Evidence map›Paper›PMID 39373852›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2024

High Prevalence of Anti-Prothrombin IgM and IgG Autoantibodies in Women With Unexplained Recurrent Pregnancy Loss.

Ramzi R Finan, Nisrine Beydoun, Eddie Racoubian, Wael Bahia, Selima Ferchichi, Wassim Y Almawi

Abstract read
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Article in Reproductive sciences (Thousand Oaks, Calif.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. 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

6 authors.

Ramzi R FinanDepartment of Obstetrics & Gynecology, Universite' St. Joseph & Hotel Dieu du France Hospital, Beirut, Lebanon.
Nisrine BeydounSt. Marc Medical & Diagnostic Center, Beirut, Lebanon.
Eddie RacoubianSt. Marc Medical & Diagnostic Center, Beirut, Lebanon.
Wael BahiaDepartment of Biochemistry, Faculty of Pharmacy, University of Monastir, Monastir, Tunisia.
Selima FerchichiDepartment of Biochemistry, Faculty of Pharmacy, University of Monastir, Monastir, Tunisia.
Wassim Y AlmawiFaculté des Sciences de Tunis, El Manar University, Tunis, Tunisia. wassim.almawi@outlook.com.ORCID 0000-0003-1633-9757

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the association between anti-prothrombin IgM and IgG antibodies and recurrent pregnancy loss (RPL) in a cohort of Lebanese women, and their impact on pregnancy outcomes. This was a retrospective case-control study involving 207 women with RPL and 179 age-matched multiparous controls. Quantitative sandwich ELISA assayed anti-prothrombin IgM and IgG antibodies. Univariate and multivariate logistic regression were employed to assess the risk imparted by anti-prothrombin antibodies, while ROC analysis was used to determine their sensitivity and specificity. Our study revealed that women with RPL had significantly higher serum levels of anti-prothrombin IgM and IgG than controls. Univariate regression analysis demonstrated that elevated anti-prothrombin IgM (OR = 1.13; 95% CI = 1.07, 1.19; P < 0.001) and IgG (OR = 1.05; 95% CI = 1.03, 1.08; P < 0.001) were associated with increased RPL risk. Multivariate analysis confirmed these findings, indicating that anti-prothrombin IgM (aOR = 1.13; 95% CI = 1.05, 1.20; P < 0.001) and IgG (aOR = 1.08; 95% CI = 1.05, 1.11; P < 0.001) are independent risk factors. ROC analysis yielded an AUC of 0.720 for IgM and 0.649 for IgG, underscoring their predictive value and offering hope for improved risk assessment and management of RPL. Elevated levels of anti-prothrombin IgM and IgG are significantly associated with RPL, suggesting an autoimmune component to pregnancy loss. These findings highlight the importance of screening for these antibodies in women with unexplained RPL to guide management and therapeutic strategies.

Indexed as

Abortion, HabitualAutoantibodiesImmunoglobulin GImmunoglobulin MProthrombinAdultCase-Control StudiesFemaleHumansPregnancyRetrospective StudiesAutoantibodiesImmunoglobulin GImmunoglobulin MProthrombinAnti-prothrombin antibodiesPregnancyRecurrent pregnancy lossThrombosis

Identifiers

PMID39373852

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Registered trials

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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.