6376738
1
chicago-fullnote-bibliography
50
date
desc
year
480
https://tarcalab.med.wayne.edu/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A200%2C%22request_next%22%3A50%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%225SAYRPSN%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chaiworapongsa%20et%20al.%22%2C%22parsedDate%22%3A%222026-01-07%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChaiworapongsa%2C%20Tinnakorn%2C%20Roberto%20Romero%2C%20Elizabeth%20M.%20McClure%2C%20Shivaprasad%20Goudar%2C%20Manjunath%20Somannavar%2C%20Shiyam%20Sunder%20Tikmani%2C%20Sarah%20Saleem%2C%20et%20al.%20%26%23x201C%3BMaternal%20Circulating%20sFlt-1%5C%2FPlacental%20Growth%20Factor%20Is%20a%20Biomarker%20of%20Fetal%20Death%20Associated%20with%20Placental%20Lesions%20of%20Maternal%20Vascular%20Malperfusion.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Perinatal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20January%207%2C%202026.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2025-0624%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2025-0624%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Maternal%20circulating%20sFlt-1%5C%2Fplacental%20growth%20factor%20is%20a%20biomarker%20of%20fetal%20death%20associated%20with%20placental%20lesions%20of%20maternal%20vascular%20malperfusion%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elizabeth%20M.%22%2C%22lastName%22%3A%22McClure%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shivaprasad%22%2C%22lastName%22%3A%22Goudar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manjunath%22%2C%22lastName%22%3A%22Somannavar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shiyam%20Sunder%22%2C%22lastName%22%3A%22Tikmani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22Saleem%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Najia%22%2C%22lastName%22%3A%22Ghanchi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Imran%22%2C%22lastName%22%3A%22Ahmed%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Afia%22%2C%22lastName%22%3A%22Zafar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sanyukta%22%2C%22lastName%22%3A%22Patil%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sunilkumar%22%2C%22lastName%22%3A%22Bk%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yogeshkumar%22%2C%22lastName%22%3A%22S%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jean%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Janet%22%2C%22lastName%22%3A%22Moore%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%20L.%22%2C%22lastName%22%3A%22Goldenberg%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20Fetal%20death%20is%20a%20major%20pregnancy%20complication%2C%20with%20rates%20of%205.5%20per%201%2C000%20births%20in%20the%20United%5Cu00a0States%20and%20substantially%20higher%20in%20India%20%2824.7%5C%2F1%2C000%29%20and%20Pakistan%20%2844.5%5C%2F1%2C000%29.%20Maternal%20vascular%20malperfusion%20%28MVM%29%20is%20the%20most%20frequent%20placental%20lesion%20associated%20with%20fetal%20death%2C%20occurring%20in%2058%5Cu202f%25%20of%20fetal%20deaths%20and%2031%5Cu202f%25%20of%20preterm%20neonatal%20deaths%20in%20South%20Asia.%20Angiogenic%20imbalance%2C%20characterized%20by%20a%20low%20placental%20growth%20factor%20%28PlGF%29%20to%20soluble%20fms-like%20tyrosine%20kinase-1%20%28sFlt-1%29%20ratio%2C%20has%20been%20associated%20with%20MVM%20and%20fetal%20death%20in%20high-income%20countries.%20We%20examined%20whether%20maternal%20serum%20concentrations%20of%20PlGF%2C%20sFlt-1%2C%20and%20their%20ratio%20differ%20between%20mothers%20with%20and%20without%20MVM%20among%20stillbirths%20and%20preterm%20neonatal%20deaths%20in%20India%20and%20Pakistan.%5CnMETHODS%3A%20This%20retrospective%20cohort%20analysis%20used%20data%20from%20the%20PURPOSe%20study%20%28Project%20to%20Understand%20and%20Research%20Preterm%20Pregnancy%20Outcomes%20and%20Stillbirths%20in%20South%20Asia%29.%20Maternal%20blood%20was%20collected%20at%20delivery%2C%20and%20placental%20histopathology%20was%20classified%20according%20to%20the%20Amsterdam%20criteria.%20Serum%20PlGF%20and%20sFlt-1%20were%20measured%20using%20Elecsys%5Cu00ae%20immunoassays%2C%20with%20analyses%20stratified%20by%20gestational%5Cu00a0age.%5CnRESULTS%3A%20Placental%20MVM%20was%20present%20in%2044-57%5Cu202f%25%20of%20stillbirths%20and%2031-38%5Cu202f%25%20of%20preterm%20neonatal%20deaths.%20Between%2028%20and%2036%5Cu00a0weeks%2C%20women%20with%20MVM%20had%20significantly%20lower%20PlGF%20and%20higher%20sFlt-1%20and%20sFlt-1%5C%2FPlGF%20ratios%5Cu00a0%28p%26lt%3B0.001%29.%20A%20tenfold%20decrease%20in%20PlGF%20or%20increase%20in%20the%20ratio%20was%20associated%20with%20MVM%20%28OR%200.5%20and%201.7%2C%20respectively%29.%5CnCONCLUSIONS%3A%20The%20maternal%20sFlt-1%5C%2FPlGF%20ratio%20identifies%20pregnancies%20with%20fetal%20or%20neonatal%20death%20associated%20with%20placental%20MVM%2C%20particularly%20between%2028%20and%2036%5Cu00a0weeks%26%23039%3B%20gestation.%22%2C%22date%22%3A%222026-01-07%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1515%5C%2Fjpm-2025-0624%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221619-3997%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A40%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22JVBA683E%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wolf%20et%20al.%22%2C%22parsedDate%22%3A%222025-12-16%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWolf%2C%20Hope%20M.%2C%20Roberto%20Romero%2C%20Jerome%20F.%20Strauss%2C%20Adi%20L.%20Tarca%2C%20Sonia%20S.%20Hassan%2C%20Bradley%20T.%20Webb%2C%20Shawn%20J.%20Latendresse%2C%20and%20Timothy%20P.%20York.