Evidence map›Paper›PMID 35709732›Full record

ArticleAmerican journal of perinatology2024

DLK1: A Novel Biomarker of Placental Insufficiency in Stillbirth and Live Birth.

Jessica M Page, Amanda A Allshouse, Jessica E Gaffney, Victoria H J Roberts, Vanessa Thorsten, Karen J Gibbins, Donald J Dudley, George Saade, Robert L Goldenberg, Barbara J Stoll and 8 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of perinatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Polar Overdominance Inheritance ofInternational journal of molecular sciences · 2026
    Article
  2. 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

18 authors at 13 institutions in 1 country.

Jessica M PageDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health Sciences, Salt Lake City, Utah.ORCID 0000-0002-2570-4333
Amanda A AllshouseDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health Sciences, Salt Lake City, Utah.
Jessica E GaffneyDivision of Reproductive and Developmental Sciences, Oregon National Primate Research Center Oregon Health and Science University, Portland, Oregon.
Victoria H J RobertsDivision of Reproductive and Developmental Sciences, Oregon National Primate Research Center Oregon Health and Science University, Portland, Oregon.
Vanessa ThorstenRTI International, Research Triangle Park, North Carolina.
Karen J GibbinsDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon.ORCID 0000-0002-7431-3451
Donald J DudleyDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Virginia, Charlottesville, Virginia.
George SaadeDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston.
Robert L GoldenbergDepartment of Obstetrics and Gynecology, Columbia University, New York, New York.
Barbara J StollDepartment of Pediatrics, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas.
Carol J HogueRollins School of Public Health, Emory University, Atlanta, Georgia.
Radek BukowskiDepartment of Women's Health, Dell Medical School, University of Texas at Austin, Austin, Texas.
Corette ParkerRTI International, Research Triangle Park, North Carolina.
Deborah ConwayDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Uma M ReddyDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Yale School of Medicine, New Haven, Connecticut.
Michael W VarnerDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health Sciences, Salt Lake City, Utah.ORCID 0000-0001-9455-3973
Antonio E FriasDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon.
Robert M SilverDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health Sciences, Salt Lake City, Utah.
Intermountain Healthcare · USOregon Health & Science University · USOregon National Primate Research Center · USRTI International · USColumbia University · USEmory University · USThe University of Texas at Austin · USThe University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas Medical Branch at Galveston · USUniversity of Utah · USUniversity of Virginia · USYale University · US

Funding

Stillbirth NetworkU01HD045954 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI PARKER, CORETTE BREEDEN · 2003 to 2009
$8.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Functional imaging of human placental structure, blood flow, and oxygenation.U01HD087182 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI FRIAS, ANTONIO E, KROENKE, CHRISTOPHER D · 2015 to 2015
$4.0M
Research on the Scope and Causes of Stillbirth in the USU10HD045944 · NICHD · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2003 to 2009
$2.7M
San Antonio Center for the Study of StillbirthU10HD045955 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DUDLEY, DONALD J · 2003 to 2009
$2.4M
Research on the Scope and Causes of Stillbirth in the USU10HD045925 · NICHD · EMORY UNIVERSITY · PI HOGUE, CAROL · 2003 to 2009
$2.3M
RESEARCH ON SCOPE &CAUSES OF STILLBIRTH IN THE USU10HD045953 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI COUSTAN, DONALD R · 2003 to 2009
$2.3M
Scope and Causes of StillbirthU10HD045952 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SAADE, GEORGE R. · 2003 to 2009
$1.9M
8UL1TR000105,U01-HD045954 ,U01-HD087182 ,U10-HD045925 ,U10-HD045944,U10-HD045952 ,U10-HD045953 ,U10-HDO45955 NIH Clinical CenterNCATS NIH HHS UL1 TR000105NICHD NIH HHS U01 HD045954NICHD NIH HHS U01 HD087182NICHD NIH HHS U10 HD045925NICHD NIH HHS U10 HD045944NICHD NIH HHS U10 HD045952NICHD NIH HHS U10 HD045953NICHD NIH HHS U10 HD045955
6 · The paper itself

Abstract

objectiveDelta-like homolog 1 (DLK1) is a growth factor that is reduced in maternal sera in pregnancies with small for gestational age neonates. We sought to determine if DLK1 is associated with stillbirth (SB), with and without placental insufficiency. STUDY

designA nested case-control study was performed using maternal sera from a multicenter case-control study of SB and live birth (LB). SB and LB were stratified as placental insufficiency cases (small for gestational age <5% or circulatory lesions on placental histopathology) or normal placenta controls (appropriate for gestational age and no circulatory lesions). Enzyme-linked immunosorbent assay (ELISA) was used to measure DLK1. The mean difference in DLK1 was compared on the log scale in an adjusted linear regression model with pairwise differences, stratified by term/preterm deliveries among DLK1 results in the quantifiable range. In exploratory analysis, geometric means were compared among all data and the proportion of "low DLK1" (less than the median value for gestational age) was compared between groups and modeled using linear and logistic regression, respectively.

resultsOverall, 234 SB and 234 LB were analyzed; 246 DLK1 values were quantifiable within the standard curve. Pairwise comparisons of case and control DLK1 geometric means showed no significant differences between groups. In exploratory analysis of all data, adjusted analysis revealed a significant difference for the LB comparison only (SB: 71.9 vs. 99.1 pg/mL,

conclusionIn exploratory analysis, more placental insufficiency cases in preterm SB and LB had "low DLK1." However, low DLK1 levels were not associated with SB. KEY POINTS: · Maternally circulating DLK1 is correlated with placental insufficiency.. · Maternally circulating DLK1 is not correlated with SB.. · DLK1 is a promising marker for placental insufficiency..

Indexed as

BiomarkersCalcium-Binding ProteinsMembrane ProteinsPlacental InsufficiencyStillbirthAdultCase-Control StudiesEnzyme-Linked Immunosorbent AssayFemaleGestational AgeHumansInfant, NewbornInfant, Small for Gestational AgeIntercellular Signaling Peptides and ProteinsLinear ModelsLive BirthBiomarkersCalcium-Binding ProteinsIntercellular Signaling Peptides and ProteinsMembrane Proteins

Identifiers

PMID35709732
PMCPMC12935484
OpenAlexW4283033301

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.