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Angiogenic Biomarkers for Risk Stratification in Women with Preeclampsia.
Nikolina Docheva1, Gabriel Arenas1, Kristin M Nieman2
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Chicago Medicine, Chicago, IL, USA.
Preeclampsia diagnosis relies on nonspecific signs. Identifying angiogenic biomarkers could enable earlier detection and better outcomes for preeclampsia, a major cause of maternal and infant mortality.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Biomarker Discovery
Background:
- Preeclampsia is a significant global cause of maternal and neonatal mortality.
- Current diagnostic methods for preeclampsia rely on nonspecific clinical signs and symptoms.
- Earlier diagnosis of preeclampsia could lead to improved patient prognosis.
Purpose of the Study:
- To review the role of angiogenic factors in preeclampsia pathogenesis.
- To explore the utility of angiogenic biomarkers for preeclampsia risk stratification.
- To evaluate angiogenic biomarkers for diagnosis and prognosis of preeclampsia.
Main Methods:
- Literature review focusing on angiogenic factors in preeclampsia.
- Analysis of studies investigating angiogenic factors for prediction.
- Synthesis of evidence on biomarker use in clinical practice.
Main Results:
- Preeclampsia involves abnormal placentation, angiogenic imbalance, and endothelial dysfunction.
- Circulating levels of specific angiogenic factors change weeks before preeclampsia onset.
- Angiogenic factors show potential for predicting preeclampsia and adverse outcomes.
Conclusions:
- Angiogenic factors are implicated in the pathogenesis of preeclampsia.
- Angiogenic biomarkers offer promise for earlier and more accurate preeclampsia diagnosis.
- Biomarker-guided risk stratification may improve management and outcomes for preeclampsia.
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