Evidence map›Paper›PMID 39406891›Full record

ArticleScientific reports2024

Understanding the role of soluble proteins and exosomes in non-invasive urine-based diagnosis of preeclampsia.

Taewoon Kim, Harshitha Kallubhavi Choodinatha, Kwang Sik Kim, Kyusoon Shin, Hyeon Ji Kim, Jee Yoon Park, Jong Wook Hong, Luke P Lee

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

8 authors.

Taewoon Kim *Department of Bionanotechnology, Graduate School, Hanyang University, Seoul, 04763, Korea.
Harshitha Kallubhavi Choodinatha *Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Kwang Sik KimDepartment of Bionanotechnology, Graduate School, Hanyang University, Seoul, 04763, Korea.
Kyusoon ShinDepartment of Bionanotechnology, Graduate School, Hanyang University, Seoul, 04763, Korea.
Hyeon Ji KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Jee Yoon ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jyparkmd08@snu.ac.kr.
Jong Wook HongDepartment of Bionanotechnology, Graduate School, Hanyang University, Seoul, 04763, Korea. jwh@hanyang.ac.kr.
Luke P LeeHarvard Medical School, Department of Medicine, Harvard University, Brigham and Women's Hospital, Boston, MA, USA. lplee@bwh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preeclampsia is a hypertensive disorder of pregnancy that can lead to stillbirth and preterm birth if not treated promptly. Currently, the diagnosis of preeclampsia relies on clinical symptoms such as hypertension and proteinuria, along with invasive blood tests. Here, we investigate the role of soluble proteins and exosomes in noninvasive diagnosing preeclampsia non-invasively using maternal urine and urine-derived exosomes. We quantified the levels of particles and the presence of TSG101 and CD63 in urine and urinary exosomes via the biologically intact exosome separation technology (BEST) platform. Then, we obtained higher levels of soluble proteins such as fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) from urine as it was than urinary exosomes. Compared to commercial blood tests, the sensitivity of the sFlt-1/PlGF ratio was found to be 4.0 times higher in urine tests and 1.5 times higher in tests utilizing urine-derived exosomes. Our findings offer promising possibilities for the early and non-invasive identification of high-risk individuals at risk of preeclampsia, allowing for comprehensive preventive management.

Indexed as

BiomarkersEndosomal Sorting Complexes Required for TransportExosomesPlacenta Growth FactorPre-EclampsiaVascular Endothelial Growth Factor Receptor-1AdultDNA-Binding ProteinsFemaleHumansPregnancyTetraspanin 30Transcription FactorsTsg101 ProteinBiomarkersCD63 protein, humanDNA-Binding ProteinsEndosomal Sorting Complexes Required for TransportFLT1 protein, humanPGF protein, humanPlacenta Growth FactorTetraspanin 30Transcription FactorsTsg101 ProteinVascular Endothelial Growth Factor Receptor-1Non-invasive diagnosisPreeclampsiaPregnancy complicationsSFlt-1/PlGF ratioUrinary exosomeUrine

Identifiers

PMID39406891
PMCPMC11482518

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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.