Circulating Levels of sFlt1 Splice Variants as Predictive Markers for the Development of Preeclampsia

Int J Mol Sci. 2015 Jun 2;16(6):12436-53. doi: 10.3390/ijms160612436.

Abstract

Angiogenic biomarkers, including soluble fms-like tyrosine kinase 1 (sFlt1), are thought to be predictors of preeclampsia onset; however, improvement is needed before a widespread diagnostic test can be utilized. Here we describe the development and use of diagnostic monoclonal antibodies specific to the two main splice variants of sFlt1, sFlt1-1 and sFlt1-14. These antibodies were selected for their sensitivity and specificity to their respective sFlt1 isoform in a capture ELISA format. Data from this pilot study suggest that sFlt1-1 may be more predictive of preeclampsia than total sFlt1. It may be possible to improve current diagnostic platforms if more specific antibodies are utilized.

Keywords: diagnostic; isoforms; monoclonal antibody (mAb); preeclampsia; soluble fms-like tyrosine kinase 1 (sFlt1); splice variants.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alternative Splicing / immunology
  • Amniotic Fluid / immunology
  • Amniotic Fluid / metabolism
  • Animals
  • Antibodies, Monoclonal / metabolism*
  • CHO Cells
  • Cricetulus
  • Female
  • Humans
  • Mice
  • Pilot Projects
  • Pre-Eclampsia / blood
  • Pre-Eclampsia / diagnosis*
  • Pre-Eclampsia / immunology
  • Pregnancy
  • Pregnancy Proteins / blood*
  • Pregnancy Proteins / genetics
  • Pregnancy Proteins / immunology
  • Protein Isoforms / blood
  • Protein Isoforms / genetics
  • Protein Isoforms / immunology
  • Sensitivity and Specificity
  • Vascular Endothelial Growth Factor Receptor-1 / blood*
  • Vascular Endothelial Growth Factor Receptor-1 / genetics
  • Vascular Endothelial Growth Factor Receptor-1 / immunology*

Substances

  • Antibodies, Monoclonal
  • Pregnancy Proteins
  • Protein Isoforms
  • FLT1 protein, human
  • Vascular Endothelial Growth Factor Receptor-1