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Second trimester inflammatory and metabolic markers in women delivering preterm with and without preeclampsia
Journal article   Open access   Peer reviewed

Second trimester inflammatory and metabolic markers in women delivering preterm with and without preeclampsia

Kharah M Ross, Rebecca J Baer, Kelli Ryckman, Sky K Feuer, Gretchen Bandoli, Christina Chambers, Elena Flowers, Liang Liang, Scott Oltman, Christine Dunkel Schetter, …
Journal of perinatology, Vol.39(2), pp.314-320
02/2019
DOI: 10.1038/s41372-018-0275-8
PMCID: PMC6760589
PMID: 30518800
url
https://doi.org/10.1038/s41372-018-0275-8View
Published (Version of record) Open Access

Abstract

Inflammatory and metabolic pathways are implicated in preterm birth and preeclampsia. However, studies rarely compare second trimester inflammatory and metabolic markers between women who deliver preterm with and without preeclampsia. A sample of 129 women (43 with preeclampsia) with preterm delivery was obtained from an existing population-based birth cohort. Banked second trimester serum samples were assayed for 267 inflammatory and metabolic markers. Backwards-stepwise logistic regression models were used to calculate odds ratios. Higher 5-α-pregnan-3β,20α-diol disulfate, and lower 1-linoleoylglycerophosphoethanolamine and octadecanedioate, predicted increased odds of preeclampsia. Among women with preterm births, those who developed preeclampsia differed with respect metabolic markers. These findings point to potential etiologic underpinnings for preeclampsia as a precursor to preterm birth.
Multivariate Analysis Pregnancy Complications - blood Humans Risk Factors Logistic Models Biomarkers - blood Pregnancy Complications - diagnosis Premature Birth - blood Premature Birth - diagnosis Gestational Age Case-Control Studies Pregnancy Young Adult Pre-Eclampsia - blood Adult Female Pregnancy Trimester, Second - blood Infant, Newborn Pre-Eclampsia - diagnosis

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