Evidence map›Paper›PMID 24592019›Full record

ArticleJournal of the Turkish German Gynecological Association2012

Low VEGF expression in conceptus material and maternal serum AFP and β-hCG levels as indicators of defective angiogenesis in first-trimester miscarriages.

Gülşen Kutluer, Nedim Mahmut Ciçek, Ozlem Moraloğlu, Pervin Ertargın, Esma Sarıkaya, Ishak Artar, Ozlem Erdem

Open access · diamondAbstract read
In one paragraph

Article in Journal of the Turkish German Gynecological Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Risk of preterm birth among women using drugs during pregnancy with elevated α-fetoprotein.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gülşen KutluerDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Nedim Mahmut CiçekDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Ozlem MoraloğluDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Pervin ErtargınDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Esma SarıkayaDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Ishak ArtarDepartment of Perinatology and Family Planning, Zekai Tahir Burak Women's Health Resource and Education Hospital, Ankara, Turkey.
Ozlem ErdemDepartment of Pathology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi · TRGazi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of this study were to assess the relationship between early miscarriages and vascular endothelial growth factor (VEGF) expression and to determine the serum levels of first-trimester maternal alpha-fetoprotein (AFP) and human chorionic gonadotropin (β-hCG) as markers of angiogenesis and predictors of abortion and intrauterine fetal loss. MATERIAL AND

methodsThe present study was a prospective, single-center, randomized controlled clinical trial. Ninety-five women who were 6-10 weeks pregnant between May and June 2010 were included in the study. The subjects were divided into three groups, i.e., incomplete abortion (IA) (n=31), intrauterine death (IU-D) (n=32) and control (elective pregnancy termination) (n=32). Feto-placental materials were compared based on immune staining for VEGF in the pathology laboratory, and maternal serum samples were tested in the hormone laboratory.

resultsSerum β-hCG levels in the patient groups were significantly lower than the controls (p=0.001). The serum AFP level was lower than the controls in the IA group while it was higher than the controls in the IU-D (p=0.016). Immunohistochemistry showed that the cytotrophoblast, syncytiotrophoblast and endometrial gland epithelium were weakly stained for VEGF in the patient groups (IA and IU-D) in comparison to the control group (p=0.06, p=0.028, p=0.006).

conclusionEarly pregnancy losses are related to insufficient angiogenesis, and maternal serum AFP and β-hCG can be used as markers of angiogenesis in the first trimester.

Indexed as

AbortionAFPangiogenesisimplantationVEGFβ-hCG

Identifiers

PMID24592019
PMCPMC3939132
OpenAlexW2058718837

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.