Comparisons of the different studies analysing the signification of aPZ-Ab in women with obstetrical complications
References | Controls (n) | Cut-off (AU/mL) | Patients | Conclusions |
---|---|---|---|---|
[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. |