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Microbial invasion and histological chorioamnionitis upregulate neutrophil-gelatinase associated lipocalin in preterm prelabor rupture of membranes

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F16%3A10332837" target="_blank" >RIV/00179906:_____/16:10332837 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11150/16:10332837 RIV/60162694:G44__/16:43875492

  • Result on the web

    <a href="http://dx.doi.org/10.3109/14767058.2014.991305" target="_blank" >http://dx.doi.org/10.3109/14767058.2014.991305</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.3109/14767058.2014.991305" target="_blank" >10.3109/14767058.2014.991305</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Microbial invasion and histological chorioamnionitis upregulate neutrophil-gelatinase associated lipocalin in preterm prelabor rupture of membranes

  • Original language description

    Our recent exploratory proteomic study suggested increased levels of neutrophil-gelatinase associated lipocalin (P80188, NGAL_HUMAN) due to microbial invasion of the amniotic cavity (MIAC) and histological chorioamnionitis (HCA) in women with preterm prelabor rupture of the membranes. In this study, we verified the proteomics findings by assessing the amniotic fluid NGAL by ELISA in the original exploratory cohort. The NGAL level was significantly higher in women positive for both MIAC and HCA compared to women with both conditions ruled out (median 75.1ng/ml versus 27.9ng/ml; p<0.0001). For independent validation and to assess NGALs potential to stratify women positive for both MIAC and HCA from women in whom at least one of these conditions was absent, we subsequently designed a retrospective replication cohort. Significantly higher NGAL levels were found in women positive for both MIAC and HCA (median 65.9ng/ml versus 34.2ng/ml; p=0.0061). Significantly higher levels of NGAL were confirmed only in strata below 32 weeks of gestation. Based on the observed likelihood ratio, the best predictive cutoff level (47.1ng/ml) was evaluated in both cohorts. Data from the verification cohort implied that NGAL is a valuable clinical marker for revealing MIAC leading to HCA; however, this potential was not replicated in the replication cohort.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FK - Gynaecology and obstetrics

  • OECD FORD branch

Result continuities

  • Project

    <a href="/en/project/NT13599" target="_blank" >NT13599: Characterization of the diagnostic potential of native polypeptides in amniotic fluid</a><br>

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2016

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    The Journal of Maternal-Fetal &amp; Neonatal Medicine

  • ISSN

    1476-7058

  • e-ISSN

  • Volume of the periodical

    29

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    10

  • Pages from-to

    12-21

  • UT code for WoS article

    000365627900003

  • EID of the result in the Scopus database

    2-s2.0-84948655367