Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 3/2015

01.03.2015 | Maternal-Fetal Medicine

The relationship between the VEGF/sVEGFR-1 ratio and threatened abortion

verfasst von: Uğur Keskin, Mustafa Ulubay, Murat Dede, Taner Ozgurtas, Yahya Kemal Koçyiğit, Fevzi Nuri Aydin, Ali Ergün

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study was to evaluate the levels of vascular endothelial growth factor (VEGF), soluble VEGF receptor-1 (sVEGFR-1) and placenta growth factor (PlGF) and VEGF/SVEGFR-1 ratio in pregnant women with threatened abortion (TA) compared to uncomplicated pregnancies at the same gestational week.

Methods

Thirty-three pregnant women with TA and thirty-three pregnant women with uncomplicated pregnancies were included in this case–control study. The level of VEGF, sVEGFR-1, and PIGF was analyzed by enzyme-linked immunosorbent assay (ELISA). The primary purpose of this study was to compare the VEGF, sVEGFR- 1, and PlGF levels and VEGF/sVEGFR-1 ratios in pregnant women with TA and pregnant women with uncomplicated pregnancies. The secondary purpose of this study was to evaluate the correlation between serum levels of these markers and gestational age.

Results

The serum levels of the sVEGFR-1 [0.60 (0.21–1.68) vs. 0.24 (0.09–0.57) ng/ml], VEGF [39.10 (6.57–163.56) vs. 5.24 (0.84–15.08) ng/ml] and VEGF/SVEGFR-1 ratio [68.64 (6.45–550.48) vs 24.12 (2.63–72.63)] were significantly elevated in women with TA (respectively, p: 0.001, p: 0.001, p: 0.001). However, PlGF did not elevate in women with TA [20.80 (3.13–93.11) vs 20.16 (1.22–49.91) ng/ml] (p: 0.473).

