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10.3349/ymj.2017.58.2.401

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suck abstract from ncbi


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pmid28120572
      Yonsei+Med+J 2017 ; 58 (2 ): 401-406
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  • The Level of Serum and Urinary Nephrin in Normal Pregnancy and Pregnancy with Subsequent Preeclampsia #MMPMID28120572
  • Jung YJ ; Cho HY ; Cho S ; Kim YH ; Jeon JD ; Kim YJ ; Lee S ; Park J ; Kim HY ; Park YW ; Kwon JY
  • Yonsei Med J 2017[Mar]; 58 (2 ): 401-406 PMID28120572 show ga
  • PURPOSE: The aim of this study was to evaluate serum and urinary nephrin levels of normal pregnancy to establish a standard reference value and to compare them with patients who subsequently developed preeclampsia (PE). MATERIALS AND METHODS: In this prospective study, 117 healthy singleton pregnancies were enrolled between 6 to 20 weeks of gestation at 2 participating medical centers during October 2010 to March 2012. Urine and serum samples were collected at the time of enrollment, each trimester, and at 4 to 6 weeks postpartum. Enzyme-linked immunosorbent assay for nephrin was performed and samples from patients who subsequently developed PE were compared to the normal patients. RESULTS: Of 117 patients initially enrolled, 99 patients delivered at the study centers and of those patients, 12 (12.1%) developed PE at a median gestational age of 34?? weeks (range 29??-36??). In the normal patients (n=68), serum nephrin level decreased and urinary nephrin level increased during the latter of pregnancy. In 12 patients who subsequently developed PE, a significant rise in the 3rd trimester serum and urinary nephrin levels, compared to the controls, was observed (p<0.001), and this increase occurred 9 days prior to the onset of clinical disease. CONCLUSION: As the onset of PE was preceded by the rise in the serum and urinary nephrin in comparison to normal pregnancy, serum and urinary nephrin may be a useful predictive marker of PE.
  • |Adult [MESH]
  • |Biomarkers/blood/urine [MESH]
  • |Case-Control Studies [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Female [MESH]
  • |Gestational Age [MESH]
  • |Humans [MESH]
  • |Membrane Proteins/*blood/*urine [MESH]
  • |Pre-Eclampsia/blood/*etiology/urine [MESH]
  • |Pregnancy [MESH]
  • |Pregnancy Proteins [MESH]
  • |Pregnancy Trimester, Third/blood/urine [MESH]
  • |Prospective Studies [MESH]


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