Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/40147
Type: Artigo de Periódico
Title: Tissue factor-dependent pathway in severe preeclampsia revisited: a Brazilian cohort study
Authors: Luci Maria SantAna Dusse
Lara Carvalho Godoi
Karina Braga Gomes Borges
Maria das Graças Carvalho
Bashir Abdulgader Lwaleed
Abstract: Previously we investigated the tissue factor (TF)-dependent coagulation pathway and key haemostatic cofactors in white women with preeclampsia (P-EC) and suggested that plasma factor VII (FVII) levels can differentiate women with P-EC from healthy nonpregnant women or normal pregnant women, at the same trimester, with high sensitivity, specificity, positive and negative predictive values. Here we re-examine the TF-dependent pathway in a large cohort of Brazilian women. A total of 240 women were studied. These included healthy nonpregnant women (n = 79), normotensive pregnant women (n = 80) and women with severe P-EC (n = 81). Commercially available enzyme-linked immunosorbent assays were used to measure plasma FVII, activated factor VII (FVIIa), TF and tissue factor pathway inhibitor (TFPI). All study participants were matched for age. Pregnant women (with/without P-EC) were matched for gestational age and parity. Plasma levels of FVII, FVIIa and TFPI were significantly increased in women with severe P-EC compared with healthy nonpregnant women (P < 0.01) or normotensive pregnant women (P < 0.01). FVIIa was also higher in normotensive pregnant women compared with nonpregnant women (P < 0.01). However, no such significant trends were observed for plasma TF levels (P = 0.074). In conclusion, circulating FVII, FVIIa and TFPI were significantly elevated in women with severe P-EC in the absence of comparable changes in plasma TF levels. The present work is in agreement with our previous report on FVII levels in white women with P-EC. Thus, this lends further support to the notion that plasma FVII levels are potentially valuable diagnostic marker for P-EC, irrespective of ethnicity.
Subject: Sangue
Fator VII
Fator VIIa
Plasma
Pré-eclâmpsia
Complicações na gravidez
Tromboplastina
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAR - DEPARTAMENTO DE ANÁLISES CLÍNICAS E TOXICOLÓGICAS
Rights: Acesso Restrito
metadata.dc.identifier.doi: 10.1097/MBC.0000000000000507
URI: http://hdl.handle.net/1843/40147
Issue Date: Jun-2016
metadata.dc.url.externa: https://journals.lww.com/bloodcoagulation/Abstract/2016/06000/Tissue_factor_dependent_pathway_in_severe.14.aspx
metadata.dc.relation.ispartof: Blood Coagulation and Fibrinolysis
Appears in Collections:Artigo de Periódico

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