Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2001-9-12
pubmed:abstractText
Late fetal loss can be associated with placental insufficiency and coagulation defects. Thrombomodulin (TM) and the endothelial protein C receptor (EPCR) are glycoprotein receptors expressed mainly on the endothelial surface of blood vessels and also in the placenta; they both play a key physiological role in the protein C anticoagulant pathway. Defects in these proteins might play an important role in the pathogenesis of late fetal loss. We performed a case-control study in 95 women with unexplained late fetal loss (> 20 weeks), to elucidate whether TM or EPCR gene mutations were associated with an increased risk for this complication of pregnancy. The control group comprised 236 women who gave birth to at least one healthy baby and had no history of late fetal death or obstetrical complications. The entire TM and EPCR genes, including the promoter region, were screened. In total, five mutations were identified in the TM gene in 95 patients and three in 236 control subjects, and two mutations were identified in the EPCR gene in 95 patients and one in 236 control subjects. The relative risk for late fetal loss when having a mutation in the TM or EPCR gene was estimated by an odds ratio of 4.0 (95% CI 1.1-14.9). In conclusion, identified mutations in the TM and EPCR genes of women with unexplained fetal loss are more prevalent compared with women with no obstetrical complications.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0007-1048
pubmed:author
pubmed:issnType
Print
pubmed:volume
114
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
641-6
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11552992-Abortion, Habitual, pubmed-meshheading:11552992-Adolescent, pubmed-meshheading:11552992-Adult, pubmed-meshheading:11552992-Blood Coagulation Factors, pubmed-meshheading:11552992-Case-Control Studies, pubmed-meshheading:11552992-Female, pubmed-meshheading:11552992-Fetal Death, pubmed-meshheading:11552992-Humans, pubmed-meshheading:11552992-Mutation, pubmed-meshheading:11552992-Odds Ratio, pubmed-meshheading:11552992-Pregnancy, pubmed-meshheading:11552992-Pregnancy Trimester, Second, pubmed-meshheading:11552992-Pregnancy Trimester, Third, pubmed-meshheading:11552992-Receptors, Cell Surface, pubmed-meshheading:11552992-Regression Analysis, pubmed-meshheading:11552992-Retrospective Studies, pubmed-meshheading:11552992-Risk, pubmed-meshheading:11552992-Thrombomodulin
pubmed:year
2001
pubmed:articleTitle
Mutations in the thrombomodulin and endothelial protein C receptor genes in women with late fetal loss.
pubmed:affiliation
The Angelo Bianchi Bonomi Haemophilia and Thrombosis Centre, I.R.C.C.S. Maggiore Hospital and Department of Internal Medicine, University of Milan, Italy.
pubmed:publicationType
Journal Article