title: Placental Growth Factor, Soluble fms-Like Tyrosine Kinase 1, Soluble Endoglin, IL-6, and IL-16 as Biomarkers in Preeclampsia.
abstract: Preeclampsia (PE), an important cause of maternal and perinatal morbidity and mortality worldwide, is a pregnancy-related disease characterized by hypertension and proteinuria after 20 weeks of gestation. The aim of our study was to find a practical panel of biomarkers useful in early diagnosis of PE. This study was carried out at the Obstetrics and Gynecology Department in Tîrgu Mureș University Hospital, Romania, between January 2014 and July 2015 and included 68 pregnant women (47 preeclamptic women and 21 controls) with gestational age between 16 and 20 weeks at enrollment. The biomarkers PlGF, sFlt-1, sEng, IL-6, and IL-16 were determined by ELISA test. We compared the serum levels of soluble markers analysed in preeclamptic women and controls during the second and third trimesters of pregnancy and we found that the best predictor for PE was PlGF with a sensitivity of 100% at a concentration threshold of 120.16 pg/mL, a diagnosis accuracy of 70.8%, and AUC of 0.684 (p= 0.005). We also estimated the risk for PE according to BMI and we found that pregnant women with weight >90 kg had 7 times higher risk for PE. Second-trimester PlGF serum level may serve as an early biomarker for the diagnosis of PE.
authors: Department of Obstetrics and Gynecology II, University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.
authors: Carmen
authors: C
authors: Rădulescu
authors: Department of Pathophysiology, University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.
authors: Anca
authors: 0000-0002-9473-0287
authors: A
authors: Bacârea
authors: CCAMF of University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania; Department of Laboratory Medicine, University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.
authors: Adina
authors: A
authors: Huțanu
authors: Department of Management and Economy, University Petru Maior of Tîrgu Mureș, Târgu Mureș, Romania.
authors: Rozalia
authors: R
authors: Gabor
authors: CCAMF of University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania; Department of Laboratory Medicine, University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.
authors: Minodora
authors: M
authors: Dobreanu
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood*; D015992:Body Mass Index; D000071063:Endoglin / Q000097:blood*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D019410:Interleukin-16 / Q000097:blood*; D015850:Interleukin-6 / Q000097:blood*; D000072483:Placenta Growth Factor / Q000097:blood*; D011225:Pre-Eclampsia / Q000097:blood*; D011247:Pregnancy; D040281:Vascular Endothelial Growth Factor Receptor-1 / Q000097:blood*; D055815:Young Adult
chemical_list: D015415:Biomarkers; D000071063:Endoglin; D019410:Interleukin-16; D015850:Interleukin-6; D000072483:Placenta Growth Factor; D040281:Vascular Endothelial Growth Factor Receptor-1