Decreased Expression of Placental Proteins in Recurrent Pregnancy Loss: Functional Relevance and Diagnostic Value
Publication Name: International Journal of Molecular Sciences
Publication Date: 2024-02-01
Volume: 25
Issue: 3
Page Range: Unknown
Description:
Miscarriages affect 50–70% of all conceptions and 15–20% of clinically recognized pregnancies. Recurrent pregnancy loss (RPL, ≥2 miscarriages) affects 1–5% of recognized pregnancies. Nevertheless, our knowledge about the etiologies and pathophysiology of RPL is incomplete, and thus, reliable diagnostic/preventive tools are not yet available. Here, we aimed to define the diagnostic value of three placental proteins for RPL: human chorionic gonadotropin free beta-subunit (free-β-hCG), pregnancy-associated plasma protein-A (PAPP-A), and placental growth factor (PlGF). Blood samples were collected from women with RPL (n = 14) and controls undergoing elective termination of pregnancy (n = 30) at the time of surgery. Maternal serum protein concentrations were measured by BRAHMS KRYPTOR Analyzer. Daily multiple of median (dMoM) values were calculated for gestational age-specific normalization. To obtain classifiers, logistic regression analysis was performed, and ROC curves were calculated. There were differences in changes of maternal serum protein concentrations with advancing healthy gestation. Between 6 and 13 weeks, women with RPL had lower concentrations and dMoMs of free β-hCG, PAPP-A, and PlGF than controls. PAPP-A dMoM had the best discriminative properties (AUC = 0.880). Between 9 and 13 weeks, discriminative properties of all protein dMoMs were excellent (free β-hCG: AUC = 0.975; PAPP-A: AUC = 0.998; PlGF: AUC = 0.924). In conclusion, free-β-hCG and PAPP-A are valuable biomarkers for RPL, especially between 9 and 13 weeks. Their decreased concentrations indicate the deterioration of placental functions, while lower PlGF levels indicate problems with placental angiogenesis after 9 weeks.
Open Access: Yes
DOI: 10.3390/ijms25031865
Authors - 18
Offer Erez
10440450200
Padma Murthi
12545822800
Nándor Gábor Than
15623542400
Dániel Györffy
24729059200
Lajos Veress
35563535000
Zoltán Papp
55771414800
Sándor Nagy
57196960170
Andrea Balogh
57197589714
László Orosz
57204664890
Eszter Tóth
57205619234
Gergő Orosz
57208753154
Máté Posta
57575719900
Orsolya Oravecz
6506703394
Nándor Ács
6601950847
Gábor Szalai
7003999593
András Szilágyi
7005337376
Olga Török
7005652422
Petronella Hupuczi
8662016000