Evidence map›Paper›PMID 30890412›Full record

Trial reportClinical biochemistry2019

Circulating NT-proBNP but not soluble corin levels were associated with preeclampsia in pregnancy-associated hypertension.

Meera Kumari, Tracy Kovach, Brendan Sheehy, Allyson Zabell, Rommel Morales, Sangithan Jules Moodley, Yogesh G Shah, Praful V Maroo, Anjli P Maroo, W H Wilson Tang

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical biochemistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
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  5. Review
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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

10 authors at 4 institutions in 1 country.

Meera KumariDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States of America.
Tracy KovachCenter for Clinical Genomics, Cleveland Clinic, Cleveland, OH, United States of America.
Brendan SheehyKettering Medical Center, Kettering, OH, United States of America.
Allyson ZabellNortheast Ohio Medical University, Rootstown, OH, United States of America.
Rommel MoralesCardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH, United States of America.
Sangithan Jules MoodleyObstetrics and Gynecology, Fairview General Hospital, Fairview Park, OH, United States of America.
Yogesh G ShahObstetrics and Gynecology, Fairview General Hospital, Fairview Park, OH, United States of America.
Praful V MarooDepartment of Cardiovascular Medicine, Fairview General Hospital, Fairview Park, OH, United States of America.
Anjli P MarooDepartment of Cardiovascular Medicine, Fairview General Hospital, Fairview Park, OH, United States of America.
W H Wilson TangDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States of America; Center for Clinical Genomics, Cleveland Clinic, Cleveland, OH, United States of America; Department of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States of America. Electronic address: tangw@ccf.org.
Cleveland Clinic · USFairview Southdale Hospital · USKettering Medical Center · USNortheast Ohio Medical University · US

Funding

Nitrative stress in heart failureR01HL103931 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI TANG, WAI HONG WILSON · 2010 to 2014
$3.8M
NHLBI NIH HHS R01 HL103931
6 · The paper itself

Abstract

backgroundCorin is a serine protease known to convert B-type natriuretic peptide (BNP) prohormone into BNP and its amino-terminal fragment (NT-proBNP). In mice lacking corin, high blood pressure and proteinuria were found at late gestational stages, with associated delayed trophoblast invasion and impaired spiral artery remodeling in the uterus. We hypothesize that both NT-proBNP and soluble corin elevation predict the presence of preeclampsia in pregnant patients with hypertension.

methodsWe prospectively enrolled 149 pregnant women with a history of chronic hypertension or gestational hypertension presenting at a tertiary-care hospital. We compared plasma NT-proBNP and soluble corin concentrations based on their preeclamptic status.

resultsIn our study cohort, 62 patients with preeclampsia had lower gestational age than 87 patients without preeclampsia (33.3 ± 3 versus 36.6 ± 3 weeks; P < .001), otherwise the baseline characteristics were similar. We observed higher NT-proBNP concentrations in patients with preeclampsia compared to those without preeclampsia (304.3 [96.34, 570.4] vs. 60.8 [35.61, 136.8] ng/L, P < .001), with no differences between chronic and gestational hypertension. However, the concentration of corin was not statistically different between the two groups (1756 [1214, 2133] vs. 1571 [1171, 1961] ng/L, P = .1087). ROC curve analysis demonstrated stronger predictive value of NT-proBNP compared to soluble corin in predicting the presence of preeclampsia in our study population (AUC 0.7406 vs. 0.5789, P < .0001).

conclusionWhile corin may contribute to mechanistic underpinnings of the development of preeclampsia in animal models, soluble corin likely has no diagnostic role in human pregnancies for preeclampsia beyond natriuretic peptide levels.

Indexed as

AdultBiomarkersFemaleHumansNatriuretic Peptide, BrainPeptide FragmentsPre-EclampsiaPregnancyProspective StudiesSerine EndopeptidasesSolubilityBiomarkersCORIN protein, humanNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Serine EndopeptidasesCorinNT-proBNPPreeclampsia

Identifiers

PMID30890412
PMCPMC6475478
OpenAlexW2922376354

What OpenQuestion holds

Textmetadata
LicenceTDM
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.