Serum protein fractions have been studied intensively in the normal newborn infant.1-9 However, there is only sparse information on the cerebrospinal fluid protein fractions in this age group.10-18 The concentration of the low protein content in small amounts of cerebrospinal fluid has presented a major problem. Earlier studies primarily used precipitation methods which could not separate the individual fractions. The use of dialysis methods for concentrating proteins, combined with paper electrophoresis, now affords adequate means for separation of the various components of cerebrospinal fluid proteins.Paper electrophoretic studies of cerebrospinal fluid have been performed for the most part only in adults and older children,19-22 with few reports in normal newborn infants.17,18 The purpose of this study was to determine the distribution and relationship of proteins in the cerebrospinal fluid and serum of normal newborn infants utilizing chemical and paper electrophoretic methods.
MethodThirty-five normal newborn infants ranging in age from 2\ m=1/ 2\ 2 hours to 114 hours were studied.All were products of full-term uneventful gestation and deliveries and on subsequent observations for at least two months were apparently normal.Approximately 3 ml. of cerebrospinal fluid were obtained by lumbar puncture, centrifuged immedi¬ ately to remove any erythrocytes, and kept in a frozen state until processed. Blood samples were obtained by femoral venipuncture, allowed to clot for approximately one hour, and centrifuged, and serum was removed for analysis.The concentration of total protein in the serum and cerebrospinal fluid was determined by a modi¬ fication of the Biuret method.23 In preparation for paper electrophoresis, 2 to 3 ml. portions of cere¬ brospinal fluid were concentrated in an Oxford Model dialyzer for three hours against a 30% solution of polyvinyl pyrolidone (P. V. P.). Eight strips of Whatman 3 MM filter paper were run simultaneously. Barbital (Veronal) buffer at pH 8.6 and 0.05 ionic strength was used. After initial equilibration, serum or cerebrospinal fluid was ap¬ plied at the apex of the wet strip, 10 microliter portions of serum and 100 microliter portions of the cerebrospinal fluid concentrate were applied in duplicate. A constant current of 6-9 ma. was em¬ ployed for 16-hour runs. After drying at 90-120 C for 30 minutes, strips were stained with amidoschwarz 10B dye solution for the protein distribu¬ tion pattern. Densitometry was performed with a Spinco Servo-Type integrating scanner. In this type of scanner, the area under the density curves is shown by a corresponding series of pips. For each component, the Gaussian distribution curve was approximated and lines were drawn through the intersections of the curves for adjacent com¬ ponents.
ResultsThe cerebrospinal fluid proteins occurred in the electrophoretic patterns as five bands, depicited in Figure 2 with their correspond¬ ing paper strip, in the order of increasing mobility to -, ß-, a2-, and ¿^-globulins and to albumin. In addition to the...