological parameters compared to older children and adults, reflecting developmental changes in hematopoiesis correlated with gestational age. Such differences are more intense for preterm and small-for-gestational-age neonates or neonates with intrauterine growth restriction. This review article is aimed at describing the hematologic differences among neonatal subgroups and the major underlying pathogenic mechanisms. Issues that should be taken into account when interpreting neonatal hematological parameters are also highlighted.
Literatur
2.
Zurück zum Zitat Christensen RD (2018) Hematology and immunology of newborns: overview. In: Buonocore G, Bracci R, Weindling M (eds) Neonatology: a practical approach to neonatal diseases. Springer International Publishing, Cham, pp 1405–1430 Christensen RD (2018) Hematology and immunology of newborns: overview. In: Buonocore G, Bracci R, Weindling M (eds) Neonatology: a practical approach to neonatal diseases. Springer International Publishing, Cham, pp 1405–1430
4.
Zurück zum Zitat Battaglia FC, Lubchenco LO (1967) A practical classification of newborn infants by weight and gestational age. J Pediatr 71(2):159–163PubMed Battaglia FC, Lubchenco LO (1967) A practical classification of newborn infants by weight and gestational age. J Pediatr 71(2):159–163PubMed
5.
Zurück zum Zitat Diderholm B (2009) Perinatal energy metabolism with reference to IUGR & SGA: studies in pregnant women & newborn infants. Indian J Med Res 130(5):612–617PubMed Diderholm B (2009) Perinatal energy metabolism with reference to IUGR & SGA: studies in pregnant women & newborn infants. Indian J Med Res 130(5):612–617PubMed
6.
Zurück zum Zitat American College of Obstetricians and Gynecologists (2001) Intrauterine growth restriction. Clinical management guidelines for obstetrician-gynecologists. Int J Gynaecol Obstet 72(1):85–96 American College of Obstetricians and Gynecologists (2001) Intrauterine growth restriction. Clinical management guidelines for obstetrician-gynecologists. Int J Gynaecol Obstet 72(1):85–96
7.
Zurück zum Zitat Demicheva E, Crispi F (2014) Long-term follow-up of intrauterine growth restriction: cardiovascular disorders. Fetal Diagn Ther 36(2):143–153PubMed Demicheva E, Crispi F (2014) Long-term follow-up of intrauterine growth restriction: cardiovascular disorders. Fetal Diagn Ther 36(2):143–153PubMed
8.
Zurück zum Zitat Widness JA (2008) Pathophysiology of anemia during the neonatal period, including anemia of prematurity. NeoReviews 9(11):e520–e520PubMedPubMedCentral Widness JA (2008) Pathophysiology of anemia during the neonatal period, including anemia of prematurity. NeoReviews 9(11):e520–e520PubMedPubMedCentral
9.
Zurück zum Zitat Zipursky A et al (1983) The erythrocyte differential count in newborn infants. Am J Pediatr Hematol Oncol 5(1):45–51PubMed Zipursky A et al (1983) The erythrocyte differential count in newborn infants. Am J Pediatr Hematol Oncol 5(1):45–51PubMed
10.
Zurück zum Zitat Christensen RD et al (2008) The erythrocyte indices of neonates, defined using data from over 12,000 patients in a multihospital health care system. J Perinatol 28(1):24–28PubMed Christensen RD et al (2008) The erythrocyte indices of neonates, defined using data from over 12,000 patients in a multihospital health care system. J Perinatol 28(1):24–28PubMed
11.
Zurück zum Zitat Matoth Y, Zaizov R, Varsano I (1971) Postnatal changes in some red cell parameters. Acta Paediatr Scand 60(3):317–323PubMed Matoth Y, Zaizov R, Varsano I (1971) Postnatal changes in some red cell parameters. Acta Paediatr Scand 60(3):317–323PubMed
12.
Zurück zum Zitat Christensen RD et al (2016) Reference intervals for reticulocyte parameters of infants during their first 90 days after birth. J Perinatol 36(1):61–66PubMed Christensen RD et al (2016) Reference intervals for reticulocyte parameters of infants during their first 90 days after birth. J Perinatol 36(1):61–66PubMed
13.
Zurück zum Zitat Bedrick AD (2014) Nucleated red blood cells and fetal hypoxia: a biologic marker whose ‘timing’ has come? J Perinatol 34(2):85–86PubMed Bedrick AD (2014) Nucleated red blood cells and fetal hypoxia: a biologic marker whose ‘timing’ has come? J Perinatol 34(2):85–86PubMed
14.
Zurück zum Zitat Elahi S (2019) Neglected cells: immunomodulatory roles of CD71(+) erythroid cells. Trends Immunol 40(3):181–185PubMed Elahi S (2019) Neglected cells: immunomodulatory roles of CD71(+) erythroid cells. Trends Immunol 40(3):181–185PubMed
15.
Zurück zum Zitat Palis J, Segel GB (1998) Developmental biology of erythropoiesis. Blood Rev 12(2):106–114PubMed Palis J, Segel GB (1998) Developmental biology of erythropoiesis. Blood Rev 12(2):106–114PubMed
17.
Zurück zum Zitat Franz AR et al (2020) Effects of liberal vs restrictive transfusion thresholds on survival and neurocognitive outcomes in extremely low-birth-weight infants: the ETTNO randomized clinical trial. JAMA 324(6):560–570PubMed Franz AR et al (2020) Effects of liberal vs restrictive transfusion thresholds on survival and neurocognitive outcomes in extremely low-birth-weight infants: the ETTNO randomized clinical trial. JAMA 324(6):560–570PubMed
19.
Zurück zum Zitat Del Vecchio A, Motta M, Romagnoli C (2015) Neonatal platelet function. Clin Perinatol 42(3):625–638PubMed Del Vecchio A, Motta M, Romagnoli C (2015) Neonatal platelet function. Clin Perinatol 42(3):625–638PubMed
20.
Zurück zum Zitat Kuhne T, Imbach P (1998) Neonatal platelet physiology and pathophysiology. Eur J Pediatr 157(2):87–94PubMed Kuhne T, Imbach P (1998) Neonatal platelet physiology and pathophysiology. Eur J Pediatr 157(2):87–94PubMed
21.
Zurück zum Zitat Sola-Visner M (2012) Platelets in the neonatal period: developmental differences in platelet production, function, and hemostasis and the potential impact of therapies. Hematology Am Soc Hematol Educ Program 2012:506–511PubMed Sola-Visner M (2012) Platelets in the neonatal period: developmental differences in platelet production, function, and hemostasis and the potential impact of therapies. Hematology Am Soc Hematol Educ Program 2012:506–511PubMed
22.
Zurück zum Zitat Wiedmeier SE et al (2009) Platelet reference ranges for neonates, defined using data from over 47,000 patients in a multihospital healthcare system. J Perinatol 29(2):130–136PubMed Wiedmeier SE et al (2009) Platelet reference ranges for neonates, defined using data from over 47,000 patients in a multihospital healthcare system. J Perinatol 29(2):130–136PubMed
23.
Zurück zum Zitat Curley A et al (2018) Randomized trial of platelet-transfusion thresholds in neonates. N Engl J Med 380(3):242–251PubMed Curley A et al (2018) Randomized trial of platelet-transfusion thresholds in neonates. N Engl J Med 380(3):242–251PubMed
24.
Zurück zum Zitat MacQueen BC et al (2017) The immature platelet fraction: creating neonatal reference intervals and using these to categorize neonatal thrombocytopenias. J Perinatol 37(7):834–838PubMedPubMedCentral MacQueen BC et al (2017) The immature platelet fraction: creating neonatal reference intervals and using these to categorize neonatal thrombocytopenias. J Perinatol 37(7):834–838PubMedPubMedCentral
25.
Zurück zum Zitat Manroe BL et al (1979) The neonatal blood count in health and disease. I. Reference values for neutrophilic cells. J Pediatr 95(1):89–98PubMed Manroe BL et al (1979) The neonatal blood count in health and disease. I. Reference values for neutrophilic cells. J Pediatr 95(1):89–98PubMed
26.
Zurück zum Zitat Schmutz N et al (2008) Expected ranges for blood neutrophil concentrations of neonates: the Manroe and Mouzinho charts revisited. J Perinatol 28(4):275–281PubMed Schmutz N et al (2008) Expected ranges for blood neutrophil concentrations of neonates: the Manroe and Mouzinho charts revisited. J Perinatol 28(4):275–281PubMed
27.
Zurück zum Zitat Christensen RD (1987) Circulating pluripotent hematopoietic progenitor cells in neonates. J Pediatr 110(4):623–625PubMed Christensen RD (1987) Circulating pluripotent hematopoietic progenitor cells in neonates. J Pediatr 110(4):623–625PubMed
28.