%20%26%23x201C%3BRisk%20Factors%20for%20Spontaneous%20Preterm%20Birth%20Are%20Mediated%20through%20Changes%20in%20Cervical%20Length.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCommunications%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2C%20December%2016%2C%202025.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-025-01309-4%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-025-01309-4%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Risk%20factors%20for%20spontaneous%20preterm%20birth%20are%20mediated%20through%20changes%20in%20cervical%20length%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hope%20M.%22%2C%22lastName%22%3A%22Wolf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jerome%20F.%22%2C%22lastName%22%3A%22Strauss%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bradley%20T.%22%2C%22lastName%22%3A%22Webb%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shawn%20J.%22%2C%22lastName%22%3A%22Latendresse%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20P.%22%2C%22lastName%22%3A%22York%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Although%20a%20short%20cervix%20in%20the%20mid-trimester%20of%20pregnancy%20is%20one%20of%20the%20strongest%20predictors%20of%20preterm%20birth%20%28i.e.%2C%20parturition%20before%2037%20completed%20weeks%29%2C%20there%20is%20limited%20understanding%20of%20how%20the%20dynamics%20of%20cervical%20remodeling%20%28i.e.%2C%20changes%20in%20cervical%20length%29%20leading%20up%20to%20labor%20and%20delivery%20can%20inform%20obstetrical%20risk.%5CnMETHODS%3A%20In%20this%20study%2C%20latent%20growth%20curve%20analysis%20was%20applied%20to%20serial%20cervical%20length%20measurements%20across%20pregnancy%20%28median%20per%20subject%5Cu2009%3D%5Cu20096%3B%20IQR%5Cu2009%3D%5Cu20093-8%29%20to%20quantify%20characteristics%20of%20cervical%20change%20in%20a%20cohort%20of%205111%20singleton%20pregnancies%20carried%20by%20Black%20American%20women.%5CnRESULTS%3A%20A%20conditional%20mediation%20model%20including%20nine%20common%20maternal%20risk%20factors%20of%20spontaneous%20preterm%20birth%20as%20exogenous%20predictors%20accounts%20for%2026.5%25%20of%20the%20variability%20in%20gestational%20duration.%20The%20collective%20evidence%20supports%20the%20conclusion%20that%20the%20effect%20of%20common%20maternal%20characteristics%20on%20spontaneous%20preterm%20birth%20is%20mediated%20through%20cervical%20length%20change.%20Specifically%2C%20previous%20preterm%20birth%2C%20pre-pregnancy%20BMI%2C%20parity%2C%20and%20previous%20abortion%20are%20shown%20to%20have%20unique%20influences%20on%20preterm%20birth%20risk%20that%20likely%20operate%2C%20in%20part%2C%20through%20linear%20changes%20in%20the%20cervix%20across%20pregnancy.%5CnCONCLUSIONS%3A%20This%20study%20provides%20an%20account%20of%20the%20intermediary%20role%20of%20cervical%20dynamics%20in%20associations%20between%20known%20maternal%20risk%20factors%20and%20gestational%20age%20at%20delivery.%20Although%20these%20findings%20may%20not%20be%20generalizable%20to%20all%20populations%2C%20they%20have%20the%20potential%20to%20enhance%20screening%20efforts%20for%20women%20who%20are%20disproportionately%20affected%20by%20health%20disparities%20related%20to%20preterm%20birth.%22%2C%22date%22%3A%222025-12-16%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs43856-025-01309-4%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222730-664X%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A41%3A25Z%22%7D%7D%2C%7B%22key%22%3A%22NKYSUHX3%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Andresen%20et%20al.%22%2C%22parsedDate%22%3A%222025-10-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAndresen%2C%20Ina%20J.%2C%20Roberto%20Romero%2C%20Ane%20C.%20Westerberg%2C%20N%26%23xE1%3Bndor%20G%26%23xE1%3Bbor%20Than%2C%20Nardhy%20Gomez-Lopez%2C%20Gaurav%20Bhatti%2C%20Oladejo%20Ahmodu%2C%20et%20al.%20%26%23x201C%3BLarge-Scale%20Proteomics%20Reveals%20New%20Candidate%20Biomarkers%20for%20Late-Onset%20Preeclampsia.%26%23x201D%3B%20%26lt%3Bi%26gt%3BHypertension%20%28Dallas%2C%20Tex.%3A%201979%29%26lt%3B%5C%2Fi%26gt%3B%2C%20October%201%2C%202025.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1161%5C%2FHYPERTENSIONAHA.125.25189%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1161%5C%2FHYPERTENSIONAHA.125.25189%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Large-Scale%20Proteomics%20Reveals%20New%20Candidate%20Biomarkers%20for%20Late-Onset%20Preeclampsia%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ina%20J.%22%2C%22lastName%22%3A%22Andresen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ane%20C.%22%2C%22lastName%22%3A%22Westerberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22N%5Cu00e1ndor%20G%5Cu00e1bor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Oladejo%22%2C%22lastName%22%3A%22Ahmodu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Trond%20M.%22%2C%22lastName%22%3A%22Michelsen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Preeclampsia%20is%20classified%20as%20either%20a%20more%20severe%20early%20onset%20or%20a%20more%20prevalent%20late-onset%20form.%20Lower%20PlGF%20%28placental%20growth%20factor%29%20and%20increased%20sFlt-1%20%28fms-like%20tyrosine%20kinase-1%29%20in%20maternal%20circulation%20are%20promising%20biomarkers%2C%20yet%20they%20lack%20specificity%20for%20preeclampsia.%5CnMETHODS%3A%20We%20quantified%20%5Cu22487000%20proteins%20in%20673%20samples%20collected%20from%2089%20patients%20with%20late-onset%20preeclampsia%20and%2091%20controls%20at%20T1%20%2815-22%29%2C%20T2%20%2822-30%29%2C%20and%20T3%20%2830-42%29%20weeks.%20Elastic%20net%20and%20random%20forest%20models%20were%20fitted%20and%20evaluated%20by%20cross-validation.