Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2009-6-18
pubmed:abstractText
Growth-differentiation factor 15 (GDF-15), a stress-responsive transforming growth factor-beta-related cytokine, is emerging as a new risk marker in patients with cardiovascular disease. We explored GDF-15 in preeclampsia and in diabetic pregnancies, because these conditions are associated with augmented risk for cardiovascular disease, both in mother and in offspring. Plasma from pregnant women (n=267; controls: n=59, preeclampsia: n=85, diabetes mellitus: n=112, and superimposed preeclampsia in diabetes mellitus: n=11), fetal plasma (n=72), and amniotic fluid (n=99) were analyzed by immunoassay for GDF-15. Placental GDF-15 mRNA and protein expression levels were analyzed by quantitative real-time PCR and immunoblots in 78 and 18 pregnancies, respectively. Conditioned media from preeclamptic (n=6) and control (n=6) villous placenta explants were analyzed by immunoassay for GDF-15. Median maternal GDF-15 concentration was elevated in those with diabetes mellitus, as compared with controls (91 549 versus 79 875 ng/L; P=0.02). Median GDF-15 concentration was higher in patients with preeclampsia than in controls in term maternal blood samples (127 061 versus 80 319 ng/L; P<0.001). In the fetal circulation and amniotic fluid, GDF-15 was elevated in preeclampsia and superimposed preeclampsia in diabetes mellitus, as compared with controls. GDF-15 placental mRNA expression was elevated in preeclampsia, as compared with controls (P=0.002). Placenta immunoblots confirmed a single GDF-15 protein band, and a time-dependent increase in GDF-15 protein was detected in the conditioned media. Our study is the first to show that GDF-15 is dysregulated, both in preeclampsia and in diabetic pregnancies. The mechanisms and diagnostic implications of these findings remain to be explored.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1524-4563
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
54
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
106-12
pubmed:meshHeading
pubmed-meshheading:19470878-Adult, pubmed-meshheading:19470878-Amniotic Fluid, pubmed-meshheading:19470878-Culture Media, Conditioned, pubmed-meshheading:19470878-Female, pubmed-meshheading:19470878-Fetal Blood, pubmed-meshheading:19470878-Growth Differentiation Factor 15, pubmed-meshheading:19470878-Humans, pubmed-meshheading:19470878-Immunoassay, pubmed-meshheading:19470878-Immunoblotting, pubmed-meshheading:19470878-Infant, Newborn, pubmed-meshheading:19470878-Placenta, pubmed-meshheading:19470878-Pre-Eclampsia, pubmed-meshheading:19470878-Pregnancy, pubmed-meshheading:19470878-Pregnancy in Diabetics, pubmed-meshheading:19470878-RNA, Messenger, pubmed-meshheading:19470878-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:19470878-Time Factors, pubmed-meshheading:19470878-Tissue Culture Techniques, pubmed-meshheading:19470878-Young Adult
pubmed:year
2009
pubmed:articleTitle
Circulating and placental growth-differentiation factor 15 in preeclampsia and in pregnancy complicated by diabetes mellitus.
pubmed:affiliation
Department of Obstetrics and Gynaecology, Oslo University Hospital, University of Oslo, Norway.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural