title: Maternal serum angiopoietin-2 at 11 to 13 weeks of gestation in hypertensive disorders of pregnancy.
abstract: OBJECTIVE
  In women with preeclampsia (PE), the serum concentration of the growth factor angiopoietin-2 (Ang-2) is significantly lower than in unaffected controls. The objective of this study is to determine if the decrease in serum Ang-2 is evident from the first trimester of pregnancy before the clinical onset of PE.
  
  
  METHODS
  Serum Ang-2 and uterine artery pulsatility index (PI) were measured at 11 to 13 weeks in 126 pregnancies that subsequently developed PE, 88 cases that developed gestational hypertension (GH) and 214 unaffected controls.
  
  
  RESULTS
  Maternal serum Ang-2 in the PE group [0.96 multiple of the median (MoM)] and in GH (1.12 MoM) was not significantly different from the unaffected group (1.07 MoM). Uterine artery PI was significantly higher in the PE group (1.32 MoM) but not in GH (1.11 MoM) compared to the unaffected group (1.05 MoM).
  
  
  CONCLUSIONS
  In pregnancies that develop PE there is Doppler evidence of impaired placentation from the first trimester of pregnancy. However, the impaired placentation is not reflected in altered maternal serum levels of Ang-2.
authors.affiliation: Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, UK.
authors.forename: Ranjit
authors.initials: R
authors.lastname: Akolekar
authors.forename: Davide
authors.initials: D
authors.lastname: Casagrandi
authors.forename: Evdoxia
authors.initials: E
authors.lastname: Skyfta
authors.forename: Abubaker Abdalla
authors.initials: AA
authors.lastname: Ahmed
authors.forename: Kypros H
authors.initials: KH
authors.lastname: Nicolaides
mesh_terms: D000328:Adult; D042702:Angiopoietin-2 / Q000097:blood*; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000097:blood* / Q000000981:diagnostic imaging / Q000208:ethnology; D009035:Mothers; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First / Q000097:blood*; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal
chemical_list: D042702:Angiopoietin-2