%20Differential%20abundance%20analysis%20followed%20by%20functional%20profiling%2C%20was%20used%20to%20identify%20and%20interpret%20protein%20changes.%5CnRESULTS%3A%20An%20increase%20in%20protein%20differential%20abundance%20in%20late-onset%20preeclampsia%20was%20observed%20with%20advancing%20gestation%2C%20reaching%20806%20proteins%20at%20T3%20related%20to%20angiogenesis%2C%20cell%20adhesion%2C%20and%20extracellular%20matrix%20remodeling.%20FAAH2%20%28fatty%20acid%20amide%20hydrolase%202%29%2C%20SIGLEC6%20%28sialic%20acid-binding%20Ig-like%20lectin-6%29%2C%20IL17RC%20%28interleukin-17%20receptor%20C%29%2C%20HTRA1%20%28serine%20protease%29%2C%20sFlt-1%2C%20and%2047%20other%20proteins%20dysregulated%20at%20T3%20were%20validated%20in%20a%20reanalysis%20of%20a%20%5Cu22485000%20protein%20Norwegian%20data%20set.%20Random%20forest%20models%20with%2020%20proteins%20showed%20high%20accuracy%20at%20T3%20%28area%20under%20the%20curve%20%5BAUC%5D%2C%200.83%20%5B0.77-0.89%5D%2C%20sensitivity%2059%25%29%20even%20in%20cases%20not%20yet%20diagnosed%20at%20sampling%20%28n%3D31%2C%20AUC%2C%200.80%20%5B0.71-0.90%5D%2C%20sensitivity%2058%25%29%2C%20outperforming%20sFlt-1%20and%20PlGF.%20Moderate%20accuracy%20was%20obtained%20at%20T1%20%28AUC%2C%200.63%20%5B0.54-0.72%5D%2C%20sensitivity%2033%25%29%20and%20T2%20%28AUC%2C%200.59%20%5B0.50-0.68%5D%2C%20sensitivity%2017%25%29.%20Combining%20maternal%20characteristics%20and%20obstetric%20history%20with%20proteomics%20data%20increased%20accuracy%20at%20T1%20%28AUC%2C%200.68%20%5B0.59-0.77%5D%2C%20sensitivity%2028%25%29%2C%20T2%20%28AUC%2C%200.68%20%5B0.60-0.77%5D%2C%20sensitivity%2031%25%29%2C%20and%20T3%20%28AUC%2C%200.87%20%5B0.81-0.92%5D%2C%20sensitivity%2069%25%29.%5CnCONCLUSIONS%3A%20The%20findings%20confirm%20the%20involvement%20of%20abnormal%20trophoblast%20invasion%2C%20angiogenesis%2C%20and%20extracellular%20matrix%20remodeling%20in%20late-onset%20preeclampsia%2C%20while%20highlighting%20new%20protein%20alterations%20consistent%20across%20diverse%20cohorts.%22%2C%22date%22%3A%222025-10-01%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1161%5C%2FHYPERTENSIONAHA.125.25189%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221524-4563%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A41%3A52Z%22%7D%7D%2C%7B%22key%22%3A%22N4W36W43%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bhatti%20et%20al.%22%2C%22parsedDate%22%3A%222025-08-15%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBhatti%2C%20Gaurav%2C%20Herdiantri%20Sufriyana%2C%20Roberto%20Romero%2C%20Tushar%20Patel%2C%20Fasil%20Tekola-Ayele%2C%20Ibrahim%20Alsaggaf%2C%20Nardhy%20Gomez-Lopez%2C%20et%20al.%20%26%23x201C%3BPlacental%20Epigenetic%20Clocks%20Derived%20from%20Crowdsourcing%3A%20Implications%20for%20the%20Study%20of%20Accelerated%20Aging%20in%20Obstetrics.%26%23x201D%3B%20%26lt%3Bi%26gt%3BiScience%26lt%3B%5C%2Fi%26gt%3B%2028%2C%20no.%208%20%28August%2015%2C%202025%29%3A%20113181.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.isci.2025.113181%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.isci.2025.113181%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Placental%20epigenetic%20clocks%20derived%20from%20crowdsourcing%3A%20Implications%20for%20the%20study%20of%20accelerated%20aging%20in%20obstetrics%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Herdiantri%22%2C%22lastName%22%3A%22Sufriyana%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tushar%22%2C%22lastName%22%3A%22Patel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fasil%22%2C%22lastName%22%3A%22Tekola-Ayele%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ibrahim%22%2C%22lastName%22%3A%22Alsaggaf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emily%20C.%20Y.%22%2C%22lastName%22%3A%22Su%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Steve%22%2C%22lastName%22%3A%22Hoffmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alena%22%2C%22lastName%22%3A%22van%20B%5Cu00f6mmel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cen%22%2C%22lastName%22%3A%22Wan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jake%22%2C%22lastName%22%3A%22Albrecht%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%22%2C%22lastName%22%3A%22Novak%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22DREAM%20Placenta%20Clock%20Challenge%20Consortium%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marina%22%2C%22lastName%22%3A%22Sirota%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nima%22%2C%22lastName%22%3A%22Aghaeepour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gustavo%22%2C%22lastName%22%3A%22Stolovitzky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22Epigenetic%20gestational%20age%20acceleration%20has%20been%20implicated%20in%20obstetric%20syndromes%20including%20preeclampsia%2C%20yet%20robust%20conclusions%20require%20accurate%20and%20unbiased%20epigenetic%20age%20models.%20Herein%2C%20we%20curated%201%2C842%20public%20placental%20methylomes%20and%20organized%20a%20DREAM%20challenge%20to%20develop%20models%20of%20gestational%20age.%20Participants%20were%20blinded%20to%20the%20test%20data%20that%20we%20generated%20from%20384%20placentas%20encompassing%20normal%20and%20complicated%20pregnancies.%20Models%20developed%20during%20and%20post-challenge%20compared%20favorably%20to%20existing%20models%20in%20terms%20of%20accuracy%2C%20yet%20they%20were%20better%20calibrated%20throughout%20gestation%20and%20indicated%20that%20reports%20of%20accelerated%20epigenetic%20aging%20in%20preterm%20preeclampsia%20were%20likely%20due%20to%20modeling%20artifacts.%20The%20models%20show%20that%20accelerated%20aging%20is%20associated%20with%20a%20decrease%20in%20birthweight%20percentiles%20in%20male%20neonates%20delivered%20at%20term.