Zurück zum Zitat Lawrence SM, Corriden R, Nizet V (2017) Age-appropriate functions and dysfunctions of the neonatal neutrophil. Front Pediatr 5:23PubMedPubMedCentral Lawrence SM, Corriden R, Nizet V (2017) Age-appropriate functions and dysfunctions of the neonatal neutrophil. Front Pediatr 5:23PubMedPubMedCentral
29.
Zurück zum Zitat Medoff HS, Barbero GJ (1950) Total blood eosinophil counts in the newborn period. Pediatrics 6(5):737–742PubMed Medoff HS, Barbero GJ (1950) Total blood eosinophil counts in the newborn period. Pediatrics 6(5):737–742PubMed
31.
Zurück zum Zitat Christensen RD et al (2010) Reference ranges for blood concentrations of eosinophils and monocytes during the neonatal period defined from over 63 000 records in a multihospital health-care system. J Perinatol 30(8):540–545PubMed Christensen RD et al (2010) Reference ranges for blood concentrations of eosinophils and monocytes during the neonatal period defined from over 63 000 records in a multihospital health-care system. J Perinatol 30(8):540–545PubMed
32.
33.
Zurück zum Zitat Bass DA (1975) Behavior of eosinophil leukocytes in acute inflammation. II. Eosinophil dynamics during acute inflammation. J Clin Investig 56(4):870–879PubMedPubMedCentral Bass DA (1975) Behavior of eosinophil leukocytes in acute inflammation. II. Eosinophil dynamics during acute inflammation. J Clin Investig 56(4):870–879PubMedPubMedCentral
34.
Zurück zum Zitat Christensen RD, Rothstein G (1979) Pitfalls in the interpretation of leukocyte counts of newborn infants. Am J Clin Pathol 72(4):608–611PubMed Christensen RD, Rothstein G (1979) Pitfalls in the interpretation of leukocyte counts of newborn infants. Am J Clin Pathol 72(4):608–611PubMed
35.
Zurück zum Zitat Chervenick PA et al (1968) Quantitative studies of blood and bone marrow neutrophils in normal mice. Am J Physiol 215(2):353–360PubMed Chervenick PA et al (1968) Quantitative studies of blood and bone marrow neutrophils in normal mice. Am J Physiol 215(2):353–360PubMed
36.
Zurück zum Zitat Köstlin-Gille N, Gille C (2020) Myeloid-derived suppressor cells in pregnancy and the neonatal period. Front Immunol 11:584712PubMedPubMedCentral Köstlin-Gille N, Gille C (2020) Myeloid-derived suppressor cells in pregnancy and the neonatal period. Front Immunol 11:584712PubMedPubMedCentral
37.
Zurück zum Zitat Carr R (2000) Neutrophil production and function in newborn infants. Br J Haematol 110(1):18–28PubMed Carr R (2000) Neutrophil production and function in newborn infants. Br J Haematol 110(1):18–28PubMed
38.
Zurück zum Zitat Wolach B et al (1998) Neonatal neutrophil inflammatory responses: parallel studies of light scattering, cell polarization, chemotaxis, superoxide release, and bactericidal activity. Am J Hematol 58(1):8–15PubMed Wolach B et al (1998) Neonatal neutrophil inflammatory responses: parallel studies of light scattering, cell polarization, chemotaxis, superoxide release, and bactericidal activity. Am J Hematol 58(1):8–15PubMed
39.
Zurück zum Zitat Anderson DC et al (1990) Impaired transendothelial migration by neonatal neutrophils: abnormalities of Mac-1 (CD11b/CD18)-dependent adherence reactions. Blood 76(12):2613–2621PubMed Anderson DC et al (1990) Impaired transendothelial migration by neonatal neutrophils: abnormalities of Mac-1 (CD11b/CD18)-dependent adherence reactions. Blood 76(12):2613–2621PubMed
40.
Zurück zum Zitat Lorant DE et al (1999) P-selectin expression by endothelial cells is decreased in neonatal rats and human premature infants. Blood 94(2):600–609PubMed Lorant DE et al (1999) P-selectin expression by endothelial cells is decreased in neonatal rats and human premature infants. Blood 94(2):600–609PubMed
41.
Zurück zum Zitat Imanirad P, Dzierzak E (2013) Hypoxia and HIFs in regulating the development of the hematopoietic system. Blood Cells Mol Dis 51(4):256–263PubMedPubMedCentral Imanirad P, Dzierzak E (2013) Hypoxia and HIFs in regulating the development of the hematopoietic system. Blood Cells Mol Dis 51(4):256–263PubMedPubMedCentral
42.
