Evidence map›Paper›PMID 40676555›Full record

ArticleBMC pregnancy and childbirth2025

Predictive value of Glycosylated Fibronectin (GlyFn)/Placenta Growth Factor (PlGF) ratio for high-risk pregnancies: a cohort study.

Wahyudi Wirawan, Sofie Rifayani Krisnadi, Anita Deborah Anwar, Annisa Dewi Nugrahani

Abstract read
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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Wahyudi WirawanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fetomaternal Division, Universitas Padjadjaran- Dr. Hasan Sadikin General Hospital Bandung, Bandung, West Java, Indonesia. wahyudi22001@mail.unpad.ac.id.
Sofie Rifayani KrisnadiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fetomaternal Division, Universitas Padjadjaran- Dr. Hasan Sadikin General Hospital Bandung, Bandung, West Java, Indonesia.
Anita Deborah AnwarDepartment of Obstetrics and Gynecology, Faculty of Medicine, Fetomaternal Division, Universitas Padjadjaran- Dr. Hasan Sadikin General Hospital Bandung, Bandung, West Java, Indonesia.
Annisa Dewi NugrahaniDoctoral Programme, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia (PE) is a hypertensive disorder in pregnancy involving multiple organ systems, primarily due to impaired placental development during the first trimester. Reduced Placenta Growth Factor (PlGF) and elevated Glycosylated Fibronectin (GlyFn) levels reflect these pathological changes. Combining these biomarkers into a ratio may enhance PE prediction in high-risk pregnancies.

objectiveTo evaluate the GlyFn/PlGF ratio measured at 20-28 weeks of gestation as a predictor of preeclampsia in high-risk pregnancies across four hospitals in West Java, Indonesia, from April-October 2024.

methodsThis prospective cohort study involved 54 high-risk pregnant women. The GlyFn/PlGF ratio was analyzed at 20-28 weeks to assess predictive accuracy for PE.

resultsSignificant differences were noted between PE and non-PE groups in pre-pregnancy weight (65.54 ± 12.69 vs. 58.53 ± 7.85 kg), BMI (45.52 ± 53.73 vs. 19.84 ± 2.97), and systolic blood pressure (153.50 ± 19.42 vs. 100.80 ± 15.38 mmHg) (P > 0.05). Risk factors such as prior PE (P = 0.01), diabetes mellitus (P = 0.03), and gestational hypertension (P = 0.02) were more frequent in the PE group. A GlyFn cutoff of 34.31 ng/mL showed a 2.5-fold increased PE risk (sensitivity: 83.33%, specificity: 66.67%, AUC: 0.8071). A PlGF cutoff of 26.72 pg/mL was associated with a 6.8-fold increased risk (sensitivity: 72.22%, specificity: 97.22%, AUC: 0.9147). The GlyFn/PlGF ratio cutoff of 1.288 indicated a 28-fold higher PE risk (sensitivity: 77.78%, specificity: 97.37%, AUC: 0.9244).

conclusionThe GlyFn/PlGF ratio outperforms individual biomarkers in predicting preeclampsia in high-risk pregnancies, offering a valuable tool for early risk identification and timely intervention.

Indexed as

FibronectinsPlacenta Growth FactorPre-EclampsiaPregnancy, High-RiskAdultBiomarkersCohort StudiesFemaleGlycated ProteinsHumansIndonesiaPredictive Value of TestsPregnancyProspective StudiesROC CurveBiomarkersFibronectinsglycated fibronectinGlycated ProteinsPGF protein, humanPlacenta Growth FactorAngiogenicGlycosylated fibronectinPlacenta growth factorPreeclampsia

Identifiers

PMID40676555
PMCPMC12273026

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