PMID- 16390786 OWN - NLM STAT- MEDLINE DCOM- 20060504 LR - 20061115 IS - 1476-7058 (Print) IS - 1476-4954 (Linking) VI - 18 IP - 5 DP - 2005 Nov TI - TNF-receptor levels in preeclampsia--results of a longitudinal study in high-risk women. PG - 283-7 AB - OBJECTIVE: Tumor necrosis factor-alpha (TNF-alpha) is thought to play a role in immune activation in preeclampsia. The objective of this study was to establish if soluble TNF-receptor I (sTNF-rI) levels relate to the onset and severity of preeclampsia. METHODS: Maternal plasma sTNF-rI levels were studied throughout pregnancy in 68 women with a history of severe preeclampsia or intra-uterine growth restriction (IUGR), and primigravidas with chronic hypertension. Data are presented as mean (SD) in ng/ml. RESULTS: In the second trimester there was a significant difference in sTNF-rI levels between preeclamptic pregnancies with and without IUGR (means 1.33 (0.20) and 1.11 (0.15) respectively, p < 0.005). In severe preeclampsia with delivery before 34 weeks of gestation, sTNF-rI levels were higher than in mild preeclampsia in the second and third trimesters (means 1.40 (0.16) vs. 1.16 (0.19), p < 0.02 and 1.82 (0.47) vs. 1.42 (0.22), p < 0.05, respectively). CONCLUSION: sTNF-rI levels were higher in preeclampsia with fetal involvement, suggesting that increased TNF-alpha production in preeclampsia is related to impaired placentation rather than to the maternal syndrome. FAU - Schipper, Elbert-Jaap I AU - Schipper EJ AD - Department of Obstetrics and Gynecology, Vrije Universiteit Medical Center, Amsterdam, the Netherlands. FAU - Bolte, Antoinette C AU - Bolte AC FAU - Schalkwijk, Casper G AU - Schalkwijk CG FAU - Van Geijn, Herman P AU - Van Geijn HP FAU - Dekker, Gustaaf A AU - Dekker GA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 RN - 0 (Receptors, Tumor Necrosis Factor, Type I) SB - IM MH - Adult MH - Female MH - Fetal Growth Retardation/blood MH - Gestational Age MH - Humans MH - Longitudinal Studies MH - Pre-Eclampsia/*blood MH - Pregnancy MH - Receptors, Tumor Necrosis Factor, Type I/*blood MH - Risk Factors MH - Severity of Illness Index EDAT- 2006/01/05 09:00 MHDA- 2006/05/05 09:00 CRDT- 2006/01/05 09:00 PHST- 2006/01/05 09:00 [pubmed] PHST- 2006/05/05 09:00 [medline] PHST- 2006/01/05 09:00 [entrez] AID - RT7W5Q801U3V4826 [pii] AID - 10.1080/14767050500246466 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2005 Nov;18(5):283-7. doi: 10.1080/14767050500246466.