Evidence map›Paper›PMID 37176607›Full record

ArticleJournal of clinical medicine2023

Is There a Correlation between Apelin and Insulin Concentrations in Early Second Trimester Amniotic Fluid with Fetal Growth Disorders?

Dionysios Vrachnis, Nikolaos Antonakopoulos, Alexandros Fotiou, Vasilios Pergialiotis, Nikolaos Loukas, Georgios Valsamakis, Christos Iavazzo, Sofoklis Stavros, Georgios Maroudias, Periklis Panagopoulos and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

14 authors at 4 institutions in 1 country.

Dionysios VrachnisDepartment of Clinical Therapeutics, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.
Nikolaos AntonakopoulosThird Department of Obstetrics and Gynecology, General University Hospital "Attikon", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.ORCID 0000-0002-1333-4267
Alexandros FotiouThird Department of Obstetrics and Gynecology, General University Hospital "Attikon", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.ORCID 0000-0003-2428-3992
Vasilios PergialiotisFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.ORCID 0000-0003-4510-1633
Nikolaos LoukasDepartment of Obstetrics and Gynecology, Tzaneio Hospital, 185 36 Piraeus, Greece.
Georgios ValsamakisUnit of Endocrinology, Diabetes Mellitus and Metabolism, Aretaieio Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.
Christos IavazzoDepartment of Gynecologic Oncology, Metaxa Memorial Cancer Hospital, 185 37 Piraeus, Greece.
Sofoklis StavrosThird Department of Obstetrics and Gynecology, General University Hospital "Attikon", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Georgios MaroudiasDepartment of Obstetrics and Gynecology, Tzaneio Hospital, 185 36 Piraeus, Greece.
Periklis PanagopoulosThird Department of Obstetrics and Gynecology, General University Hospital "Attikon", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Nikolaos VlahosSecond Department of Obstetrics and Gynecology, Aretaieio Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.
Melpomeni PeppaΕndocrine Unit, 2nd Propaedeutic Department of Internal Medicine, Research Institute & Diabetes Center, General University Hospital "Attikon", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Theodoros StefosDepartment of Obstetrics and Gynecology, University of Ioannina, 45500 Ioannina, Greece.
George MastorakosUnit of Endocrinology, Diabetes Mellitus and Metabolism, Aretaieio Hospital, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece.ORCID 0000-0002-1929-3275
National and Kapodistrian University of Athens · GRTzaneion General Hospital · GRMetaxa Hospital · GRUniversity of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFetal growth disturbances place fetuses at increased risk for perinatal morbidity and mortality. As yet, little is known about the basic pathogenetic mechanisms underlying deranged fetal growth. Apelin is an adipokine with several biological activities. Over the past decade, it has been investigated for its possible role in fetal growth restriction. Most studies have examined apelin concentrations in maternal serum and amniotic fluid in the third trimester or during neonatal life. In this study, apelin concentrations were examined for the first time in early second-trimester fetuses. Another major regulator of tissue growth and metabolism is insulin. MATERIALS AND

methodsThis was a prospective observational cohort study. We measured apelin and insulin concentrations in the amniotic fluid of 80 pregnant women who underwent amniocentesis in the early second trimester. Amniotic fluid samples were stored in appropriate conditions until delivery. The study groups were then defined, i.e., gestations with different fetal growth patterns (SGA, AGA, and LGA). Measurements were made using ELISA kits.

resultsApelin and insulin levels were measured in all 80 samples. The analysis revealed statistically significant differences in apelin concentrations among groups (

conclusionsA clear trend towards decreasing apelin concentrations as birthweight progressively increased was identified. Amniotic fluid apelin concentrations in the early second trimester may be useful as a predictive factor for determining the risk of a fetus being born LGA. Future studies are expected/needed to corroborate the present findings and should ideally focus on the potential interplay of apelin with other known intrauterine metabolic factors.

Indexed as

amniotic fluidapelinfetal growthfetal macrosomiafetal metabolismFGRinsulinLGAsecond trimesterSGA

Identifiers

PMID37176607
PMCPMC10179298
OpenAlexW4367319939

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.