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Amniotic fluid calreticulin in pregnancies complicated by the preterm prelabor rupture of membranes
I. Musilova, C. Andrys, M. Drahosova, O. Soucek, R. Kutova, L. Pliskova, R. Spacek, P. Laudanski, B. Jacobsson, M. Kacerovsky,
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
Odkazy
PubMed
26953684
DOI
10.3109/14767058.2016.1154940
Knihovny.cz E-zdroje
- MeSH
- amniocentéza MeSH
- amnion mikrobiologie MeSH
- biologické markery analýza MeSH
- chorioamnionitida diagnóza MeSH
- dospělí MeSH
- ELISA MeSH
- gestační stáří MeSH
- infekční komplikace v těhotenství MeSH
- interleukin-6 analýza MeSH
- kalretikulin analýza MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- plodová voda chemie mikrobiologie MeSH
- předčasný odtok plodové vody diagnóza MeSH
- prospektivní studie MeSH
- těhotenství MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: This study aimed to determine the amniotic fluid calreticulin concentrations in women with the preterm prelabor rupture of membranes (PPROM) based on the microbial invasion of the amniotic cavity (MIAC), intraamniotic inflammation (IAI) and microbial-associated IAI. METHODS: One hundred sixty-eight women with singleton pregnancies were included in this study. Amniotic fluid samples were obtained by transabdominal amniocentesis and were assayed for calreticulin concentrations by ELISA. IAI was defined as an amniotic fluid interleukin-6 concentration > 745 pg/ml. Microbial-associated IAI was defined as the presence of both MIAC and IAI. RESULT: Women with MIAC (with MIAC: median 54.4 ng/ml, versus without MIAC: median 32.6 ng/ml; p < 0.0001), IAI (with IAI: median 66.8 ng/ml, versus without IAI: median 33.0 ng/ml; p < 0.0001) and microbial-associated IAI (with microbial-associated IAI: median 82.5 ng/ml, versus without microbial-associated IAI: median 33.7 ng/ml; p < 0.0001) had higher concentrations of calreticulin than women without these complications. An amniotic fluid calreticulin concentration of 81.4 ng/ml was found to be the best cutoff point for identifying women with microbial-associated IAI. CONCLUSIONS: The presence of microbial-associated IAI is associated with increased amniotic fluid calreticulin concentrations. Calreticulin seems to be a promising marker for the early identification of PPROM complicated by microbial-associated IAI.
Department of Obstetrics and Gynecology University Hospital Ostrava Ostrava Czech Republic
e Department of Perinatology Medical University of Bialystok Bialystok Poland
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- $a Musilova, Ivana $u a Department of Obstetrics and Gynecology , Faculty of Medicine Hradec Kralove, Charles University in Prague , Hradec Kralove , Czech Republic .
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- $a Amniotic fluid calreticulin in pregnancies complicated by the preterm prelabor rupture of membranes / $c I. Musilova, C. Andrys, M. Drahosova, O. Soucek, R. Kutova, L. Pliskova, R. Spacek, P. Laudanski, B. Jacobsson, M. Kacerovsky,
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- $a OBJECTIVE: This study aimed to determine the amniotic fluid calreticulin concentrations in women with the preterm prelabor rupture of membranes (PPROM) based on the microbial invasion of the amniotic cavity (MIAC), intraamniotic inflammation (IAI) and microbial-associated IAI. METHODS: One hundred sixty-eight women with singleton pregnancies were included in this study. Amniotic fluid samples were obtained by transabdominal amniocentesis and were assayed for calreticulin concentrations by ELISA. IAI was defined as an amniotic fluid interleukin-6 concentration > 745 pg/ml. Microbial-associated IAI was defined as the presence of both MIAC and IAI. RESULT: Women with MIAC (with MIAC: median 54.4 ng/ml, versus without MIAC: median 32.6 ng/ml; p < 0.0001), IAI (with IAI: median 66.8 ng/ml, versus without IAI: median 33.0 ng/ml; p < 0.0001) and microbial-associated IAI (with microbial-associated IAI: median 82.5 ng/ml, versus without microbial-associated IAI: median 33.7 ng/ml; p < 0.0001) had higher concentrations of calreticulin than women without these complications. An amniotic fluid calreticulin concentration of 81.4 ng/ml was found to be the best cutoff point for identifying women with microbial-associated IAI. CONCLUSIONS: The presence of microbial-associated IAI is associated with increased amniotic fluid calreticulin concentrations. Calreticulin seems to be a promising marker for the early identification of PPROM complicated by microbial-associated IAI.
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