Zurück zum Zitat Ozbek N, Gürakan B, Kayiran SM (2000) Complete blood cell counts in capillary and venous blood of healthy term newborns. Acta Haematol 103(4):226–228PubMed Ozbek N, Gürakan B, Kayiran SM (2000) Complete blood cell counts in capillary and venous blood of healthy term newborns. Acta Haematol 103(4):226–228PubMed
43.
Zurück zum Zitat Proytcheva MA (2009) Issues in neonatal cellular analysis. Am J Clin Pathol 131(4):560–573PubMed Proytcheva MA (2009) Issues in neonatal cellular analysis. Am J Clin Pathol 131(4):560–573PubMed
44.
Zurück zum Zitat Rolim ACB et al (2019) Blood cells profile in umbilical cord of late preterm and term newborns. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo 37(3):264–274PubMed Rolim ACB et al (2019) Blood cells profile in umbilical cord of late preterm and term newborns. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo 37(3):264–274PubMed
45.
Zurück zum Zitat Reibel NJ et al (2021) Aberrant hematopoiesis and morbidity in extremely preterm infants with intrauterine growth restriction. Front Pediatr 9 Reibel NJ et al (2021) Aberrant hematopoiesis and morbidity in extremely preterm infants with intrauterine growth restriction. Front Pediatr 9
46.
Zurück zum Zitat Black LV, Maheshwari A (2009) Disorders of the fetomaternal unit: hematologic manifestations in the fetus and neonate. Semin Perinatol 33(1):12–19PubMedPubMedCentral Black LV, Maheshwari A (2009) Disorders of the fetomaternal unit: hematologic manifestations in the fetus and neonate. Semin Perinatol 33(1):12–19PubMedPubMedCentral
47.
Zurück zum Zitat Reibel NJ et al (2021) Aberrant hematopoiesis and morbidity in extremely preterm infants with intrauterine growth restriction. Front Pediatr 9:728607PubMedPubMedCentral Reibel NJ et al (2021) Aberrant hematopoiesis and morbidity in extremely preterm infants with intrauterine growth restriction. Front Pediatr 9:728607PubMedPubMedCentral
48.
Zurück zum Zitat Fustolo-Gunnink SF et al (2016) Early-onset thrombocytopenia in small-for-gestational-age neonates: a retrospective cohort study. PLoS ONE 11(5):e0154853PubMedPubMedCentral Fustolo-Gunnink SF et al (2016) Early-onset thrombocytopenia in small-for-gestational-age neonates: a retrospective cohort study. PLoS ONE 11(5):e0154853PubMedPubMedCentral
49.
Zurück zum Zitat Yuko S et al (2013) Examination of the percentage of immature platelet fraction in term and preterm infants at birth. J Clin Neonatol 2(4):173–178PubMedPubMedCentral Yuko S et al (2013) Examination of the percentage of immature platelet fraction in term and preterm infants at birth. J Clin Neonatol 2(4):173–178PubMedPubMedCentral
50.
Zurück zum Zitat Tröger B et al (2013) Intrauterine growth restriction and the innate immune system in preterm infants of ≤32 weeks gestation. Neonatology 103(3):199–204PubMed Tröger B et al (2013) Intrauterine growth restriction and the innate immune system in preterm infants of ≤32 weeks gestation. Neonatology 103(3):199–204PubMed
51.
Zurück zum Zitat Wirbelauer J et al (2010) Intrauterine growth retardation in preterm infants ≤32 weeks of gestation is associated with low white blood cell counts. Am J Perinatol 27(10):819–824PubMed Wirbelauer J et al (2010) Intrauterine growth retardation in preterm infants ≤32 weeks of gestation is associated with low white blood cell counts. Am J Perinatol 27(10):819–824PubMed
Metadaten
Titel
Neonatal hematological parameters: the translational aspect of developmental hematopoiesis
verfasst von
Rozeta Sokou
Stavroula Parastatidou
Aikaterini Konstantinidi
Georgios Ioakeimidis
Andreas G. Tsantes
Dimitra Houhoula
Nicoletta Iacovidou
Argirios E. Tsantes
Publikationsdatum
27.02.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Annals of Hematology / Ausgabe 4/2023
Print ISSN: 0939-5555
Elektronische ISSN: 1432-0584
DOI
https://doi.org/10.1007/s00277-023-05144-2

Weitere Artikel der Ausgabe 4/2023

Annals of Hematology 4/2023 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.