Cardiothoracic & vascular anaesthesia

Correlation of Neuron‐Specific Enolase and S100ß Protein Levels, Inflammatory Cytokines, and Neurological Injury in Children Undergoing Cardiopulmonary Bypass

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

The positive correlation between NSE, S100ß, inflammatory cytokines, and neurological deficits suggests that the systemic inflammatory response to CPB may contribute to neurological injury and that NSE and S100ß may be useful tools to detect neurological injury following CPB.

Study context

Population
Children undergoing cardiac surgery with cardiopulmonary bypass (CPB)children undergoing cardiac surgery with CPB
Participants
50 children
Exposure
Neurological insult vs Without neurological deficits
  • Neurological insultn = Three
Outcome
NSE and S100ß levels after bypass

Main finding

As reported in the abstract

  • Neuron-specific enolase (NSE) and S100ß increased significantly following bypass and correlated with increases of IL-6, IL-8, and IL-10

Observational data: associations, not effects.

Further findings

OutcomeP value
NSE levels, patients with vs without neurological deficits · post-CPB periodGreater levels of NSE in patients with neurological insultP = 0.02
S100ß levels, patients with vs without neurological deficits · 24 h post-CPBGreater levels of S100ß in patients with neurological insultP = 0.02

Correlation with duration of CPB and aortic cross clamp

Significant positive correlation of NSE and S100ß with duration of CPB, and of S100ß with duration of aortic cross clamp

Neurological insult

Patients who suffered neurological insult
Three

Original publication

Correlation of Neuron‐Specific Enolase and S100ß Protein Levels, Inflammatory Cytokines, and Neurological Injury in Children Undergoing Cardiopulmonary Bypass. Paediatr Anaesth. Published 20 October 2026. doi:10.1002/pan.70332

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