Conclusion

These findings support the hypothesis that increased levels of the VEGF and sVEGFR-1 and VEGF/SVEGFR-1 ratio may be associated with the pathogenesis of TA.
Literatur
1.
Zurück zum Zitat Griebel CP, Halvorsen J, Golemon TB, Day AA (2005) Management of spontaneous abortion. Am Fam Physician 72(7):1243–1250PubMed Griebel CP, Halvorsen J, Golemon TB, Day AA (2005) Management of spontaneous abortion. Am Fam Physician 72(7):1243–1250PubMed
2.
Zurück zum Zitat Wang X, Chen C, Wang L, Chen D, Guang W, French J (2003) Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study. Fertil Steril 79(3):577–584PubMedCrossRef Wang X, Chen C, Wang L, Chen D, Guang W, French J (2003) Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study. Fertil Steril 79(3):577–584PubMedCrossRef
3.
Zurück zum Zitat Savitz DA, Hertz-Picciotto I, Poole C, Olshan AF (2002) Epidemiologic measures of the course and outcome of pregnancy. Epidemiol Rev 24(2):91–101PubMedCrossRef Savitz DA, Hertz-Picciotto I, Poole C, Olshan AF (2002) Epidemiologic measures of the course and outcome of pregnancy. Epidemiol Rev 24(2):91–101PubMedCrossRef
4.
Zurück zum Zitat Regan L, Rai R (2000) Epidemiology and the medical causes of miscarriage. Baillieres Best Pract Res Clin Obstet Gynaecol 14(5):839–854PubMedCrossRef Regan L, Rai R (2000) Epidemiology and the medical causes of miscarriage. Baillieres Best Pract Res Clin Obstet Gynaecol 14(5):839–854PubMedCrossRef
5.
Zurück zum Zitat Maynard S, Epstein FH, Karumanchi SA (2008) Preeclampsia and angiogenic imbalance. Ann Rev Med 59:61–78PubMedCrossRef Maynard S, Epstein FH, Karumanchi SA (2008) Preeclampsia and angiogenic imbalance. Ann Rev Med 59:61–78PubMedCrossRef
6.
Zurück zum Zitat Chai L, Ling K, He X, Yang R (2013) Expression of ATF4 and VEGF in chorionic villus tissue in early spontaneous abortion. Eur J Obstet Gynecol Reprod Biol 170(2):434–438PubMedCrossRef Chai L, Ling K, He X, Yang R (2013) Expression of ATF4 and VEGF in chorionic villus tissue in early spontaneous abortion. Eur J Obstet Gynecol Reprod Biol 170(2):434–438PubMedCrossRef
7.
Zurück zum Zitat Pang LH, Li MJ, Li MQ, Yang DM, Shi L (2011) Vascular endothelial growth factor (VEGF) and the VEGF soluble receptor-1 (sFlt-1) in chorionic villus tissue from Chinese women with early recurrent spontaneous abortion. J Int Med Res 39(3):830–837PubMedCrossRef Pang LH, Li MJ, Li MQ, Yang DM, Shi L (2011) Vascular endothelial growth factor (VEGF) and the VEGF soluble receptor-1 (sFlt-1) in chorionic villus tissue from Chinese women with early recurrent spontaneous abortion. J Int Med Res 39(3):830–837PubMedCrossRef
8.
Zurück zum Zitat Smith GC, Crossley JA, Aitken DA, Jenkins N, Lyall F, Cameron AD, Connor JM, Dobbie R (2007) Circulating angiogenic factors in early pregnancy and the risk of preeclampsia, intrauterine growth restriction, spontaneous preterm birth, and stillbirth. Obstet Gynecol 109(6):1316–1324PubMedCrossRef Smith GC, Crossley JA, Aitken DA, Jenkins N, Lyall F, Cameron AD, Connor JM, Dobbie R (2007) Circulating angiogenic factors in early pregnancy and the risk of preeclampsia, intrauterine growth restriction, spontaneous preterm birth, and stillbirth. Obstet Gynecol 109(6):1316–1324PubMedCrossRef
9.
Zurück zum Zitat Schiettecatte J, Russcher H, Anckaert E, Mees M, Leeser B, Tirelli AS, Fiedler GM, Luthe H, Denk B, Smitz J (2010) Multicenter evaluation of the first automated Elecsys sFlt-1 and PlGF assays in normal pregnancies and preeclampsia. Clin Biochem 43(9):768–770PubMedCrossRef Schiettecatte J, Russcher H, Anckaert E, Mees M, Leeser B, Tirelli AS, Fiedler GM, Luthe H, Denk B, Smitz J (2010) Multicenter evaluation of the first automated Elecsys sFlt-1 and PlGF assays in normal pregnancies and preeclampsia. Clin Biochem 43(9):768–770PubMedCrossRef
10.
