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Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia

  • Authors:
    • Lijie Li
    • Yanmei Zheng
    • Ying Zhu
    • Jianchun Li
  • View Affiliations / Copyright

    Affiliations: Department of Obstetrics, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, P.R. China, Department of Ultrasonic Diagnosis, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 2515-2520
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    Published online on: August 29, 2016
       https://doi.org/10.3892/etm.2016.3625
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Abstract

First-trimester screening may be a major advantage over a second-trimester approach since it opens prospects for early and more efficient interventions. The aim of the current study was to evaluate whether the measurement of maternal serum inhibin A, activin A and placental growth factor (PlGF) at three to four months' gestation with the second-trimester uterine artery pulsatility index (PI) are useful in predicting preeclampsia in a group of nulliparous women. All the patients also underwent uterine artery Doppler examination to measure the PI at 22-24 weeks' gestation. Inhibin A, activin A and PlGF were measured using an ELISA by an examiner who was blinded to the pregnancy outcome. Thirty-eight cases with preeclampsia and 100 controls were analyzed. Second-trimester uterine artery PI and marker levels were expressed as multiples of the median (MoM). The uterine artery PI was increased in pregnancies with preeclampsia compared with controls. In pregnancies that developed preeclampsia, the uterine artery PI was increased (1.61±0.047 vs. 1.02±0.049, P<0.001), as was the level of inhibin A (1.72±0.023 vs. 1.03±0.063, P<0.001) and the level of activin A (1.68±0.38 vs. 1.06±0.42, P<0.001) compared with the controls. In contrast, the level of PlGF was decreased in pregnancies that developed preeclampsia compared with the controls (0.69±0.23 vs. 1.00±0.26, P<0.001). A combination of activin A, PlGF and uterine artery PI gave an AUC of 0.915 (95% CI, 0.812‑0.928; P<0.001) with a sensitivity of 91% at a specificity of 82%. In our study, we demonstrated that both serum inhibin A and activin A levels were increased, while the PlGF level was decreased in the early second-trimester in women who developed preeclampsia.
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Copy and paste a formatted citation
Spandidos Publications style
Li L, Zheng Y, Zhu Y and Li J: Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia. Exp Ther Med 12: 2515-2520, 2016.
APA
Li, L., Zheng, Y., Zhu, Y., & Li, J. (2016). Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia. Experimental and Therapeutic Medicine, 12, 2515-2520. https://doi.org/10.3892/etm.2016.3625
MLA
Li, L., Zheng, Y., Zhu, Y., Li, J."Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia". Experimental and Therapeutic Medicine 12.4 (2016): 2515-2520.
Chicago
Li, L., Zheng, Y., Zhu, Y., Li, J."Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia". Experimental and Therapeutic Medicine 12, no. 4 (2016): 2515-2520. https://doi.org/10.3892/etm.2016.3625
Copy and paste a formatted citation
x
Spandidos Publications style
Li L, Zheng Y, Zhu Y and Li J: Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia. Exp Ther Med 12: 2515-2520, 2016.
APA
Li, L., Zheng, Y., Zhu, Y., & Li, J. (2016). Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia. Experimental and Therapeutic Medicine, 12, 2515-2520. https://doi.org/10.3892/etm.2016.3625
MLA
Li, L., Zheng, Y., Zhu, Y., Li, J."Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia". Experimental and Therapeutic Medicine 12.4 (2016): 2515-2520.
Chicago
Li, L., Zheng, Y., Zhu, Y., Li, J."Serum biomarkers combined with uterine artery Doppler in prediction of preeclampsia". Experimental and Therapeutic Medicine 12, no. 4 (2016): 2515-2520. https://doi.org/10.3892/etm.2016.3625
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