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Detection of feto-maternal infection/inflammation by the soluble receptor for advanced glycation end products (sRAGE): results of a pilot study

  • Zdeněk Hájek , Anna Germanová , Michal Koucký , Tomáš Zima , Pavel Kopecký , Marie Vítkova , Antonín Pařízek and Marta Kalousová
Published/Copyright: September 5, 2008

Abstract

Objective: The receptor for advanced glycation end products, RAGE, plays an important role in the pathogenesis of several diseases. sRAGE, soluble receptor for advanced glycation end products, is an inhibitor of the pathological effect mediated via RAGE. The aim of this study was to assess the usefulness of measuring sRAGE concentration in pregnant women with threatening preterm labor.

Methods: Serum levels of sRAGE, interleukin-6 (IL-6) and routine markers of inflammation were determined in 46 pregnant women with threatening preterm labor, 35 healthy pregnant women and 15 non-pregnant controls.

Results: Serum levels of sRAGE in healthy pregnant women were significantly lower than in non-pregnant controls (669±296 vs. 1929±727 pg/mL, P<0.05). Women with threatening preterm birth had a significantly higher concentration of serum sRAGE in comparison with healthy pregnant women (819±329 pg/mL vs. 669±296 pg/mL, P<0.05). Conversely, patients with PPROM had significantly lower levels of sRAGE compared with patients with threatening premature labor (600±324 pg/mL, P<0.05). sRAGE correlated negatively with leukocyte counts (r=−0.325, P<0.05).

Conclusions: sRAGE might be a new and promising marker of premature labor, especially with the symptoms of PPROM.


Corresponding author: Zdeněk Hájek, MD, PhD Department of Obstetrics and Gynecology 1st Faculty of Medicine and General University Hospital Charles University Apolinářska 18 128 51 Prague 2 Czech Republic Tel.: +420 224967414 Fax: +420 224922545

Received: 2008-2-14
Revised: 2008-5-2
Accepted: 2008-5-26
Published Online: 2008-09-05
Published in Print: 2008-09-01

©2008 by Walter de Gruyter Berlin New York

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  4. Detection of feto-maternal infection/inflammation by the soluble receptor for advanced glycation end products (sRAGE): results of a pilot study
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