Evidence map›Paper›PMID 40707903›Full record

ArticleBMC pregnancy and childbirth2025

ORAI1, FGF23, PP13, palladin, and supervillin as potential biomarkers in late-onset pre-eclampsia: a comparative study in maternal and cord blood.

Hatice Argun Atalmis, Sinem Tekin, Ibrahim Yilmaz, Emine Yilmaz Guler, Filiz Yarsilikal Guleroglu, Ali Cetin

Abstract readComparative Study
In one paragraph

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

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hatice Argun AtalmisDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Sinem TekinDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Ibrahim YilmazDepartment of Biochemistry, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Emine Yilmaz GulerDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Filiz Yarsilikal GulerogluDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. filizyarsilikal@gmail.com.
Ali CetinDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-eclampsia continues to be a significant global health burden with complex pathophysiology, necessitating investigation of novel biomarkers to improve understanding, diagnosis and management of this pregnancy-specific disorder.To investigate the differential expression of Calcium Release-Activated Calcium Channel Protein 1 (ORAI1), Fibroblast Growth Factor 23 (FGF23), Placental Protein 13 (PP13), Palladin, and Supervillin in both maternal and umbilical cord blood as potential biomarkers for late-onset pre-eclampsia.

methodsThis cross-sectional, case-control study included 61 women with late-onset pre-eclampsia and 61 normotensive pregnant women undergoing cesarean delivery. Maternal blood samples were collected immediately prior to cesarean delivery, and umbilical cord blood was obtained immediately after delivery of the placenta. Protein concentrations in both circulatory compartments were measured using enzyme-linked immunosorbent assay. The unique study design with paired maternal-cord blood sampling provided insights into maternal-fetal protein transfer dynamics in pre-eclamptic conditions.

resultsMaternal and cord blood ORAI1 concentrations were significantly elevated in pre-eclampsia (p = 0.001 and p = 0.035, respectively), while FGF23 and PP13 were significantly decreased in maternal blood (p = 0.022 and p = 0.018, respectively). Maternal-to-cord blood concentration ratios for ORAI1 and FGF23 were significantly altered in pre-eclampsia (p = 0.038 and p = 0.021, respectively). ORAI1 showed the highest diagnostic accuracy (AUC = 0.733) and correlated positively with disease severity and negatively with birth weight. Combined ORAI1 and FGF23 assessment significantly enhanced diagnostic performance (AUC = 0.782).

conclusionThe altered expression of ORAI1, FGF23, and PP13 in late-onset pre-eclampsia suggests disruptions in calcium signaling, phosphate metabolism, and placental function. The parallel measurement of these proteins in both maternal and cord blood provided unique insights into maternal-fetal interface dysfunction in pre-eclampsia. The superior performance of combined ORAI1 and FGF23 measurement underscores the value of a multi-marker approach in capturing pre-eclampsia's complex pathophysiology, potentially contributing to improved diagnostic strategies and therapeutic interventions.

Indexed as

Cytoskeletal ProteinsFetal BloodFibroblast Growth FactorsORAI1 ProteinPhosphoproteinsPre-EclampsiaPregnancy ProteinsAdultBiomarkersCase-Control StudiesCross-Sectional StudiesFemaleFibroblast Growth Factor-23HumansMembrane ProteinsPregnancyBiomarkersCytoskeletal ProteinsFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsMembrane ProteinsORAI1 ProteinORAI1 protein, humanPhosphoproteinsPregnancy ProteinsFGF23ORAI1PalladinPP13Pre-eclampsiaSupervillin

Identifiers

PMID40707903
PMCPMC12288314

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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.