Placental fibronectin staining is unaffected in pregnancies complicated by late-onset intrauterine growth restriction and small for gestational age fetuses

© 2019 International Federation of Gynecology and Obstetrics..

OBJECTIVE: To investigate the placental staining pattern of fibronectin, an extracellular matrix protein essential for trophoblastic invasion, in pre-eclampsia and fetal growth restriction.

METHODS: This was a retrospective study conducted at the University of Udine, including the placentas of women with pre-eclampsia and fetal growth restriction collected between January 1, 2001, and December 31, 2010. Fibronectin was evaluated in placental tissue micro-array by immunohistochemistry, describing localization and intensity of staining.

RESULTS: The study included the placentas of 36 women with early-onset (delivery <34 weeks of gestation) pre-eclampsia; 6 with early-onset HELLP syndrome; 17 with early-onset intrauterine growth restriction (IUGR); 14 with late-onset (delivery ≥34 weeks of gestation) pre-eclampsia; 35 with late-onset IUGR; 18 with small for gestational age (SGA) fetuses (birth weight <10th percentile); and 64 controls. Fibronectin was present both at the cell surface and in the cytoplasm. Cytoplasm staining intensity resulted higher in early forms of pregnancy-related complications compared to controls, although this was statistically significant (P<0.05) only for early-onset pre-eclampsia (P=0.085 for HELLP syndrome; P=0.091 for IUGR). Also, late-onset forms of pre-eclampsia had stronger cytoplasmic and pericellular staining compared to controls (P<0.05). Interestingly, staining of both late-onset IUGR and SGA was comparable to controls.

CONCLUSION: Fibronectin appeared to be unaffected in women with late-onset IUGR and SGA fetuses, suggesting a peculiar common pathogenetic pattern in these conditions.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:148

Enthalten in:

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics - 148(2020), 2 vom: 01. Feb., Seite 253-260

Sprache:

Englisch

Beteiligte Personen:

Fruscalzo, Arrigo [VerfasserIn]
Londero, Ambrogio P [VerfasserIn]
Orsaria, Maria [VerfasserIn]
Marzinotto, Stefania [VerfasserIn]
Driul, Lorenza [VerfasserIn]
Di Loreto, Carla [VerfasserIn]
Mariuzzi, Laura [VerfasserIn]

Links:

Volltext

Themen:

Extracellular matrix
FN1 protein, human
Fetal growth retardation
Fibronectin
Fibronectins
Immunohistochemistry
Journal Article
Placenta
Pre-eclampsia
Small for gestational age

Anmerkungen:

Date Completed 23.03.2020

Date Revised 23.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ijgo.13060

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM303464313