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http://purl.uniprot.org/citations/21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/21717483http://www.w3.org/2000/01/rdf-schema#comment"

Objective

To assess first trimester placental growth factor (PlGF) and pregnancy-associated plasma protein-A (PAPP-A) as screening markers for early-onset pre-eclampsia (PE) and intra-uterine growth restriction (IUGR).

Methods

PlGF concentration was retrospectively measured in first trimester serum specimens of 23 cases of early-onset PE (<34 weeks), 26 cases of IUGR (birth weight < 5th centile) and 5 controls per case. Levels were adjusted for gestational age (GA), ethnicity and smoking to obtain multiples of the expected median (MoM). Logistic regression was used to assess PlGF, PAPP-A and maternal characteristics as potential predictors of early-onset PE and IUGR.

Results

PlGF MoM levels were significantly lower in the early-onset PE group (P < 0.0001) compared with controls, but not in the IUGR group. PAPP-A MoM levels were significantly lower in the IUGR group (P < 0.01) compared with controls but not in the early-onset PE group. PlGF significantly improved the ability of systolic blood pressure at the first prenatal visit to predict early-onset PE [achieving a receiver-operating characteristics curve with area under the curve (AUC) of 0.8]. Combining systolic blood pressure at the first prenatal visit and PlGF did not significantly improve the predictive ability compared with PlGF alone (AUC = 0.83).

Conclusion

Serum PlGF is an acceptable marker in first trimester screening for early-onset PE, but a poor marker in screening for IUGR. Screening performance of serum PAPP-A is poor for both early-onset PE and IUGR."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.org/dc/terms/identifier"doi:10.1002/pd.2807"xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"Blankenstein M.A."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"Twisk J.W."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"van Vugt J.M."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"Heijboer A.C."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"Mensink I."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/author"Vandenberghe G."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/date"2011"xsd:gYear
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/name"Prenat Diagn"xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/pages"955-961"xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/title"First trimester screening for intra-uterine growth restriction and early-onset pre-eclampsia."xsd:string
http://purl.uniprot.org/citations/21717483http://purl.uniprot.org/core/volume"31"xsd:string
http://purl.uniprot.org/citations/21717483http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/21717483
http://purl.uniprot.org/citations/21717483http://xmlns.com/foaf/0.1/primaryTopicOfhttps://pubmed.ncbi.nlm.nih.gov/21717483
http://purl.uniprot.org/uniprot/#_B4DTA7-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_B4DTA8-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_Q13219-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_Q53XY6-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_G3XA84-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_Q5QFB7-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_P49763-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_Q86TW6-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483
http://purl.uniprot.org/uniprot/#_Q86YM8-mappedCitation-21717483http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/21717483