Alpha-fetoprotein (AFP) is reduced at 36 weeks’ gestation in pregnancies destined to deliver small for gestational age infants

IF 1.9 4区 医学 Q2 OBSTETRICS & GYNECOLOGY European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-17 Epub Date: 2025-03-10 DOI:10.1016/j.ejogrb.2025.03.027
Joshua Masci , Manju Kandel , Susan P. Walker , Ping Cannon , Tuong-Vi Nguyen , Georgia P. Wong , Teresa M. MacDonald , Natalie J. Hannan , Tu’uhevaha J. Kaitu’u-Lino , Lucy A. Bartho
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Abstract

Alpha-fetoprotein (AFP) is a protein commonly used to screen for aneuploidy in pregnancy. This study measured circulating AFP in maternal plasma at 36 weeks’ gestation preceding diagnosis of term preeclampsia or delivery of a small for gestational age infant (SGA; <10 % birthweight centile) in a case-cohort design (122 SGA; 23 preeclampsia; 182 controls). AFP was significantly reduced in SGA < 5th birthweight centile (n = 51; P = 0.002) but not changed preceding preeclampsia diagnosis. This suggests that AFP is reduced near term preceding SGA diagnosis and may have potential as a biomarker if combined with other candidate molecules.
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甲胎蛋白(AFP)在妊娠36周时减少,注定要分娩小于胎龄的婴儿。
甲胎蛋白(AFP)是一种常用于筛查妊娠非整倍体的蛋白质。这项研究测量了妊娠 36 周时,在确诊子痫前期或分娩小于胎龄儿(SGA)之前,母体血浆中循环甲胎蛋白的含量;
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来源期刊
CiteScore
4.60
自引率
3.80%
发文量
898
审稿时长
8.3 weeks
期刊介绍: The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.
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