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ADAM12-s in coelomic fluid and maternal serum in early pregnancy
George Makrydimas1, Alexandros Sotiriadis, Kevin Spencer
1Department of Obstetrics and Gynaecology, Ioannina University Hospital, 45500 Ioannina, Greece.
Insights
Maternal serum ADAM12-s levels increase with gestation in early pregnancy. This placental protein was detected in maternal serum and coelomic fluid, but not amniotic fluid, supporting its syncytiotrophoblast origin.
Area of Science:
- Reproductive biology
- Maternal-fetal medicine
- Biochemistry
Background:
- ADAM12-s is a placental protein linked to adverse pregnancy outcomes like trisomy, pre-eclampsia, and fetal growth restriction.
- Understanding ADAM12-s distribution in early pregnancy is crucial for potential diagnostic applications.
Purpose of the Study:
- To investigate the distribution of ADAM12-s in maternal serum, amniotic fluid, and coelomic fluid during early pregnancy.
- To compare ADAM12-s concentrations across these different biological compartments.
Main Methods:
- Coelomic fluid, maternal serum, and amniotic fluid samples were collected from 13 singleton pregnancies (6.9-9.3 weeks gestation).
- ADAM12-s concentrations were quantified using dissociation-enhanced lanthanide fluoro-immunoassay (DELFIA).
Main Results:
- Median ADAM12-s concentration was 132.7 ng/mL in maternal serum and 10.5 ng/mL in coelomic fluid.
- Detectable ADAM12-s levels were absent in most amniotic fluid samples (5/6).
- Maternal serum ADAM12-s significantly correlated with gestational age (r=0.862, p<0.0001).
Conclusions:
- The presence of ADAM12-s in maternal serum and coelomic fluid supports its origin from the syncytiotrophoblast.
- ADAM12-s distribution patterns in early pregnancy warrant further investigation for clinical relevance.
Objectives:
ADAM12-s is a placental protein. In early pregnancy, reduced maternal levels of ADAM12-s have been reported in association with foetal trisomy 21 or 18 and in cases that subsequently develop pre-eclampsia and foetal growth restriction. The aim of this study is to investigate the distribution of ADAM12-s in early pregnancy by comparing its concentration in maternal serum, amniotic fluid and coelomic fluid.
Methods:
Coelomic fluid was obtained by coelocentesis from 13 singleton pregnancies with live foetuses at 6.9-9.3 weeks of gestation. Maternal serum was also obtained in all cases and in six cases amniotic fluid was also obtained. The concentration of ADAM12-s was measured by dissociation enhanced lanthanide fluoro-immunoassay.
Results:
The median concentration of ADAM12-s in maternal serum was 132.7 (range 33.8-254.5) ng/mL and in coelomic fluid it was 10.5 (range 1.3-15.8) ng/mL; there were no detectable levels in five of the six amniotic fluid samples. The concentration of maternal serum ADAM12-s increased significantly with gestation (r = 0.862, p < 0.0001). There was no significant association between coelomic fluid ADAM12-s and either gestation (r = 0.255, p = 0.401) or maternal serum ADAM12-s (r = 0.302, p = 0.316).
Conclusion:
The distribution of ADAM12-s in maternal serum and the early embryonic fluid compartments is consistent with its syncytiotrophoblastic origin.
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