title: Early- or mid-trimester amniocentesis biomarkers for predicting preterm delivery: a meta-analysis.
abstract: To determine the value of early- or mid-trimester amniotic fluid levels of interleukin-6 (IL-6), matrix metalloproteinase-8 (MMP-8), and glucose for predicting preterm delivery.
  
  
  
  Randomized controlled trials and two-arm prospective, retrospective, cohorts, and case-controlled studies in which patients received early- or mid-trimester amniocentesis for karyotyping, and biomarker testing of the amniotic fluid was performed and delivery data were available were included in the analysis.
  
  
  
  Outcome measures were the associations of amniotic fluid IL-6, MMP-8, and glucose levels with preterm delivery. Differences in means with 95% confidence intervals (CIs) were calculated. Of 288 articles identified, 14 were included in the meta-analysis with a total of 675 patients who had preterm birth and 2518 patients who had term births. The preterm-delivery group had significantly higher amniotic fluid IL-6 and MMP-8 levels, and a significantly lower glucose level than the term delivery group (IL-6: difference in means = 0.32, 95% CI: 0.22-0.43, p < 0.001; MMP-8: difference in means = 4.47, 95% CI: 0.83-8.11), p = 0.016; glucose: difference in means = -5.22, 95% CI: -8.19 to -2.26, p = 0.001) Conclusion: Early- or mid-trimester amniotic fluid IL-6, MMP-8, and glucose levels are useful for predicting the risk of preterm delivery. KEY MESSAGES Median amniotic fluid ferritin and IL-6 levels, and mean amniotic fluid ALP levels were higher in the preterm group. The preterm-delivery group had significantly higher amniotic fluid IL-6 and MMP-8 levels, and a significantly lower glucose level than the term-delivery group.
authors: a Department of Obstetrics & Gynecology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , P.R. China.
authors: Yinglin
authors: Y
authors: Liu
authors: a Department of Obstetrics & Gynecology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , P.R. China.
authors: Yukun
authors: Y
authors: Liu
authors: a Department of Obstetrics & Gynecology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , P.R. China.
authors: Rui
authors: R
authors: Zhang
authors: a Department of Obstetrics & Gynecology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , P.R. China.
authors: Liqiong
authors: L
authors: Zhu
authors: a Department of Obstetrics & Gynecology , Sun Yat-sen Memorial Hospital, Sun Yat-sen University , Guangzhou , P.R. China.
authors: Ziya
authors: Z
authors: Feng
mesh_terms: D000328:Adult; D000649:Amniocentesis; D000653:Amniotic Fluid / Q000378:metabolism*; D015415:Biomarkers / Q000032:analysis*; D016022:Case-Control Studies; D005260:Female; D005865:Gestational Age; D005947:Glucose / Q000032:analysis; D006801:Humans; D007231:Infant, Newborn; D015850:Interleukin-6 / Q000032:analysis; D020784:Matrix Metalloproteinase 8 / Q000032:analysis; D017063:Outcome Assessment, Health Care; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011264:Pregnancy Trimesters / Q000378:metabolism*; D047928:Premature Birth / Q000175:diagnosis / Q000453:epidemiology / Q000378:metabolism* / Q000401:mortality; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies
chemical_list: D015415:Biomarkers; C508600:IL6 protein, human; D015850:Interleukin-6; C488762:MMP8 protein, human; D020784:Matrix Metalloproteinase 8; D005947:Glucose
keywords: Biomarker; IL-6; MMP-8; glucose; interleukin-6; matrix metalloproteinase-8; meta-analysis; preterm delivery