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Second-trimester angiogenic factors as biomarkers for future-onset preeclampsia.

AbstractOBJECTIVE:
The purpose of this study was to determine whether second-trimester soluble fms-like tyrosine kinase-1 and placenta growth factor (PlGF) are altered in patients who have preeclampsia develop compared with controls. Furthermore, soluble fms-like tyrosine kinase-1 and placenta growth factor levels in patients with chronic hypertension are described.
STUDY DESIGN:
With the use of a research database, 21 patients who had severe preeclampsia develop, 34 controls, and 9 patients with chronic hypertension were enrolled. Placenta growth factor and soluble fms-like tyrosine kinase-1 serum levels were determined by enzyme-linked immunosorbent assay. Appropriate statistical tests were used and results were reported as median (quartile 1-quartile 3) in picograms per milliliter.
RESULTS:
Placenta growth factor was significantly lower in patients in the second trimester who later had severe preeclampsia develop but soluble fms-like tyrosine kinase-1 was unchanged compared with healthy pregnancies. In patients with chronic hypertension, placenta growth factor and soluble fms-like tyrosine kinase-1 levels were not different compared with controls.
CONCLUSION:
Second-trimester placenta growth factor levels are altered in patients who had severe preeclampsia develop.
AuthorsE Ramsey Unal, Christopher J Robinson, Donna D Johnson, Eugene Y Chang
JournalAmerican journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 197 Issue 2 Pg. 211.e1-4 (Aug 2007) ISSN: 1097-6868 [Electronic] United States
PMID17689655 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiogenesis Inducing Agents
  • Biomarkers
  • PGF protein, human
  • Pregnancy Proteins
  • Placenta Growth Factor
  • FLT1 protein, human
  • Vascular Endothelial Growth Factor Receptor-1
Topics
  • Adult
  • Angiogenesis Inducing Agents (blood)
  • Biomarkers
  • Female
  • Humans
  • Hypertension (blood)
  • Placenta Growth Factor
  • Pre-Eclampsia (blood)
  • Pregnancy
  • Pregnancy Proteins (blood)
  • Pregnancy Trimester, Second
  • Vascular Endothelial Growth Factor Receptor-1 (blood)

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