Peripheral arterial tonometry and angiogenic biomarkers in preeclampsia

Hypertens Pregnancy. 2018 Nov;37(4):197-203. doi: 10.1080/10641955.2018.1524478. Epub 2018 Oct 4.

Abstract

Objective: To evaluate changes in vascular function and serum biomarkers in women with and without preeclampsia (PE) to create a model for the easier and more precise diagnosis of PE in the future.

Methods: Endothelial function and arterial stiffness were evaluated using peripheral arterial tonometry and concentrations of placental growth factor (PlGF), soluble fms like tyrosine kinase 1 (sFlt-1) and soluble endoglin (sEng) were determined by immunoassay.

Results: Arterial stiffness deteriorates and endothelial function is better in women with PE compared with a healthy pregnancy. Women who developed PE had a decreased PlGF and PlGF/(sFlt-1+ sEng) ratio and an increased sEng, and sFlt-1/PlGF ratio.

Conclusion: Peripheral arterial analysis did provide additional information beyond serum biomarkers in the diagnosis of PE.

Keywords: angiogenic biomarkers; endothelial function; peripheral arterial tonometry; preeclampsia.

MeSH terms

  • Adult
  • Biomarkers / blood
  • Endoglin / blood*
  • Endothelium, Vascular / physiopathology
  • Female
  • Humans
  • Manometry
  • Placenta Growth Factor / blood*
  • Pre-Eclampsia / blood
  • Pre-Eclampsia / physiopathology*
  • Pregnancy
  • Prospective Studies
  • Vascular Endothelial Growth Factor Receptor-1 / blood*
  • Vascular Stiffness / physiology*

Substances

  • Biomarkers
  • Endoglin
  • Placenta Growth Factor
  • FLT1 protein, human
  • Vascular Endothelial Growth Factor Receptor-1