Gingival Crevicular Placental Alkaline Phosphatase Is an Early Pregnancy Biomarker for Pre-Eclampsia.

cohort study gestation placental biomarkers pre-eclampsia risk prediction model

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
07 Apr 2021
Historique:
received: 19 01 2021
revised: 15 02 2021
accepted: 22 03 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

Early and innovative diagnostic strategies are required to predict the risk of developing pre-eclampsia (PE). The purpose of this study was to evaluate the performance of gingival crevicular fluid (GCF) placental alkaline phosphatase (PLAP) concentrations to correctly classify women at risk of PE. A prospectively collected, retrospectively stratified cohort study was conducted, with 412 pregnant women recruited at 11-14 weeks of gestation. Physical, obstetrical, and periodontal data were recorded. GCF and blood samples were collected for PLAP determination by ELISA assay. A multiple logistic regression classification model was developed, and the classification efficiency of the model was established. Within the study cohort, 4.3% of pregnancies developed PE. GCF-PLAP concentration was 3- to 6-fold higher than in plasma samples. GCF-PLAP concentrations and systolic blood pressure were greater in women who developed PE (

Identifiants

pubmed: 33916883
pii: diagnostics11040661
doi: 10.3390/diagnostics11040661
pmc: PMC8067553
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Fondo de Fomento al Desarrollo Científico y Tecnológico
ID : ID16I10452
Organisme : NICHD NIH HHS
ID : HHSN275201300006C
Pays : United States

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Auteurs

Alejandra Chaparro (A)

Centre for Biomedical and Innovation Research, Department of Periodontology, Faculty of Dentistry, Universidad de Los Andes, Santiago 7620001, Chile.

Maximiliano Monckeberg (M)

Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Los Andes, Santiago 7620001, Chile.

Ornella Realini (O)

Centre for Biomedical and Innovation Research, Department of Periodontology, Faculty of Dentistry, Universidad de Los Andes, Santiago 7620001, Chile.

Marcela Hernández (M)

Laboratory of Periodontal Biology, Department of Pathology, Faculty of Dentistry, Universidad de Chile, Santiago 8330015, Chile.

Fernanda Param (F)

Centre for Biomedical and Innovation Research, Department of Periodontology, Faculty of Dentistry, Universidad de Los Andes, Santiago 7620001, Chile.

Daniela Albers (D)

Department of Statistics, Faculty of Dentistry, Universidad Mayor, Santiago 8580745, Chile.

Valeria Ramírez (V)

Department of Public Health and Epidemiology, Faculty of Dentistry, Universidad de los Andes, Santiago 7620001, Chile.

Juan Pedro Kusanovic (JP)

Department of Obstetrics and Gynecology, Hospital Sótero del Río, Santiago 13201, Chile.
Division of Obstetrics and Gynecology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago 8331150, Chile.

Roberto Romero (R)

Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI 48201, USA.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA.
Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI 48824, USA.
Center for Molecular Medicine and Genetics, Wayne State University, Detroit, MI 48201, USA.
Detroit Medical Center, Detroit, MI 48201, USA.
Department of Obstetrics and Gynecology, Florida International University, Miami, FL 33199, USA.

Gregory Rice (G)

Center for Research and Medical Innovation, Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Los Andes, Santiago 7620001, Chile.
UQ Centre for Clinical Research, University of Queensland, Brisbane, QLD 4072, Australia.

Sebastián E Illanes (SE)

Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad de Los Andes, Santiago 7620001, Chile.
Department of Obstetrics and Gynecology, Clínica Dávila, Santiago 7620001, Chile.

Classifications MeSH