Zurück zum Zitat Plaisier M, Rodrigues S, Willems F, Koolwijk P, van Hinsbergh VW, Helmerhorst FM (2007) Different degrees of vascularization and their relationship to the expressionof vascular endothelial growth factor, placental growth factor, angiopoietins, and their receptors in first-trimester decidual tissues. Fertil Steril 88(1):176–187PubMedCrossRef Plaisier M, Rodrigues S, Willems F, Koolwijk P, van Hinsbergh VW, Helmerhorst FM (2007) Different degrees of vascularization and their relationship to the expressionof vascular endothelial growth factor, placental growth factor, angiopoietins, and their receptors in first-trimester decidual tissues. Fertil Steril 88(1):176–187PubMedCrossRef
11.
Zurück zum Zitat Clark DE, Smith SK, Sharkey AM, Charnock-Jones DS (1996) Localization of VEGF and expression of its receptors flt and KDR in human placenta throughout pregnancy. Hum Reprod 11(5):1090–1098PubMedCrossRef Clark DE, Smith SK, Sharkey AM, Charnock-Jones DS (1996) Localization of VEGF and expression of its receptors flt and KDR in human placenta throughout pregnancy. Hum Reprod 11(5):1090–1098PubMedCrossRef
12.
Zurück zum Zitat Ahmed A, Li XF, Dunk C, Whittle MJ, Rushton DI, Rollason T (1995) Colocalisation of vascular endothelial growth factor and its Flt-1 receptor in human placenta. Growth Factors 12(3):235–243PubMedCrossRef Ahmed A, Li XF, Dunk C, Whittle MJ, Rushton DI, Rollason T (1995) Colocalisation of vascular endothelial growth factor and its Flt-1 receptor in human placenta. Growth Factors 12(3):235–243PubMedCrossRef
13.
Zurück zum Zitat Goldman CK, Kendall RL, Cabrera G, Soroceanu L, Heike Y, Gillespie GY, Siegal GP, Mao X, Bett AJ, Huckle WR, Thomas KA, Curiel DT (1998) Paracrine expression of a native soluble vascular endothelial growth factor receptor inhibits tumor growth, metastasis, and mortality rate. Proc Natl Acad Sci USA 95(15):8795–8800PubMedCentralPubMedCrossRef Goldman CK, Kendall RL, Cabrera G, Soroceanu L, Heike Y, Gillespie GY, Siegal GP, Mao X, Bett AJ, Huckle WR, Thomas KA, Curiel DT (1998) Paracrine expression of a native soluble vascular endothelial growth factor receptor inhibits tumor growth, metastasis, and mortality rate. Proc Natl Acad Sci USA 95(15):8795–8800PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Kaitu’u-Lino TJ, Whitehead CL, Ngian GL, Permezel M, Tong S (2012) Serum concentrations of soluble Flt-1 are decreased among women with a viable fetus and no symptoms of miscarriage destined for pregnancy loss. PLoS One 7(2):e32509PubMedCentralPubMedCrossRef Kaitu’u-Lino TJ, Whitehead CL, Ngian GL, Permezel M, Tong S (2012) Serum concentrations of soluble Flt-1 are decreased among women with a viable fetus and no symptoms of miscarriage destined for pregnancy loss. PLoS One 7(2):e32509PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Genbacev O, Zhou Y, Ludlow JW, Fisher SJ (1997) Regulation of human placental development by oxygen tension. Science 277(5332):1669–1672PubMedCrossRef Genbacev O, Zhou Y, Ludlow JW, Fisher SJ (1997) Regulation of human placental development by oxygen tension. Science 277(5332):1669–1672PubMedCrossRef
16.
Zurück zum Zitat Zhou Y, McMaster M, Woo K, Janatpour M, Perry J, Karpanen T, Alitalo K, Damsky C, Fisher SJ (2002) Vascular endothelial growth factor ligands and receptors that regulate human cytotrophoblast survival are dysregulated in severe preeclampsia and hemolysis, elevated liver enzymes, and low platelets syndrome. Am J Pathol 160(4):1405–1423PubMedCentralPubMedCrossRef Zhou Y, McMaster M, Woo K, Janatpour M, Perry J, Karpanen T, Alitalo K, Damsky C, Fisher SJ (2002) Vascular endothelial growth factor ligands and receptors that regulate human cytotrophoblast survival are dysregulated in severe preeclampsia and hemolysis, elevated liver enzymes, and low platelets syndrome. Am J Pathol 160(4):1405–1423PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Muttukrishna