%20By%20contrast%2C%20preterm%20accelerated%20aging%20was%20protective%20against%20delivery%20of%20a%20small-for-gestational-age%20neonate%20regardless%20of%20fetal%20sex.%20This%20work%20informs%20our%20understanding%20of%20the%20fetal%20sex-dimorphic%20role%20of%20the%20placenta%20epigenome%20in%20obstetrics.%22%2C%22date%22%3A%222025-08-15%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.isci.2025.113181%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222589-0042%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A42%3A10Z%22%7D%7D%2C%7B%22key%22%3A%223UMSYIGL%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wolf%20et%20al.%22%2C%22parsedDate%22%3A%222025-08-14%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWolf%2C%20Hope%20M.%2C%20Bradley%20T.%20Webb%2C%20Jerome%20F.%20Strauss%2C%20Adi%20L.%20Tarca%2C%20Roberto%20Romero%2C%20Sonia%20S.%20Hassan%2C%20Shawn%20J.%20Latendresse%2C%20et%20al.%20%26%23x201C%3BThe%20Genetic%20Architecture%20of%20Cervical%20Length%20Is%20Shared%20with%20Spontaneous%20Preterm%20Birth%20Risk.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCommunications%20Medicine%26lt%3B%5C%2Fi%26gt%3B%205%2C%20no.%201%20%28August%2014%2C%202025%29%3A%20352.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-025-01078-0%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-025-01078-0%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20genetic%20architecture%20of%20cervical%20length%20is%20shared%20with%20spontaneous%20preterm%20birth%20risk%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hope%20M.%22%2C%22lastName%22%3A%22Wolf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bradley%20T.%22%2C%22lastName%22%3A%22Webb%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jerome%20F.%22%2C%22lastName%22%3A%22Strauss%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shawn%20J.%22%2C%22lastName%22%3A%22Latendresse%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20P.%22%2C%22lastName%22%3A%22York%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Sonographic%20cervical%20length%20is%20a%20powerful%20predictor%20of%20maternal%20risk%20for%20spontaneous%20preterm%20birth%20%28sPTB%29.%20Twin%20and%20family%20studies%20have%20established%20a%20maternal%20genetic%20heritability%20for%20sPTB%20ranging%20from%2013%20to%2020%25%2C%20however%2C%20there%20is%20no%20corresponding%20estimate%20for%20the%20heritability%20of%20mid-trimester%20cervical%20length%2C%20or%20an%20understanding%20of%20how%20genetic%20factors%20contribute%20to%20cervical%20changes%20across%20pregnancy.%5CnMETHODS%3A%20This%20study%20was%20based%20on%20a%20prospective%20longitudinal%20cohort%20of%20%28N%5Cu2009%3D%5Cu20095%2C160%29%20Black%5C%2FAfrican%20American%20women%20who%20underwent%20serial%20sonographic%20examination%20of%20the%20uterine%20cervix%20during%20pregnancy%20and%20were%20genotyped%20via%20next-generation%20low-pass%20whole%20genome%20sequencing.%5CnRESULTS%3A%20Bivariate%20genetic%20correlations%20estimated%20using%20genome-wide%20complex%20trait%20analysis%20%28GCTA%29%20indicated%20that%20a%20large%20proportion%20of%20the%20genes%20influencing%20cervical%20change%20across%20pregnancy%20also%20influenced%20gestational%20duration.%20SNP-level%20associations%20were%20observed%20near%20genes%20involved%20in%20the%20progesterone%2C%20estrogen%2C%20and%20insulin%20signaling%20pathways.%5CnCONCLUSIONS%3A%20These%20results%20suggest%20that%20a%20large%20proportion%20of%20genetic%20loci%20for%20preterm%20birth%20exert%20their%20influence%20through%20the%20process%20of%20cervical%20remodeling.%20Polygenic%20profiling%20of%20maternal%20genetic%20liability%20to%20cervical%20shortening%20could%20aid%20in%20the%20development%20of%20clinical%20risk%20assessment%20tools%20to%20identify%20high-risk%20women%20who%20may%20benefit%20from%20more%20frequent%20cervical%20length%20screening%20and%20earlier%20interventions%20to%20prevent%20preterm%20delivery.%22%2C%22date%22%3A%222025-08-14%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs43856-025-01078-0%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222730-664X%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A42%3A41Z%22%7D%7D%2C%7B%22key%22%3A%22SEE26Y6M%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Andresen%20et%20al.%22%2C%22parsedDate%22%3A%222024-12-28%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BAndresen%2C%20Ina%20J.%2C%20Manuela%20Zucknick%2C%20Maren-Helene%20L.%20Degnes%2C%20Martin%20S.%20Angst%2C%20Nima%20Aghaeepour%2C%20Roberto%20Romero%2C%20Marie%20Cecilie%20P.%20Roland%2C%20Adi%20L.%20Tarca%2C%20Ane%20Cecilie%20Westerberg%2C%20and%20Trond%20M.%20Michelsen.%20%26%23x201C%3BPrediction%20of%20Late-Onset%20Preeclampsia%20Using%20Plasma%20Proteomics%3A%20A%20Longitudinal%20Multi-Cohort%20Study.%26%23x201D%3B%20%26lt%3Bi%26gt%3BScientific%20Reports%26lt%3B%5C%2Fi%26gt%3B%2014%2C%20no.%201%20%28December%2028%2C%202024%29%3A%2030813.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-024-81277-2%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-024-81277-2%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Prediction%20of%20late-onset%20preeclampsia%20using%20plasma%20proteomics%3A%20a%20longitudinal%20multi-cohort%20study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ina%20J.%22%2C%22lastName%22%3A%22Andresen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manuela%22%2C%22lastName%22%3A%22Zucknick%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maren-Helene%20L.%22%2C%22lastName%22%3A%22Degnes%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%20S.