Angiogenic biomarkers for prediction of maternal and neonatal complications in suspected preeclampsia.
Department of Obstetrics and Gynecology; Department of Biochemistry and Molecular Pharmacology
Pre-Eclampsia; Biological Markers
Female Urogenital Diseases and Pregnancy Complications | Maternal and Child Health | Obstetrics and Gynecology
OBJECTIVE: To determine if maternal serum angiogenic factors predict maternal and neonatal complications in women presenting to an acute care setting with suspected preeclampsia.
STUDY DESIGN: Maternal serum samples were prospectively collected from women with suspected preeclampsia at the time of initial presentation to hospital triage with signs or symptoms of preeclampsia. Soluble fms-like tyrosine kinase-1 (sFlt1), placental growth factor (PlGF), and soluble endoglin (sEng) were measured by ELISA. The primary outcome was a composite of maternal and neonatal complications.
RESULTS: Of 276 women with suspected preeclampsia, 78 developed maternal or neonatal complications. Among women presenting prior to 37 weeks gestation, sFlt1, PlGF, and sEng were significantly different in women who developed maternal and neonatal complications as compared to women without complications. Higher levels of sFlt1, sEng, and the sFlt1:PlGF ratio were associated with an increased odds of complications among women presenting prior to 37 weeks. A multivariable model combining the sFlt1:PlGF ratio with clinical variables was more predictive of complications (AUC 0.91, 95% CI 0.85-0.97) than a model using clinical variables alone (AUC 0.82, 95% CI 0.79-0.90).
CONCLUSION: Angiogenic biomarkers associate with maternal and neonatal complications in women with suspected preeclampsia, and may be useful for risk stratification.
DOI of Published Version
J Matern Fetal Neonatal Med. 2012 Dec;25(12):2651-7. doi: 10.3109/14767058.2012.713055. Link to article on publisher's site
The journal of maternal-fetal and neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Moore, Andreea G.; Young, Heather; Keller, Jennifer M.; Ojo, Linda R.; Yan, Jing; Moore Simas, Tiffany A.; and Maynard, Sharon E., "Angiogenic biomarkers for prediction of maternal and neonatal complications in suspected preeclampsia." (2012). Obstetrics and Gynecology Publications and Presentations. 80.