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Biomarkers of endothelial dysfunction in preeclampsia and neonatal morbidity: a case-control study.

ΤίτλοςBiomarkers of endothelial dysfunction in preeclampsia and neonatal morbidity: a case-control study.
Publication TypeJournal Article
Year of Publication2014
AuthorsMasoura, S., Kalogiannidis I., Makedou K., Theodoridis T., Koiou K., Gerou S., Athanasiadis A., & Agorastos T.
JournalEur J Obstet Gynecol Reprod Biol
Volume175
Pagination119-23
Date Published2014 Apr
ISSN1872-7654
Λέξεις κλειδιάAdult, Biomarkers, Blood Pressure, Case-Control Studies, Endothelium, Vascular, Female, Humans, Infant, Newborn, Infant, Newborn, Diseases, Logistic Models, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Pregnancy Proteins, Vascular Endothelial Growth Factor A, Vascular Endothelial Growth Factor Receptor-1, Young Adult
Abstract

OBJECTIVE: To investigate the association of preeclampsia with angiogenic imbalance, and the correlation of levels of angiogenic and anti-angiogenic factors to complications in mother and fetus.STUDY DESIGN: Serum samples were obtained from 40 women with established preeclampsia (study group) and from 40 normotensive women (control group). Epidemiological characteristics of the two groups were analyzed. The levels of the angiogenic (VEGF and PlGF) and anti-angiogenic (sFlt-1) factors of the two study groups were determined in serum using ELISA. Neonatal adverse outcomes (late preterm, early term, low birth weight (LBW), very LBW (VLBW), intrauterine growth restriction (IUGR), and neonatal intensive care unit (NICU) admission) between the groups of the study were analyzed, as well as the association between the biomarkers of the study and neonatal adverse outcomes of the preeclamptic group of patients.RESULTS: sFlt-1 levels were significantly higher in the preeclamptic women compared to normotensive women (median (range): 21297 (690-32637)pg/ml vs. 846.45 (363-2867)pg/ml, respectively), whereas there was a significant decrease in the levels of VEGF (90 (90-211)pg/ml vs. 90.55 (90-521)pg/ml, respectively), as well as in the levels of PlGF (13.62 (8-532)pg/ml vs. 239.86 (61-685)pg/ml, respectively). The increased serum values of the anti-angiogenic sFlt-1 were associated with increased rates of late preterm and early term births and VLBW.CONCLUSION: An imbalance between angiogenic and anti-angiogenic factors exists in preeclampsia and is associated with adverse maternal and neonatal outcomes.

DOI10.1016/j.ejogrb.2014.01.012
Alternate JournalEur. J. Obstet. Gynecol. Reprod. Biol.
PubMed ID24485669

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