%22%2C%22lastName%22%3A%22Angst%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nima%22%2C%22lastName%22%3A%22Aghaeepour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marie%20Cecilie%20P.%22%2C%22lastName%22%3A%22Roland%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ane%20Cecilie%22%2C%22lastName%22%3A%22Westerberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Trond%20M.%22%2C%22lastName%22%3A%22Michelsen%22%7D%5D%2C%22abstractNote%22%3A%22Preeclampsia%20is%20a%20pregnancy%20disorder%20with%20substantial%20perinatal%20and%20maternal%20morbidity%20and%20mortality.%20Pregnant%20women%20at%20risk%20of%20preeclampsia%20would%20benefit%20from%20early%20detection%20for%20follow-up%2C%20timely%20interventions%20and%20delivery.%20Several%20attempts%20have%20been%20made%20to%20identify%20protein%20biomarkers%20of%20preeclampsia%2C%20but%20findings%20vary%20with%20demographics%2C%20clinical%20characteristics%2C%20and%20time%20of%20sampling.%20In%20the%20current%20study%2C%20we%20combined%20three%20independent%20longitudinal%20pregnancy%20cohorts%20%28Detroit%2C%20Stanford%20and%20Oslo%29%20resulting%20in%20124%20late-onset%20preeclampsia%20%28LOPE%29%20cases%20and%20178%20gestational%20age%20matched%20controls%2C%20and%20analyzed%5Cu2009%26gt%3B%5Cu20091000%20proteins%20in%20maternal%20plasma%20sampled%20between%2012%20and%2034%20weeks%20of%20gestation.%20Differential%20abundance%20analysis%20of%20combined%20protein%20data%20revealed%20increased%20deviation%20in%20protein%20abundance%20trajectories%20throughout%20gestation%20in%20women%20destined%20to%20develop%20LOPE%20compared%20to%20controls.%20There%20were%20no%20differentially%20abundant%20proteins%20at%20time%20interval%20T1%20%2812-19%20weeks%29%2C%20yet%2031%20differentially%20abundant%20proteins%20were%20found%20at%20time%20interval%20T2%20%2819-27%20weeks%29%2C%20and%2048%20proteins%20at%20time%20interval%20T3%20%2827-%2034%20weeks%29.%20Multi-protein%20random%20forest%20models%20assessed%20via%20cross-validation%20predicted%20LOPE%20with%20an%20area%20under%20the%20ROC%20curve%20of%200.72%20%280.65-0.78%29%2C%200.76%20%280.71-0.81%29%20and%200.80%20%280.75-0.85%29%20at%20time%20interval%20T1%2C%20T2%20and%20T3%2C%20respectively.%20The%20results%20at%20T3%20were%20confirmed%20using%20a%20leave-one-cohort-out%20analysis%20suggesting%20cross-cohort%20consistency%2C%20and%20at%20T1%20and%20T2%20when%20the%20largest%20two%20cohorts%20were%20used%20as%20training%20sets.%22%2C%22date%22%3A%222024-12-28%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs41598-024-81277-2%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222045-2322%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A43%3A23Z%22%7D%7D%2C%7B%22key%22%3A%22G7US8M5S%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Hasbini%20et%20al.%22%2C%22parsedDate%22%3A%222024-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BHasbini%2C%20Yasmin%20G.%2C%20Robert%20J.%20Sokol%2C%20Pooja%20M.%20Green%2C%20Adi%20L.%20Tarca%2C%20Gregory%20Goyert%2C%20Hala%20M.%20El%20Ouweini%2C%20Madhurima%20Keerthy%2C%20et%20al.%20%26%23x201C%3BCOVID-19%20Is%20Associated%20with%20Early%20Emergence%20of%20Preeclampsia%3A%20Results%20from%20a%20Large%20Regional%20Collaborative.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2037%2C%20no.%201%20%28December%202024%29%3A%202345852.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2024.2345852%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2024.2345852%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22COVID-19%20is%20associated%20with%20early%20emergence%20of%20preeclampsia%3A%20results%20from%20a%20large%20regional%20collaborative.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yasmin%20G.%22%2C%22lastName%22%3A%22Hasbini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%20J.%22%2C%22lastName%22%3A%22Sokol%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pooja%20M.%22%2C%22lastName%22%3A%22Green%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gregory%22%2C%22lastName%22%3A%22Goyert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hala%20M.%20El%22%2C%22lastName%22%3A%22Ouweini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Madhurima%22%2C%22lastName%22%3A%22Keerthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Theodore%22%2C%22lastName%22%3A%22Jones%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lisa%22%2C%22lastName%22%3A%22Thiel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Youssef%22%2C%22lastName%22%3A%22Youssef%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Courtney%22%2C%22lastName%22%3A%22Townsel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shyla%22%2C%22lastName%22%3A%22Vengalil%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paige%22%2C%22lastName%22%3A%22Paladino%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Amy%22%2C%22lastName%22%3A%22Wright%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariam%22%2C%22lastName%22%3A%22Ayyash%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gayathri%22%2C%22lastName%22%3A%22Vadlamudi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marta%22%2C%22lastName%22%3A%22Szymanska%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%22%2C%22lastName%22%3A%22Sajja%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Grace%22%2C%22lastName%22%3A%22Crane%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Michael%20Jr%22%2C%22lastName%22%3A%22Baracy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karlee%22%2C%22lastName%22%3A%22Grace%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kaitlyn%22%2C%22lastName%22%3A%22Houston%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jessica%22%2C%22lastName%22%3A%22Norman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathleen%22%2C%22lastName%22%3A%22Girdler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ray%22%2C%22lastName%22%3A%22Bahado-Singh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%5D%2C%22abstractNote%22%3A%22Objective%3A%20To%20investigate%20the%20relationship%20between%20preeclampsia%20and%20SARS-%20CoV-2%20infection%20during%20pregnancy.