Soluble endoglin for the prediction of preeclampsia in a high risk cohort

Sharon E. Maynard, Tiffany A. Moore Simas, Lana Bur, Sybil L. Crawford, Matthew J. Solitro, Bruce A. Meyer

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Objectives. To evaluate soluble endoglin (sEng) and the soluble fms-like tyrosine kinase 1 (sFlt1) to placental growth factor (PlGF) ratio for the prediction of preeclampsia in high-risk women, and to evaluate differences in sEng between women with high-risk singleton and multiple gestation pregnancies. Study Design. We collected serial serum specimens from 119 women at high preeclampsia risk. sEng, sFlt1 and PlGF were measured by ELISA. Results. Among subjects who did not develop preeclampsia, mean serum sEng was significantly higher in those with multiple gestation pregnancies vs. high-risk singletons. Among women with singleton gestations, mean serum sEng was higher in subjects who developed early-onset (<34 weeks) and late-onset (≥ 34 weeks) preeclampsia, as compared with subjects without preeclampsia, from 22 weeks and 28 weeks gestation onward, respectively. The within-woman rate of change of sEng was also higher in women who later developed preeclampsia. Conclusions. sEng is higher in women with multiple gestations vs. high-risk singleton pregnancies. In high-risk women, serum sEng is increased prior to preeclampsia onset.

Original languageEnglish (US)
Pages (from-to)330-341
Number of pages12
JournalHypertension in Pregnancy
Volume29
Issue number3
DOIs
StatePublished - Aug 2010

Keywords

  • Angiogenic factors
  • Multiple gestation pregnancy
  • Preeclampsia
  • Soluble endoglin

ASJC Scopus subject areas

  • Internal Medicine
  • Obstetrics and Gynecology

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    Maynard, S. E., Moore Simas, T. A., Bur, L., Crawford, S. L., Solitro, M. J., & Meyer, B. A. (2010). Soluble endoglin for the prediction of preeclampsia in a high risk cohort. Hypertension in Pregnancy, 29(3), 330-341. https://doi.org/10.3109/10641950902968684