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Clinical Chemistry 50: 1702-1703, 2004; 10.1373/clinchem.2004.036715
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(Clinical Chemistry. 2004;50:1702-1703.)
© 2004 American Association for Clinical Chemistry, Inc.


Letters to the Editor

Maternal Serum sFlt1 Concentration Is an Early and Reliable Predictive Marker of Preeclampsia

Alexandre Hertig1,a, Nadia Berkane2, Guillaume Lefevre3, Karine Toumi3, Hans-Peter Marti1, Jacqueline Capeau3, Serge Uzan2 and Eric Rondeau1,4

1 Institut National de la Santé et de la Recherche Médicale (INSERM) U4892 Department of Gynecology and Obstetrics3 Department of Biochemistry and4 Department of Nephrology, Hôpital Tenon, Paris, France

aAddress correspondence to this author at: Hôpital Tenon, 4 rue de la Chine, NA 75020 Paris, France. Fax 33-1-43645448; e-mail alexandre.hertig@tnn.ap-hop-paris.fr.

The first 20% of the full text of this article appears below.


To the Editor:

Preeclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. It occurs in two phases: abnormal implantation of the placenta leads to impaired placental blood flow, which in turn induces the release of a critical placental substance into the maternal circulation (1). Clinical onset usually occurs in the third trimester of pregnancy, long after initiation of the underlying process.

Recently, Maynard et al. (2) compared the gene expression profile in placental tissue from women with and without preeclampsia and identified soluble Flt1 (sFlt1), a vascular endothelial growth factor receptor, as a molecule of particular pathophysiologic interest. It is now suspected that trophoblastic injury markedly enhances placental sFlt1 production, antagonizing the endothelial protective role of vascular endothelial growth factor and/or placental growth factor and eventually leading to clinical preeclampsia (2)(3). A recent study pointed out that, compared with women with a retrospective diagnosis of normal pregnancy (i.e., without hypertension), preeclamptic women had increased serum sFlt1 several weeks before . . . [Full Text of this Article]




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