%20Methods%3A%20This%20was%20a%20retrospective%20cohort%20study%20of%20pregnant%20women%20between%20March%20and%20October%202020.%20Pregnant%20patients%20admitted%20to%2014%20obstetrical%20centers%20in%20Michigan%2C%20USA%20formed%20the%20study%20population.%20Of%20the%20N%20%3D%201458%20participants%2C%20369%20had%20SARS-CoV-2%20infection%20%28cases%29.%20Controls%20were%20uninfected%20pregnancies%20that%20were%20delivered%20in%20the%20same%20obstetric%20unit%20within%2030%20days%20of%20the%20index%20case.%20Robust%20Poisson%20regression%20was%20used%20to%20estimate%20relative%20risk%20%28RR%29%20of%20preterm%20and%20term%20preeclampsia%20and%20preeclampsia%20involving%20placental%20lesions.%20The%20analysis%20included%20adjustment%20for%20relevant%20clinical%20and%20demographic%20risk%20factors.Results%3A%20SARS-CoV-2%20infection%20during%20pregnancy%20increased%20the%20risk%20of%20preeclampsia%20%5Badjusted%20aRR%20%3D%201.69%20%281.26-2.26%29%5D%2C%20preeclampsia%20involving%20placental%20lesions%20%5BaRR%20%3D%201.97%281.14-3.4%29%5D%20and%20preterm%20preeclampsia%202.48%281.48-4.17%29.%20Although%20the%20highest%20rate%20of%20preeclampsia%20was%20observed%20in%20patients%20infected%20with%20SARS-CoV-2%20who%20were%20symptomatic%20%2818.4%25%29%2C%20there%20was%20increased%20risk%20even%20in%20asymptomatic%20SARS-%20CoV-2%20infected%20patients%20%2814.2%25%29%20relative%20to%20non-infected%20controls%20%288.7%25%29%20%28p%20%26lt%3B%200.05%29.%20This%20association%20with%20symptomatology%20was%20also%20noted%20with%20preterm%20preeclampsia%20for%20which%20the%20rate%20doubled%20from%202.7%25%20in%20controls%20to%205.2%25%20in%20asymptomatic%20cases%20and%20reached%2011.8%25%20among%20symptomatic%20cases%20%28p%20%26lt%3B%200.05%29.%20The%20rate%20of%20preterm%20preeclampsia%20among%20cases%20of%20pregnant%20people%20self-identified%20as%20Black%20reached%2010.1%25%20and%20was%20almost%20double%20the%20rate%20of%20the%20reminder%20of%20the%20group%20of%20infected%20pregnancies%20%285.3%25%29%2C%20although%20the%20rate%20among%20uninfected%20was%20almost%20the%20same%20%282.7%25%29%20for%20both%20Black%20and%20non-%20Black%20groups%20%28interaction%20p%20%3D%200.05%29.Conclusions%3A%20Infection%20with%20SARS-%20CoV-2%20increases%20the%20risk%20of%20preeclampsia%20even%20in%20the%20absence%20of%20symptoms%2C%20although%20symptomatic%20persons%20are%20at%20even%20higher%20risk.%20Racial%20disparities%20in%20the%20development%20of%20preterm%20preeclampsia%20after%20SARS-CoV-2%20infection%20may%20explain%20discrepancies%20in%20prematurity%20between%20different%20populations.%22%2C%22date%22%3A%222024%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2024.2345852%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%223U6XE2QL%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Suksai%20et%20al.%22%2C%22parsedDate%22%3A%222024-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BSuksai%2C%20Manaphat%2C%20Roberto%20Romero%2C%20Mariachiara%20Bosco%2C%20Francesca%20Gotsch%2C%20Eunjung%20Jung%2C%20Piya%20Chaemsaithong%2C%20Adi%20L.%20Tarca%2C%20et%20al.%20%26%23x201C%3BA%20Mitochondrial%20Regulator%20Protein%2C%20MNRR1%2C%20Is%20Elevated%20in%20the%20Maternal%20Blood%20of%20Women%20with%20Preeclampsia.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2037%2C%20no.%201%20%28December%202024%29%3A%202297158.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2297158%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2297158%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20mitochondrial%20regulator%20protein%2C%20MNRR1%2C%20is%20elevated%20in%20the%20maternal%20blood%20of%20women%20with%20preeclampsia.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lawrence%20I.%22%2C%22lastName%22%3A%22Grossman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Siddhesh%22%2C%22lastName%22%3A%22Aras%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20Preeclampsia%2C%20one%20of%20the%20most%20serious%20obstetric%20complications%2C%20is%20a%20heterogenous%20disorder%20resulting%20from%20different%20pathologic%20processes.%20However%2C%20placental%20oxidative%20stress%20and%20an%20anti-angiogenic%20state%20play%20a%20crucial%20role.%20Mitochondria%20are%20a%20major%20source%20of%20cellular%20reactive%20oxygen%20species.%20Abnormalities%20in%20mitochondrial%20structures%2C%20proteins%2C%20and%20functions%20have%20been%20observed%20in%20the%20placentae%20of%20patients%20with%20preeclampsia%2C%20thus%20mitochondrial%20dysfunction%20has%20been%20implicated%20in%20the%20mechanism%20of%20the%20disease.%20Mitochondrial%20nuclear%20retrograde%20regulator%201%20%28MNRR1%29%20is%20a%20newly%20characterized%20bi-organellar%20protein%20with%20pleiotropic%20functions.%20In%20the%20mitochondria%2C%20this%20protein%20regulates%20cytochrome%20c%20oxidase%20activity%20and%20reactive%20oxygen%20species%20production%2C%20whereas%20in%20the%20nucleus%2C%20it%20regulates%20the%20transcription%20of%20a%20number%20of%20genes%20including%20response%20to%20tissue%20hypoxia%20and%20inflammatory%20signals.%20Since%20MNRR1%20expression%20changes%20in%20response%20to%20hypoxia%20and%20to%20an%20inflammatory%20signal%2C%20MNRR1%20could%20be%20a%20part%20of%20mitochondrial%20dysfunction%20and%20involved%20in%20the%20pathologic%20process%20of%20preeclampsia.