S, Swer M, Suri S, Jamil A, Calleja-Agius J, Gangooly S, Ludlow H, Jurkovic D, Jauniaux E (2011) Soluble Flt-1 and PlGF: new markers of early pregnancy loss? PLoS One 6(3):e18041PubMedCentralPubMedCrossRef Muttukrishna S, Swer M, Suri S, Jamil A, Calleja-Agius J, Gangooly S, Ludlow H, Jurkovic D, Jauniaux E (2011) Soluble Flt-1 and PlGF: new markers of early pregnancy loss? PLoS One 6(3):e18041PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Pang L, Wei Z, Li O, Huang R, Qin J, Chen H, Fan X, Chen ZJ (2013) An increase in vascular endothelial growth factor (VEGF) and VEGF soluble receptor-1 (sFlt-1) are associated with early recurrent spontaneous abortion. PLoS One 8(9):e75759PubMedCentralPubMedCrossRef Pang L, Wei Z, Li O, Huang R, Qin J, Chen H, Fan X, Chen ZJ (2013) An increase in vascular endothelial growth factor (VEGF) and VEGF soluble receptor-1 (sFlt-1) are associated with early recurrent spontaneous abortion. PLoS One 8(9):e75759PubMedCentralPubMedCrossRef
19.
Zurück zum Zitat Wahabi HA, Abed Althagafi NF, Elawad M, Al Zeidan RA (2011) Progestogen for treating threatened miscarriage. Cochrane Database Syst Rev 16(3):CD005943 Wahabi HA, Abed Althagafi NF, Elawad M, Al Zeidan RA (2011) Progestogen for treating threatened miscarriage. Cochrane Database Syst Rev 16(3):CD005943
20.
Zurück zum Zitat Okada H, Tsuzuki T, Shindoh H, Nishigaki A, Yasuda K, Kanzaki H (2014) Regulation of decidualization and angiogenesis in the human endometrium: mini review. J Obstet Gynaecol Res 40(5):1180–1187PubMedCrossRef Okada H, Tsuzuki T, Shindoh H, Nishigaki A, Yasuda K, Kanzaki H (2014) Regulation of decidualization and angiogenesis in the human endometrium: mini review. J Obstet Gynaecol Res 40(5):1180–1187PubMedCrossRef
21.
Zurück zum Zitat Wang Y, Fei D, Vanderlaan M, Song A (2004) Biological activity of bevacizumab, a humanized anti-VEGF antibody in vitro. Angiogenesis 7(4):335–345PubMedCrossRef Wang Y, Fei D, Vanderlaan M, Song A (2004) Biological activity of bevacizumab, a humanized anti-VEGF antibody in vitro. Angiogenesis 7(4):335–345PubMedCrossRef
22.
Zurück zum Zitat Kaygusuz I, Eser A, Inegol Gumus I, Kosus A, Yenidunya S, Namuslu M, Kafali H (2014) Effect of anti-vascular endothelial growth factor antibody during early fetal development in rats. J Matern Fetal Neonatal Med. [Epub ahead of print] Kaygusuz I, Eser A, Inegol Gumus I, Kosus A, Yenidunya S, Namuslu M, Kafali H (2014) Effect of anti-vascular endothelial growth factor antibody during early fetal development in rats. J Matern Fetal Neonatal Med. [Epub ahead of print]
23.
Zurück zum Zitat Petrou P, Georgalas I, Giavaras G, Anastasiou E, Ntana Z, Petrou C (2010) Early loss of pregnancy after intravitreal bevacizumab injection. Acta Ophthalmol 88(4):e136PubMedCrossRef Petrou P, Georgalas I, Giavaras G, Anastasiou E, Ntana Z, Petrou C (2010) Early loss of pregnancy after intravitreal bevacizumab injection. Acta Ophthalmol 88(4):e136PubMedCrossRef
Metadaten
Titel
The relationship between the VEGF/sVEGFR-1 ratio and threatened abortion
verfasst von
Uğur Keskin
Mustafa Ulubay
Murat Dede
Taner Ozgurtas
Yahya Kemal Koçyiğit
Fevzi Nuri Aydin
Ali Ergün
Publikationsdatum
01.03.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 3/2015
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-014-3452-9

Weitere Artikel der Ausgabe 3/2015

Archives of Gynecology and Obstetrics 3/2015 Zur Ausgabe

Alter der Mutter beeinflusst Risiko für kongenitale Anomalie

28.05.2024 Kinder- und Jugendgynäkologie Nachrichten

Welchen Einfluss das Alter ihrer Mutter auf das Risiko hat, dass Kinder mit nicht chromosomal bedingter Malformation zur Welt kommen, hat eine ungarische Studie untersucht. Sie zeigt: Nicht nur fortgeschrittenes Alter ist riskant.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.