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The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo
Published on: August 2, 2017
Maternal plasma osteoprotegerin concentration in normal pregnancy
Joon-Seok Hong1, Joaquin Santolaya-Forgas, Roberto Romero
1Perinatology Research Branch, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.
American Journal of Obstetrics and Gynecology
|September 15, 2005
Summary
Maternal plasma osteoprotegerin (OPG) levels increase significantly by the third trimester of pregnancy. This suggests OPG plays a role in regulating bone turnover during gestation.
Area of Science:
- Reproductive Endocrinology
- Bone Metabolism
- Maternal-Fetal Medicine
Background:
- Pregnancy significantly alters calcium metabolism due to fetal skeletal development, particularly in the third trimester.
- Osteoprotegerin (OPG) is a key regulator of bone remodeling by inhibiting Receptor Activator of Nuclear Factor-kappaB Ligand (RANKL).
Purpose of the Study:
- To investigate changes in maternal plasma OPG concentrations throughout normal pregnancy.
- To determine the relationship between gestational age and OPG levels.
Main Methods:
- A cross-sectional study involving 433 women (40 nonpregnant, 393 pregnant).
- Pregnant participants were categorized into four gestational age groups (11-14, 15-18, 27-30, and 37-42 weeks).
- Plasma OPG concentrations were quantified using a sensitive immunoassay, and nonparametric statistics were applied.
Main Results:
- Osteoprotegerin (OPG) was detectable in all participants' plasma.
- Median OPG concentrations were significantly elevated in the third trimester (6.63 pmol/L) compared to early pregnancy (3.98 pmol/L, P < .001).
- No significant differences in OPG levels were observed between nonpregnant women and those in the first or second trimesters.
Conclusions:
- Maternal plasma OPG concentration increases notably by the third trimester of pregnancy.
- These findings suggest a potential role for OPG in modulating bone turnover during pregnancy.
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