IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study

Abstract To determine the IgGFc-binding protein (FcgammaBP) concentration in amniotic and cervical fluids in preterm prelabor rupture of membranes (PPROM) and preterm labor with intact membranes (PTL) and to assess the diagnostic indices of FcgammaBP to predict intra-amniotic infection (the presence...

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Autores principales: Jaroslav Stranik, Marian Kacerovsky, Ondrej Soucek, Martina Kolackova, Ivana Musilova, Lenka Pliskova, Radka Bolehovska, Pavel Bostik, Jana Matulova, Bo Jacobsson, Ctirad Andrys
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:9996645937e14387a64d3880701d86d02021-12-02T17:05:12ZIgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study10.1038/s41598-021-85473-22045-2322https://doaj.org/article/9996645937e14387a64d3880701d86d02021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85473-2https://doaj.org/toc/2045-2322Abstract To determine the IgGFc-binding protein (FcgammaBP) concentration in amniotic and cervical fluids in preterm prelabor rupture of membranes (PPROM) and preterm labor with intact membranes (PTL) and to assess the diagnostic indices of FcgammaBP to predict intra-amniotic infection (the presence of both microbial invasion of the amniotic cavity and intra-amniotic inflammation). In this study, we included 170 and 79 women with PPROM and PTL, respectively. Paired cervical and amniotic fluid samples were obtained using a Dacron polyester swab and transabdominal amniocentesis, respectively. The FcgammaBP concentrations in the samples were assessed using an enzyme-linked immunosorbent assay. The presence of intra-amniotic infection was associated with elevated FcgammaBP concentrations in pregnancies with PPROM and PTL [PPROM—presence: 86 ng/mL vs. absence: 13 ng/mL, p < 0.0001, area under receiver operating characteristic curve (AUC) = 0.94; PTL—presence: 140 ng/mL vs. absence: 22 ng/mL, p < 0.0001, AUC = 0.86]. In cervical fluid, the concentrations of FcgammaBP were elevated in the presence of intra-amniotic infection in pregnancies with PPROM only (presence: 345 ng/mL vs. absence: 60 ng/mL, p < 0.0001, AUC = 0.93). FcgammaBP in amniotic fluid might be a marker of intra-amniotic infection in women with both PPROM and PTL However, in cervical fluid, it is only observed in women with PPROM.Jaroslav StranikMarian KacerovskyOndrej SoucekMartina KolackovaIvana MusilovaLenka PliskovaRadka BolehovskaPavel BostikJana MatulovaBo JacobssonCtirad AndrysNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jaroslav Stranik
Marian Kacerovsky
Ondrej Soucek
Martina Kolackova
Ivana Musilova
Lenka Pliskova
Radka Bolehovska
Pavel Bostik
Jana Matulova
Bo Jacobsson
Ctirad Andrys
IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
description Abstract To determine the IgGFc-binding protein (FcgammaBP) concentration in amniotic and cervical fluids in preterm prelabor rupture of membranes (PPROM) and preterm labor with intact membranes (PTL) and to assess the diagnostic indices of FcgammaBP to predict intra-amniotic infection (the presence of both microbial invasion of the amniotic cavity and intra-amniotic inflammation). In this study, we included 170 and 79 women with PPROM and PTL, respectively. Paired cervical and amniotic fluid samples were obtained using a Dacron polyester swab and transabdominal amniocentesis, respectively. The FcgammaBP concentrations in the samples were assessed using an enzyme-linked immunosorbent assay. The presence of intra-amniotic infection was associated with elevated FcgammaBP concentrations in pregnancies with PPROM and PTL [PPROM—presence: 86 ng/mL vs. absence: 13 ng/mL, p < 0.0001, area under receiver operating characteristic curve (AUC) = 0.94; PTL—presence: 140 ng/mL vs. absence: 22 ng/mL, p < 0.0001, AUC = 0.86]. In cervical fluid, the concentrations of FcgammaBP were elevated in the presence of intra-amniotic infection in pregnancies with PPROM only (presence: 345 ng/mL vs. absence: 60 ng/mL, p < 0.0001, AUC = 0.93). FcgammaBP in amniotic fluid might be a marker of intra-amniotic infection in women with both PPROM and PTL However, in cervical fluid, it is only observed in women with PPROM.
format article
author Jaroslav Stranik
Marian Kacerovsky
Ondrej Soucek
Martina Kolackova
Ivana Musilova
Lenka Pliskova
Radka Bolehovska
Pavel Bostik
Jana Matulova
Bo Jacobsson
Ctirad Andrys
author_facet Jaroslav Stranik
Marian Kacerovsky
Ondrej Soucek
Martina Kolackova
Ivana Musilova
Lenka Pliskova
Radka Bolehovska
Pavel Bostik
Jana Matulova
Bo Jacobsson
Ctirad Andrys
author_sort Jaroslav Stranik
title IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
title_short IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
title_full IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
title_fullStr IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
title_full_unstemmed IgGFc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
title_sort iggfc-binding protein in pregnancies complicated by spontaneous preterm delivery: a retrospective cohort study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/9996645937e14387a64d3880701d86d0
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