Evidence map›Paper›PMID 42793113›Full record

ArticleBiomolecules2026

IGF-1Eb Isoform Immunoreactivity May Be Associated with Placental Dysfunction and Vascular Pathology in Fetal Growth Restriction (FGR).

Apostolos Fasoulopoulos, Michail Varras, Fani-Niki Varra, Viktoria-Konstantina Varra, Anastassios Philippou, Alexandros Gryparis, Argyro Papadopetraki, Petros Stellatos, Athina Pesiridou, Kleopatra Paparizou and 1 more

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Article in Biomolecules, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Apostolos FasoulopoulosFourth Obstetrics and Gynecology Department, 'Elena Venizelou' General Hospital of Athens, 11521 Athens, Greece.
Michail VarrasFourth Obstetrics and Gynecology Department, 'Elena Venizelou' General Hospital of Athens, 11521 Athens, Greece.
Fani-Niki VarraMedical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Viktoria-Konstantina VarraDepartment of Pharmacy, School of Health Sciences, University of Patras, University Campus, 26504 Patra, Greece.
Anastassios PhilippouDepartment of Physiology, Medical School, National Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0003-0047-3003
Alexandros GryparisDepartment of Speech and Language Therapy, University of Ioannina, 45500 Ioannina, Greece.
Argyro PapadopetrakiDepartment of Physiology, Medical School, National Kapodistrian University of Athens, 11527 Athens, Greece.
Petros StellatosFourth Obstetrics and Gynecology Department, 'Elena Venizelou' General Hospital of Athens, 11521 Athens, Greece.
Athina PesiridouFourth Obstetrics and Gynecology Department, 'Elena Venizelou' General Hospital of Athens, 11521 Athens, Greece.
Kleopatra PaparizouUnit of Pediatric-Perinatal Pathology, First Department of Pathology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Anastasia Evangelia KonstantinidouUnit of Pediatric-Perinatal Pathology, First Department of Pathology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-2458-988X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFetal growth restriction (FGR) is associated with placental dysfunction and adverse perinatal outcomes. Although insulin-like growth factor-1 (IGF-1) signaling is important for placental and fetal development, the mRNA expression, immunopositivity and potential biological significance of specific IGF-1 isoforms in FGR remain incompletely characterized. This study investigated placental IGF-1Eb mRNA expression and immunopositivity in FGR pregnancies compared with appropriate-for-gestational-age (AGA) pregnancies.

methodsA total of 62 third-trimester human placentas were analyzed, including 47 from pregnancies complicated by FGR and 15 from pregnancies with AGA fetal growth. The mRNA expression of the IGF-1Eb isoform was assessed by reverse-transcription quantitative PCR in a subset of 28 fresh placental samples. IGF-1Eb protein immunoreactivity was assessed in paraffin-embedded tissue sections. Histopathological lesions were classified according to the Amsterdam criteria, and associations with clinical, demographic, and pathological parameters were evaluated using appropriate statistical analyses.

resultsIGF-1Eb mRNA expression did not differ significantly between the FGR and AGA groups. In contrast, significant differences in IGF-1Eb immunoreactivity were observed in selected placental compartments. Moderate immunoreactivity in the perivillous syncytiotrophoblast was more frequent in FGR placentas and was associated with histological features of maternal vascular malperfusion, as well as with gestational age, neonatal birth weight, placental weight, maternal body mass index, and fetal sex. Increased IGF-1Eb immunopositivity was also observed in the endothelium of maternal decidual and fetal villous vessels in FGR placentas. No significant differences were observed in IGF-1Eb immunoreactivity in the extravillous trophoblast.

conclusionsIn this observational study, placental IGF-1Eb protein immunoreactivity, but not mRNA expression, differed between FGR and AGA pregnancies in selected placental compartments. These findings indicate compartment-specific differences in IGF-1Eb protein immunoreactivity, associated with FGR and placental pathological features. However, the observational and cross-sectional design does not establish causality or a functional role for IGF-1Eb in placental dysfunction. Larger prospective studies incorporating functional validation are required to clarify the biological significance of these findings.

Indexed as

Fetal Growth RetardationInsulin-Like Growth Factor IPlacentaAdultFemaleGestational AgeHumansPregnancyProtein IsoformsRNA, MessengerInsulin-Like Growth Factor IProtein IsoformsRNA, Messengerfetal growth restriction (FGR)IGF-1Eb isoformimmunohistochemistryinsulin-like growth factor-1 (IGF-1)maternal vascular malperfusion (MVM)placental insufficiencyplacental vascular pathologyspiral uterine artery remodelingsyncytiotrophoblastuteroplacental vascular remodeling

Identifiers

PMID42793113
PMCPMC13604162

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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.