自发性早产孕妇中 IgG Fc 结合蛋白:一项回顾性队列研究。

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

机构信息

The Department of Obstetrics and Gynecology, University Hospital Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Sokolska 581, 500 05, Hradec Králové, Czech Republic.

Biomedical Research Center, University Hospital Hradec Kralove, Hradec Králové, Czech Republic.

出版信息

Sci Rep. 2021 Mar 17;11(1):6107. doi: 10.1038/s41598-021-85473-2.

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.

摘要

目的

测定早产胎膜早破(PPROM)和未足月胎膜完整早产(PTL)患者羊膜和宫颈液中的免疫球蛋白 G Fc 结合蛋白(FcgammaBP)浓度,并评估 FcgammaBP 的诊断指标预测羊膜腔感染(即微生物侵袭羊膜腔和羊膜腔内炎症同时存在)的能力。本研究纳入了分别患有 PPROM 和 PTL 的 170 例和 79 例女性患者。采用聚酯纤维拭子采集宫颈液,经腹羊膜腔穿刺术采集羊水样本。采用酶联免疫吸附试验检测样本中 FcgammaBP 的浓度。羊膜腔感染的存在与 PPROM 和 PTL 患者羊膜液中 FcgammaBP 浓度升高有关[PPROM-存在:86ng/mL 比不存在:13ng/mL,p<0.0001,受试者工作特征曲线(AUC)下面积=0.94;PTL-存在:140ng/mL 比不存在:22ng/mL,p<0.0001,AUC=0.86]。在宫颈液中,仅在 PPROM 患者羊膜腔感染存在时 FcgammaBP 浓度升高(存在:345ng/mL 比不存在:60ng/mL,p<0.0001,AUC=0.93)。羊水和宫颈液中的 FcgammaBP 可能都是 PPROM 和 PTL 患者羊膜腔感染的标志物。然而,在宫颈液中,仅在 PPROM 患者中观察到 FcgammaBP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c43/7969627/ab4b9e88f42c/41598_2021_85473_Fig1_HTML.jpg

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