• Profile
Close

PAPP‐A2 and inhibin A as novel predictors for pregnancy complications in women with suspected or confirmed preeclampsia

Journal of the American Heart Association Oct 16, 2020

Neuman RI, van der Meer MMA, Nieboer D, et al. - Researchers here investigated the value of inhibin A and PAPP‐A2 (pregnancy‐associated plasma protein‐A2) for predicting preeclampsia‐related complications and determined how these compare with angiogenic biomarkers. They used a secondary analysis of a prospective, multicenter, observational study, aimed at evaluating the utility of sFlt‐1 (soluble Fms‐like tyrosine kinase‐1)/PlGF (placental growth factor) ratio, in order to determine inhibin A and PAPP‐A2 levels in 524 women with suspected/confirmed preeclampsia. Significantly increased levels of inhibin A and PAPP‐A2 were noted in women with preeclampsia and in maternal perfusate of preeclamptic placentas. The prediction of maternal complications improved significantly when inhibin A and PAPP‐A2 were added on top of the traditional criteria; gestational age, parity, proteinuria, and diastolic blood pressure. To differentiate fetal/neonatal complications on top of traditional criteria, inhibin A and PAPP‐A2 exhibited additive value but their discriminative value remained inferior to that of sFlt‐1/PlGF ratio or PlGF. The PAPP‐A2/PlGF ratio alone displayed remarkable predictive value for pregnancy complications, being superior to sFlt‐1/PlGF ratio in the case of maternal complications. Overall, findings suggest significant potential of inhibin A and PAPP‐A2 to predict preeclampsia‐related pregnancy complications and possibility of their beneficial effects on top of the angiogenic markers.

Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay