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Identification of Putative Biomarkers in Cerebral Palsy: A Meta-Analysis and Meta-Regression
Vinay Suresh1, Shiva Gupta1, Yashita Khulbe1
1King George's Medical University, Lucknow, India.
Pediatric Neurology
|September 12, 2024
Summary
Lower levels of maternal pregnancy-associated plasma protein A and beta-human chorionic gonadotropin (HCG) during pregnancy are linked to an increased risk of cerebral palsy (CP). Early identification of these biomarkers may aid in timely diagnosis and intervention for CP.
Area of Science:
- Maternal-fetal medicine
- Developmental neurology
- Biomarker research
Background:
- Cerebral palsy (CP) is a neurological disorder affecting motor function.
- Early diagnosis of CP is crucial for improving clinical outcomes.
- Maternal biomarker derangements during pregnancy may serve as early indicators for CP.
Purpose of the Study:
- To investigate the association between maternal biomarker levels and the development of cerebral palsy (CP).
- To identify potential antenatal biomarkers for early CP detection.
Main Methods:
- Systematic literature search of MEDLINE, EMBASE, and Cochrane databases.
- Meta-analysis of five observational studies involving 1552 cases and 484,985 controls.
- Analysis of biomarker levels using odds ratios (OR) and geometric mean differences (multiples of the median - MoMs).
Main Results:
- Lower maternal pregnancy-associated plasma protein A levels were associated with CP (OR = 1.60).
- Lower maternal beta-human chorionic gonadotropin (HCG) levels in the first and second trimesters showed a trend towards association with CP (OR = 1.18).
- Sensitivity analysis indicated a significant association for lower beta-HCG (OR = 1.40).
Conclusions:
- Reduced levels of maternal pregnancy-associated plasma protein A (first trimester) and beta-HCG (first and second trimesters) are associated with CP.
- Further large-scale studies are needed to validate these biomarkers for predictive utility in CP.
- Exploration of novel biomarkers for CP detection is warranted.
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