New observations on procoagulant properties of amniotic fluid: microparticles (MPs) and tissue factor-bearing MPs

Waldemar Uszyński1, Ewa Zekanowska, Mieczysław Uszyński

  • 1Regional Hospital in Włocławek, Poland.

Thrombosis Research
|October 26, 2013
PubMed
Abstract

Insights

Microparticles (MPs) and tissue factor-bearing MPs (MPs-TF) are significantly elevated in amniotic fluid of laboring women. These findings suggest their potential role in coagulation disorders and fetal development during pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Hematology
  • Cell Biology

Background:

  • Microparticles (MPs) are cell membrane fragments influencing biological processes like coagulation.
  • Elevated MPs and MPs-TF are implicated in various pathological conditions.

Purpose of the Study:

  • To quantify MPs and tissue factor-bearing MPs (MPs-TF) in amniotic fluid and maternal blood plasma.
  • To assess tissue factor (TF) and tissue factor pathway inhibitor (TFPI) levels.
  • To investigate the role of these factors in parturient women.

Main Methods:

  • Enzyme-linked immunosorbent assay (ELISA) was employed.
  • Study included 38 laboring women and 20 non-pregnant controls.
  • Quantification of MPs, MPs-TF, TF, and TFPI.

Main Results:

  • MPs levels were 41.08 times higher in amniotic fluid compared to blood plasma (246.48 nM PS vs. 6.00 nM PS, p<0.001).
  • MPs-TF levels were 18.59 times higher in amniotic fluid than in blood plasma (90.16 pg/ml vs. 4.85 pg/ml, p<0.001).
  • Both MPs and MPs-TF were significantly elevated in amniotic fluid of parturient women.

Conclusions:

  • MPs and MPs-TF are integral components of amniotic fluid.
  • These factors, along with TF and TFPI, may contribute to coagulation disturbances in amniotic fluid embolism.
  • Their impact on fetal development warrants consideration.

Related Concept Videos