Studies by magnetic resonance spectroscopy were performed at a median age of 5 days on 18 appropriately grown (AGA) and 9 growth retarded (SGA) newborn infants with birthweights below the 3rd centile, to investigate: 1. Maturational changes in cerebral intracellular high-energy phosphorus (P) metabolite concentrations and pHi during normal gestation, and: 2. Whether any abnormalities were detectable in the SGA infants. The methods used have been described previously (Hope PL et al, Lancet 1984, ii: 366). Linear regressions were calculated for P-metabolite concentration ratios and pH. on gestational plus postnatal age for the AGA infants. Phosphocreatine (PCr)/inorganic orthophosphate (Pi) increased from 0.77±0.24 (95% confidence limits) at 28w to 1.09±0.24 at 42w (p<0.001). No significant changes were found in adenosine triphosphate (ATPl/total P, PCr/ATP, Pi/ATP, phosphomonoester (PME)/ATP, phosphodiester (PDE)/ATP, or pH., though PCr/ATP tended to rise, and Pi/ATP and PME/ATP tended to fall. Values from the SGA infants at 30-38w of gestational plus postnatal age were distributed evenly across the data from the AGA infants. We conclude: 1. PCr/Pi increased with advancing maturation of the brain, and: 2. Values for P-metabolite ratios and pHi in the SGA infants did not differ from those in the AGA infants.
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