Validation of the prediction of preeclampsia within 4 weeks using the onset threshold of plasma sFlt-1/PlGF ratio
Project/Area Number |
24592482
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Obstetrics and gynecology
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Research Institution | Jichi Medical University |
Principal Investigator |
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Research Collaborator |
HIRASHIMA CHIKAKO (90348011)
TAKAHASHI KAYO (00448854)
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Project Period (FY) |
2012-04-01 – 2017-03-31
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Project Status |
Completed (Fiscal Year 2016)
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Budget Amount *help |
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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Keywords | 妊娠高血圧腎症 / 発症予知 / sFlt-1/PlGF比 / 妊娠高血圧症候群 / sFlt-1 / PlGF |
Outline of Final Research Achievements |
This study is a validation study for our previous predictive study using onset threshold (Ohkuchi A, et al. Hypertens Res 2013; 36: 1073). We measured plasma levels of sFlt-1, PlGF, and the sFlt-1/PlGF ratio at 19-25, and 26-31 weeks of gestation in 127 high risk women, using ECLIA method. The primary outcome was the subsequent onset of preeclampsia (PE) after the blood sampling. As for the blood sampling at 19-25 weeks of gestation, the onset threshold (OT) of plasma level of sFlt-1/PlGF ratio yielded the sensitivity of 0/1 (0%), and specificity of 120/120 (100%). As for the blood sampling at 26-31 weeks of gestation, the OT yielded the sensitivity of 1/1 (100%), and specificity of 80/80 (100%). Thus, the usage of onset threshold of sFlt-1/PlGF ratio at 19-31 weeks of gestation may be clinically useful to rule out the imminent onset of PE within 4 weeks after the blood sampling.
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Report
(6 results)
Research Products
(64 results)
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[Journal Article] Isolated gestational proteinuria preceding the diagnosis of preeclampsia - an observational study.2016
Author(s)
Yamada T, Obata-Yasuoka M, Hamada H, Baba Y, Ohkuchi A, Yasuda S, Kawabata K, Minakawa S, Hirai C, Kusaka H, Murabayashi N, Inde Y, Nagura M, Umazume T, Itakura A, Maeda M, Sagawa N, Ohno Y, Kataoka S, Fujimori K, Kudo Y, Ikeda T, Nakai A, Minakami H.
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Journal Title
Acta Obstet Gynecol Scand
Volume: 95
Issue: 9
Pages: 1048-54
DOI
NAID
Related Report
Peer Reviewed
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[Journal Article] AGEs and HMGB1 Increase Inflammatory Cytokine Production from Human Placental Cells, Resulting in an Enhancement of Monocyte Migration.2016
Author(s)
Shirasuna K, Seno K, Ohtsu A, Shiratsuki S, Ohkuchi A, Suzuki H, Matsubara S, Nagayama S, Iwata H, Kuwayama T.
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Journal Title
Am J Reprod Immunol
Volume: 75
Issue: 5
Pages: 557-568
DOI
Related Report
Peer Reviewed
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[Journal Article] Urinary protein-to-creatinine ratio in pregnant women after dipstick testing: prospective observational study.2015
Author(s)
Baba Y, Yamada T, Obata-Yasuoka M, Yasuda S, Ohno Y, Kawabata K, Minakawa S, Hirai C, Kusaka H, Murabayashi N, Inde Y, Nagura M, Hamada H, Itakura A, Ohkuchi A, Maeda M, Sagawa N, Nakai A, Kataoka S, Fujimori K, Kudo Y, Ikeda T, Minakami H.
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Journal Title
BMC Pregnancy Childbirth
Volume: 14
Issue: 1
Pages: 331-331
DOI
NAID
Related Report
Peer Reviewed
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[Journal Article] Moderate Hypoxia Down-Regulates Interleukin-6 Secretion and TLR4 Expression in Human Sw.71 Placental Cells.2015
Author(s)
Shirasuna K, Shimamura N, Seno K, Ohtsu A, Shiratsuki S, Ohkuchi A, Suzuki H, Matsubara S, Nagayama S, Iwata H, Kuwayama T.
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Journal Title
Cell Physiol Biochem
Volume: 36
Issue: 6
Pages: 2149-2160
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Maternal peripheral blood natural killer cells incorporate placenta-associated microRNAs during pregnancy.2015
Author(s)
Ishida Y, Zhao D, Ohkuchi A, Kuwata T, Yoshitake H, Yuge K, Takizawa T, Matsubara S, Suzuki M, Saito S, Takizawa T
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Journal Title
Int J Mol Med.
Volume: 35
Issue: 6
Pages: 1511-1524
DOI
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] Guidelines for obstetrical practice in Japan: Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG) 2014 edition2014
Author(s)
Minakami, H. Maeda, T. Fujii, T. Hamada, H. Iitsuka, Y. Itakura, A. Itoh, H. Iwashita, M. Kanagawa, T., et al.
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Journal Title
J Obstet Gynaecol Res
Volume: 40
Issue: 6
Pages: 1469-1499
DOI
Related Report
Peer Reviewed
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[Journal Article] Human exosomal placenta-associated miR-517a-3p modulates the expression of PRKG1 mRNA in Jurkat cells.2014
Author(s)
Kambe S, Yoshitake H, Yuge K, Ishida Y, Moksed A, Takizawa T, Kuwata T, Ohkuchi A, Matsubara S, Suzuki M, Takeshita T, Saito S, Takizawa T
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Journal Title
Biol Reprod
Volume: 91
Issue: 5
Pages: 129-129
DOI
Related Report
Peer Reviewed
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[Journal Article] Extravillous trophoblast cell invasion is promoted by the CD44-hyaluronic acid interaction.2013
Author(s)
Takahashi H, Takizawa T, Matsubara S, Ohkuchi A, Kuwata T, Usui R, Matsumoto H, Sato Y, Fujiwara H, Okamoto A, Suzuki M, Takizawa T
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Journal Title
Placenta
Volume: 35
Pages: 163-70
Related Report
Peer Reviewed
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[Journal Article] Committee report on cerebrovascular disorders, including eclampsia and emergency medical services, of the Japan Society for the Study of Hypertension in Pregnancy2013
Author(s)
Suzuki Y, Adachi T, Ohno Y, Matsuda H, Naruse K, Metoki H, Nakai Y, Nakamoto O, Watanabe K, Ohkuchi A, Yamamoto T
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Journal Title
Hypertension Research in Pregnancy
Volume: 1
Issue: 1
Pages: 8-12
DOI
NAID
ISSN
2187-5987, 2187-9931
Related Report
Peer Reviewed
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[Presentation] 観察研究の進め方2013
Author(s)
大口昭英
Organizer
日本消化器内視鏡学会茨城県部会第25回研究会
Place of Presentation
オークラフロンティア ホテルつくばアネックス
Related Report
Invited
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