%20This%20study%20aimed%20to%20determine%20whether%20the%20plasma%20MNRR1%20concentration%20of%20women%20with%20preeclampsia%20differed%20from%20that%20of%20normal%20pregnant%20women.%20METHODS%3A%20This%20retrospective%20case-control%20study%20included%2097%20women%20with%20preeclampsia%2C%20stratified%20by%20gestational%20age%20at%20delivery%20into%20early%20%28%26lt%3B34%20weeks%2C%20n%20%3D%2040%29%20and%20late%20%28%26gt%3B%5C%2F%3D34%20weeks%2C%20n%20%3D%2057%29%20preeclampsia%20and%20by%20the%20presence%20or%20absence%20of%20placental%20lesions%20consistent%20with%20maternal%20vascular%20malperfusion%20%28MVM%29%2C%20the%20histologic%20counterpart%20of%20an%20anti-angiogenic%20state.%20Women%20with%20an%20uncomplicated%20pregnancy%20at%20various%20gestational%20ages%20who%20delivered%20at%20term%20served%20as%20controls%20%28n%20%3D%2080%29%20and%20were%20further%20stratified%20into%20early%20%28n%20%3D%2025%29%20and%20late%20%28n%20%3D%2055%29%20controls%20according%20to%20gestational%20age%20at%20venipuncture.%20Maternal%20plasma%20MNRR1%20concentrations%20were%20determined%20by%20an%20enzyme-linked%20immunosorbent%20assay.%20RESULTS%3A%201%29%20Women%20with%20preeclampsia%20at%20the%20time%20of%20diagnosis%20%28either%20early%20or%20late%20disease%29%20had%20a%20significantly%20higher%20median%20%28interquartile%20range%2C%20IQR%29%20plasma%20MNRR1%20concentration%20than%20the%20controls%20%5Bearly%20preeclampsia%3A%201632%20%28924-2926%29%20pg%5C%2FmL%20vs.%20630%20%28448-4002%29%20pg%5C%2FmL%2C%20p%20%3D%20.026%2C%20and%20late%20preeclampsia%3A%201833%20%281441-5534%29%20pg%5C%2FmL%20vs.%20910%20%28526-6178%29%20pg%5C%2FmL%2C%20p%20%3D%20.021%5D.%20Among%20women%20with%20early%20preeclampsia%2C%20those%20with%20MVM%20lesions%20in%20the%20placenta%20had%20the%20highest%20median%20%28IQR%29%20plasma%20MNRR1%20concentration%20among%20the%20three%20groups%20%5Bwith%20MVM%3A%202066%20%281070-3188%29%20pg%5C%2FmL%20vs.%20without%20MVM%3A%20888%20%28812-1781%29%20pg%5C%2FmL%2C%20p%20%3D%20.03%3B%20and%20with%20MVM%20vs.%20control%3A%20630%20%28448-4002%29%20pg%5C%2FmL%2C%20p%20%3D%20.04%5D.%20There%20was%20no%20significant%20difference%20in%20the%20median%20plasma%20MNRR1%20concentration%20between%20women%20with%20early%20preeclampsia%20without%20MVM%20lesions%20and%20those%20with%20an%20uncomplicated%20pregnancy%20%28p%20%3D%20.3%29.%20By%20contrast%2C%20women%20with%20late%20preeclampsia%2C%20regardless%20of%20MVM%20lesions%2C%20had%20a%20significantly%20higher%20median%20%28IQR%29%20plasma%20MNRR1%20concentration%20than%20women%20in%20the%20control%20group%20%5Bwith%20MVM%3A%201609%20%281392-3135%29%20pg%5C%2FmL%20vs.%20control%3A%20910%20%28526-6178%29%2C%20p%20%3D%20.045%3B%20and%20without%20MVM%3A%202023%20%281578-8936%29%20pg%5C%2FmL%20vs.%20control%2C%20p%20%3D%20.01%5D.%20CONCLUSIONS%3A%20MNRR1%2C%20a%20mitochondrial%20regulator%20protein%2C%20is%20elevated%20in%20the%20maternal%20plasma%20of%20women%20with%20preeclampsia%20%28both%20early%20and%20late%29%20at%20the%20time%20of%20diagnosis.%20These%20findings%20may%20reflect%20some%20degree%20of%20mitochondrial%20dysfunction%2C%20intravascular%20inflammation%2C%20or%20other%20unknown%20pathologic%20processes%20that%20characterize%20this%20obstetrical%20syndrome.%22%2C%22date%22%3A%222024%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2297158%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22XE4A9RNA%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Parraga-Leo%20et%20al.%22%2C%22parsedDate%22%3A%222024-10%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BParraga-Leo%2C%20Antonio%2C%20Tomiko%20T.%20Oskotsky%2C%20Boris%20Oskotsky%2C%20Camilla%20Wibrand%2C%20Alennie%20Roldan%2C%20Alice%20S.%20Tang%2C%20Connie%20W.%20Y.%20Ha%2C%20et%20al.%20%26%23x201C%3BVMAP%3A%20Vaginal%20Microbiome%20Atlas%20during%20Pregnancy.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJAMIA%20Open%26lt%3B%5C%2Fi%26gt%3B%207%2C%20no.%203%20%28October%202024%29%3A%20ooae099.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1093%5C%2Fjamiaopen%5C%2Fooae099%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1093%5C%2Fjamiaopen%5C%2Fooae099%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22VMAP%3A%20Vaginal%20Microbiome%20Atlas%20during%20Pregnancy.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Antonio%22%2C%22lastName%22%3A%22Parraga-Leo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomiko%20T.%22%2C%22lastName%22%3A%22Oskotsky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Boris%22%2C%22lastName%22%3A%22Oskotsky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Camilla%22%2C%22lastName%22%3A%22Wibrand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alennie%22%2C%22lastName%22%3A%22Roldan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alice%20S.%22%2C%22lastName%22%3A%22Tang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Connie%20W.%20Y.%22%2C%22lastName%22%3A%22Ha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ronald%20J.%22%2C%22lastName%22%3A%22Wong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Samuel%20S.%22%2C%22lastName%22%3A%22Minot%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaia%22%2C%22lastName%22%3A%22Andreoletti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Idit%22%2C%22lastName%22%3A%22Kosti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sherrianne%22%2C%22lastName%22%3A%22Ng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yun%20S.%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Patricia%22%2C%22lastName%22%3A%22Diaz-Gimeno%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Phillip%20R.