Circulating growth differentiation factor 15 is increased preceding preeclampsia diagnosis: Implications as a disease biomarker

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Circulating growth differentiation factor 15 is increased preceding preeclampsia diagnosis: Implications as a disease biomarker

Cruickshank, Tess (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Macdonald, Teresa M. (author): Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Walker, Susan P. (author): Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Keenan, Emerson (author): Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Dane, Kirsten (author): Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Middleton, Anna (author): Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Kyritsis, Valerie (author): Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Myers, Jenny (author): Univ Manchester, St Marys Hosp, Manchester Acad Hlth Sci Ctr, Manchester, Lancs, England.

Cluver, Catherine (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.;Univ Stellenbosch, Tygerberg Hosp, Dept Obstet & Gynecol, Cape Town, South Africa.

Hastie, Roxanne (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Bergman, Lina, 1982 (author): Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Klinisk obstetrik,Univ Stellenbosch, Tygerberg Hosp, Dept Obstet & Gynecol, Cape Town, South Africa.;Sahlgrenska Acad Univ Gothenburg, Dept Obstet, Gothenburg, Sweden.;Sahlgrenska Acad Univ Gothenburg, Inst Clin Sci, Gothenburg, Sweden.

Garcha, Damanpreet (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Cannon, Ping (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Murray, Elizabeth (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Nguyen, Tuong Vi (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Hiscock, Richard (author): Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.

Pritchard, Natasha (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Hannan, Natalie J. (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Tong, Stephen (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

Kaitu’u-Lino, Tu’Uhevaha J. (author): Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia.;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia.

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Mercy Hosp Women, Translat Obstet Grp, Heidelberg, Vic, Australia;Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia. Mercy Hosp Women, Dept Obstet & Gynaecol, Heidelberg, Vic, Australia.;Mercy Hosp Women, Mercy Perinatal, Heidelberg, Vic, Australia. (creator_code:org_t)

John Wiley & Sons, 2021
2021
English.
In: Journal of the American Heart Association. - : John Wiley & Sons. - 2047-9980. ; 10:16

Related links:: https://doi.org/10.1...; show more...; https://uu.diva-port... (primary) (Raw object); https://gup.ub.gu.se...; https://doi.org/10.1...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

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BACKGROUND: We investigated the biomarker potential of growth differentiation factor 15 (GDF-15), a stress response protein highly expressed in placenta, to predict preeclampsia. METHODS AND RESULTS: In 2 prospective cohorts (cohort 1: 960 controls, 39 women who developed preeclampsia; cohort 2: 950 controls, 41 developed preeclampsia), plasma concentrations of GDF-15 at 36 weeks’ gestation were significantly increased among those who developed preeclampsia (P<0.001), area under the receiver operating characteristic curves (AUC) of 0.66 and 0.71, respectively. In cohort 2 a ratio of sFlt-1/PlGF (a clinical biomarker for preeclampsia) had a sensitivity of 61.0% at 83.2% specificity to predict those who will develop preeclampsia (AUC of 0.79). A ratio of GDF-15×sFlt-1/PlGF yielded a sensitivity of 68.3% at 83.2% specificity (AUC of 0.82). GDF-15 was consistently elevated across a number of international cohorts: levels were higher in placenta and blood from women delivering <34 weeks’ gestation due to preterm preeclampsia in Melbourne, Australia; and in the blood at 26 to 32 weeks’ gestation among 57 women attending the Manchester Antenatal Vascular Service (MAViS, UK) who developed preeclampsia (P=0.0002), compared with 176 controls. In the Preeclampsia Obstetric adVerse Events biobank (PROVE, South Africa), plasma GDF-15 was significantly increased in women with preec-lampsia with severe features (P=0.02; n=14) compared to controls (n=14). CONCLUSIONS: We conclude circulating GDF-15 is elevated among women more likely to develop preeclampsia or diagnosed with the condition. It may have value as a clinical biomarker, including the potential to improve the sensitivity of sFlt-1/PlGF ratio.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

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Circulating growth differentiation factor 15 is increased preceding preeclampsia diagnosis: Implications as a disease biomarker

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