Mid-pregnancy circulating cytokine levels, placental efficiency and their relationship with preterm birth

Autor: Carlos Grandi, Karina Bezerra Salomão, Stella Felippe de Freitas, Paulo Ricardo Higassiaraguti Rocha, Ricardo de Carvalho Cavalli, Viviane Cunha Cardoso
Jazyk: English<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Revista Brasileira de Ginecologia e Obstetrícia, Vol 46 (2024)
Druh dokumentu: article
ISSN: 0100-7203
DOI: 10.61622/rbgo/2024rbgo58
Popis: Abstract Objective To assess a panel of cytokines and placental insufficiency with the risk of preterm delivery (PTD). Methods Nested case-control study into the BRISA birth cohort. Eighty-two mother-infant-placenta pairs were selected at 20+0 to 25+6 weeks. Circulating biomarker levels were performed using Luminex flowmetric xMAP technology. Cytokines classified as Th1, Th2 or Th17 and other biomarkers were selected. The ratio between birth weight and placental weight (BW/PW) was used as a proxy for placental efficiency. Spearman correlation, univariate analyses and logistic regression models were calculated. Sensitivity, specificity, positive and negative likelihood ratios were calculated using the Receiver Operating Characteristic curve. Results Mean gestational age was 250 days, 14,6% were small for gestational age, 4,8% large for gestational age and 13,4% stunted. Placental efficiency was higher for term newborns (p
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