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Cited by 286

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Sequential Changes in Antiangiogenic Factors in Early Pregnancy and Risk of Developing Preeclampsia

Open access
Rana, Sarosh, Karumanchi, S. Ananth, Levine, Richard J., Venkatesha, Shivalingappa, Rauh-Hain, Jose Alejandro, Tamez, Hector, Thadhani, Ravi·2007·Hypertension

Abstract

Concentrations of soluble fms-like tyrosine kinase 1 (sFlt1) and soluble endoglin (sEng) increase in maternal blood with the approach of clinical preeclampsia. Although alterations in these circulating antiangiogenic factors herald the signs and symptoms of preeclampsia, in vitro studies suggest they may also play a role in regulating early placental cytotrophoblast functions. Early pregnancy changes in sFlt1 and sEng may thus identify women destined to develop preeclampsia. We performed a nested case-control study of 39 women who developed preeclampsia and 147 contemporaneous normotensive controls each with serum collected in the first (11 to 13 weeks of gestation) and second (17 to 20 weeks) trimesters. Whereas levels of sFlt1 and sEng at 11 to 13 weeks were similar between cases and controls (sFlt1: 3.5±0.3 ng/mL versus 3.0±0.1, P =0.14; sEng 6.9±0.3 ng/mL versus 6.6±0.2, P =0.37, respectively), at 17 to 20 weeks both were elevated in the women destined to develop preeclampsia (sFlt1: 4.1±0.5 ng/mL versus 3.1±0.1, P <0.05; sEng, 6.4±0.4 ng/mL versus 5.2±0.1, P <0.01). Women who developed preterm (<37 weeks) preeclampsia demonstrated even greater sequential changes: difference [ delta { d} ] between second and first trimester levels: d sFlt1, 0.63±0.91 ng/mL in preterm PE versus 0.05±0.15 in controls; d sEng, 0.73±0.77 ng/mL versus −1.32±0.18, P <0.01. Similar findings were noted in a cross-sectional analysis of specimens collected from the Calcium for Preeclampsia Prevention Study. In conclusion, sequential changes in antiangiogenic factors during early pregnancy may be useful for predicting preterm preeclampsia.

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Metadata

Authors
Rana, S., Karumanchi, S. A., Levine, R. J., Venkatesha, S., Rauh-Hain, J. A., Tamez, H., & Thadhani, R.
Venue
Hypertension
Published
2007-07
Volume
50
Issue
1
Pages
137-142
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
OpenAlex
W2133547019
Cited by
286
References
26
FWCI
29.73
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Sequential Changes in Antiangiogenic Factors in Early Pregnancy and Risk of Developing Preeclampsia. https://app.cochat.ai/papers/10.1161/hypertensionaha.107.087700
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Rana, S., Karumanchi, S. A., Levine, R. J., Venkatesha, S., Rauh-Hain, J. A., Tamez, H., & Thadhani, R. (2007). Sequential Changes in Antiangiogenic Factors in Early Pregnancy and Risk of Developing Preeclampsia. Hypertension. https://doi.org/10.1161/hypertensionaha.107.087700

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