Comparisons of the different studies analysing the signification of aPZ-Ab in women with obstetrical complications

ReferencesControls (n)Cut-off (AU/mL)PatientsConclusions
[13]191 healthy mothers, matched for age, number of pregnancies, and time elapsed since the end of the last pregnancy

IgG:

75th pctl: 7.1

98th pctl: 14

IgM:

75th pctl: 5.3

98th pctl: 11.9

112 women with unexplained primary recurrent embryo losses before the 8th week of gestation

41 women with 1 unexplained episode of foetal death from the 10th week

18 patients with 1 episode of severe pre-eclampsia

IgG levels higher in women with recurrent embryo losses and in women with foetal death.

IgM levels higher in women with recurrent embryo losses, foetal death, and severe pre-eclampsia.

[15]283 age-matched multiparous non-pregnant women

IgG:

75th pctl: 9.2

95th pctl: 12.5

99th pctl: 15

IgM:

75th pctl: 4.7

95th pctl: 8.8

99th pctl: 12.3

265 women with medically confirmed diagnosis of recurrent spontaneous miscarriage (RSM)Increase in RSM risk with increasing levels of anti-PZ IgM and IgG titers and increased prevalence of elevated anti-PZ (IgG and IgM) > 99th pctl.
[16]

45 non-pregnant women

70 women with a normal pregnancy

IgG:

75th pctl: 5.3

90th pctl: 7.3

95th pctl: 18.2

IgM:

75th pctl: 21.1

90th pctl: 26.9

95th pctl: 36

123 women with pre-eclampsia

51 women with a neonate with small birthweight (SBW)

51 women with foetal death

Non-pregnant women had higher median aPZ-Ab (IgG and IgM) levels than women with a normal pregnancy.

aPZ-Ab (IgG) are higher in women with a neonate with SBW than in pregnant controls.

aPZ-Ab (IgG) are higher in women with a neonate with SBW than in women with pre-eclampsia or foetal death.

aPZ-Ab (IgM) are more often > the 90th pctl in women with SBW and in women with pre-eclampsia when the placenta had villous infarcts or persistent muscularization of basal plate arteries.

aPZ-Ab (IgM) > the 75th pctl in case of inflammation of the umbilical vessels in women with foetal death.

[17]71 normal pregnant women

IgG:

50th pctl: 2.9

IgM:

50th pctl: 12.3

67 women in spontaneous labour at term

138 women with an episode of spontaneous preterm labour (49 with term delivery; 35 with preterm delivery and intra-amniotic infection; 54 with preterm delivery without intra-amniotic infection)

No differences between pathological pregnancies and the controls.