Evidence map›Paper›PMID 25127195›Full record

ArticleThe Journal of clinical endocrinology and metabolism2014

Reduced levels of plasma kisspeptin during the antenatal booking visit are associated with increased risk of miscarriage.

C N Jayasena, A Abbara, C Izzi-Engbeaya, A N Comninos, R A Harvey, J Gonzalez Maffe, Z Sarang, Z Ganiyu-Dada, A I Padilha, M Dhanjal and 5 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03940495 (A Prospective Study to Evaluate Whether Serum Kisspeptin is a Marker Predictive of the First Trimester Miscarriage of Women Who Conceive in IVF), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.0field-weighted citation impact, top 4% 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.

NCT03940495 completednot on this mapstarted 2019, after this paper: background citation

A Prospective Study to Evaluate Whether Serum Kisspeptin is a Marker Predictive of the First Trimester Miscarriage of Women Who Conceive in IVF

TypeobservationalSponsorShangHai Ji Ai Genetics & IVF InstituteRan2019 to 2020Enrolled182ConditionsMiscarriage
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 73 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Exploring the Role of Kisspeptin in Polycystic Ovary Syndrome and Its Associated Pregnancy Complications.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Human Chorionic Gonadotropin and Early Embryogenesis: Review.International journal of molecular sciences · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. From inhibition of trophoblast cell invasion to proapoptosis: what are the potential roles of kisspeptins in preeclampsia?American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Review
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

15 authors at 4 institutions in 1 country.

C N JayasenaSection of Investigative Medicine (C.N.J., A.A., A.I.-E., A.N.C., Z.S., Z.G.-D., M.A.G., S.R.B., W.S.D.) and Imperial Clinical Trials Unit (H.G.M.), Imperial College London, London W12 ONN, United Kingdom; Medical Oncology Laboratory (R.A.H., A.I.P.), Charing Cross Hospital Campus, Imperial College National Health Service Healthcare Trust, London W6 8RF, United Kingdom; Department of Obstetrics and Gynaecology (M.D.), Queen Charlotte's Hospital, Imperial College National Health Service Healthcare Trust, London W12 0HS, United Kingdom; Department Obstetrics and Gynaecology (C.W.), King's College London, London SE5 9PJ, United Kingdom; and Department of Obstetrics and Gynaecology (L.R.), St Mary's Hospital, Imperial College National Health Service Healthcare Trust, London W2 1NY, United Kingdom.
A Abbara
C Izzi-Engbeaya
A N Comninos
R A Harvey
J Gonzalez Maffe
Z Sarang
Z Ganiyu-Dada
A I Padilha
M Dhanjal
C Williamson
L Regan
M A Ghatei
S R Bloom
W S Dhillo
Imperial College London · GBNational Health Service · GBKing's College London · GBSt Mary's Hospital · GB

Funding

Department of Health CDF-2009-02-05
6 · The paper itself

Abstract

contextKisspeptin is a recently identified hormone encoded by the KISS1 gene, playing a critical role in human reproduction. Plasma kisspeptin levels rise dramatically during normal pregnancy due to placental synthesis, which implicates it as a potential tool for assessing risks of pregnancy complications. No previous prospective study has investigated the association between plasma kisspeptin and risk of miscarriage.

objectiveThe objective of the study was to determine whether a single plasma kisspeptin or serum human chorionic gonadotropin (hCG) measurement in asymptomatic women attending their booking antenatal visit is associated with miscarriage.

designThis was a prospective cohort study.

settingThe study was conducted at a tertiary obstetric center.

participantsA total of 993 asymptomatic pregnant women with a gestation of 6 weeks or longer attending routine antenatal booking visit were recruited between January 2010 and December 2012.

main outcome measuresPlasma kisspeptin and serum hCG were measured during the antenatal booking visit. Pregnancy outcome was recorded prospectively.

resultsPlasma kisspeptin correlated with gestation (r(2) = 0.57; P < .0001). Gestational age-corrected (multiples of median) plasma kisspeptin was 60.4% lower (P < .001), and multiples of median-hCG was 36.1% lower (P < .001) in women later diagnosed with miscarriage compared with women without miscarriage. Increased plasma kisspeptin was associated with reduced miscarriage risk, even after adjusting for age, body mass index, gestational age, smoking, and blood pressure [odds ratio 0.13 (95% confidence interval 0.08-0.22), P = .0001]. Kisspeptin had a higher diagnostic performance for miscarriage than hCG (receiver-operator characteristic-area under the curve 0.899 ± 0.025 plasma kisspeptin; 0.775 ± 0.040, serum hCG, P < .01 vs plasma kisspeptin).

conclusionOur data suggest for the first time that a single plasma kisspeptin measurement taken during the antenatal booking visit provides a potential novel marker for identifying asymptomatic pregnant women at a gestation of 6 weeks or greater at increased risk of miscarriage.

Indexed as

Prenatal CareAbortion, SpontaneousAdultChorionic GonadotropinCohort StudiesFemaleGestational AgeHumansKisspeptinsPregnancyPregnancy Trimester, FirstProspective StudiesRiskChorionic GonadotropinKisspeptins

Identifiers

PMID25127195
PMCPMC4255122
OpenAlexW2119177282

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.