%22%2C%22lastName%22%3A%22Bennett%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20A.%22%2C%22lastName%22%3A%22MacIntyre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susan%20V.%22%2C%22lastName%22%3A%22Lynch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20K.%22%2C%22lastName%22%3A%22Stevenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nima%22%2C%22lastName%22%3A%22Aghaeepour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jonathan%20L.%22%2C%22lastName%22%3A%22Golob%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marina%22%2C%22lastName%22%3A%22Sirota%22%7D%5D%2C%22abstractNote%22%3A%22Objectives%3A%20To%20enable%20interactive%20visualization%20of%20the%20vaginal%20microbiome%20across%20the%20pregnancy%20and%20facilitate%20discovery%20of%20novel%20insights%20and%20generation%20of%20new%20hypotheses.%20Material%20and%20Methods%3A%20Vaginal%20Microbiome%20Atlas%20during%20Pregnancy%20%28VMAP%29%20was%20created%20with%20R%20shiny%20to%20generate%20visualizations%20of%20structured%20vaginal%20microbiome%20data%20from%20multiple%20studies.%20Results%3A%20VMAP%20%28http%3A%5C%2F%5C%2Fvmapapp.org%29%20visualizes%203880%20vaginal%20microbiome%20samples%20of%201402%20pregnant%20individuals%20from%2011%20studies%2C%20aggregated%20via%20open-source%20tool%20MaLiAmPi.%20Visualized%20features%20include%20diversity%20measures%2C%20VALENCIA%20community%20state%20types%2C%20and%20composition%20%28phylotypes%2C%20taxonomy%29%20that%20can%20be%20filtered%20by%20various%20categories.%20Discussion%3A%20This%20work%20represents%20one%20of%20the%20largest%20and%20most%20geographically%20diverse%20aggregations%20of%20the%20vaginal%20microbiome%20in%20pregnancy%20to%20date%20and%20serves%20as%20a%20user-friendly%20resource%20to%20further%20analyze%20vaginal%20microbiome%20data%20and%20better%20understand%20pregnancies%20and%20associated%20outcomes.%20Conclusion%3A%20VMAP%20can%20be%20obtained%20from%20https%3A%5C%2F%5C%2Fgithub.com%5C%2Fmsirota%5C%2Fvmap.git%20and%20is%20currently%20deployed%20as%20an%20online%20app%20for%20non-R%20users.%22%2C%22date%22%3A%222024%20Oct%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1093%5C%2Fjamiaopen%5C%2Fooae099%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222574-2531%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22FVTY4NY6%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Than%20et%20al.%22%2C%22parsedDate%22%3A%222024-10%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BThan%2C%20Nandor%20Gabor%2C%20Roberto%20Romero%2C%20Wendy%20Fitzgerald%2C%20Dereje%20W.%20Gudicha%2C%20Nardhy%20Gomez-Lopez%2C%20Mate%20Posta%2C%20Fei%20Zhou%2C%20et%20al.%20%26%23x201C%3BProteomic%20Profiles%20of%20Maternal%20Plasma%20Extracellular%20Vesicles%20for%20Prediction%20of%20Preeclampsia.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Reproductive%20Immunology%20%28New%20York%2C%20N.Y.%26%23x202F%3B%3A%201989%29%26lt%3B%5C%2Fi%26gt%3B%2092%2C%20no.%204%20%28October%202024%29%3A%20e13928.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1111%5C%2Faji.13928%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1111%5C%2Faji.13928%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Proteomic%20Profiles%20of%20Maternal%20Plasma%20Extracellular%20Vesicles%20for%20Prediction%20of%20Preeclampsia.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wendy%22%2C%22lastName%22%3A%22Fitzgerald%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mate%22%2C%22lastName%22%3A%22Posta%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fei%22%2C%22lastName%22%3A%22Zhou%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%20O.%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Doreen%22%2C%22lastName%22%3A%22Matthies%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leonid%22%2C%22lastName%22%3A%22Margolis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22PROBLEM%3A%20Preeclampsia%20is%20a%20heterogeneous%20syndrome%20of%20diverse%20etiologies%20and%20molecular%20pathways%20leading%20to%20distinct%20clinical%20subtypes.%20Herein%2C%20we%20aimed%20to%20characterize%20the%20extracellular%20vesicle%20%28EV%29-associated%20and%20soluble%20fractions%20of%20the%20maternal%20plasma%20proteome%20in%20patients%20with%20preeclampsia%20and%20to%20assess%20their%20value%20for%20disease%20prediction.%20METHOD%20OF%20STUDY%3A%20This%20case-control%20study%20included%2024%20women%20with%20term%20preeclampsia%2C%2023%20women%20with%20preterm%20preeclampsia%2C%20and%2094%20healthy%20pregnant%20controls.%20Blood%20samples%20were%20collected%20from%20cases%20on%20average%207%20weeks%20before%20the%20diagnosis%20of%20preeclampsia%20and%20were%20matched%20to%20control%20samples.%20Soluble%20and%20EV%20fractions%20were%20separated%20from%20maternal%20plasma%3B%20EVs%20were%20confirmed%20by%20cryo-EM%2C%20NanoSight%2C%20and%20flow%20cytometry%3B%20and%2082%20proteins%20were%20analyzed%20with%20bead-based%2C%20multiplexed%20immunoassays.%20Quantile%20regression%20analysis%20and%20random%20forest%20models%20were%20implemented%20to%20evaluate%20protein%20concentration%20differences%20and%20their%20predictive%20accuracy.%20Preeclampsia%20subgroups%20defined%20by%20molecular%20profiles%20were%20identified%20by%20hierarchical%20cluster%20analysis.%20Significance%20was%20set%20at%20p%20%26lt%3B%200.05%20or%20false%20discovery%20rate-adjusted%20q%20%26lt%3B%200.1.%20RESULTS%3A%20In%20preterm%20preeclampsia%2C%20PlGF%2C%20PTX3%2C%20and%20VEGFR-1%20displayed%20differential%20abundance%20in%20both%20soluble%20and%20EV%20fractions%2C%20whereas%20angiogenin%2C%20CD40L%2C%20endoglin%2C%20galectin-1%2C%20IL-27%2C%20CCL19%2C%20and%20TIMP1%20were%20changed%20only%20in%20the%20soluble%20fraction%20%28q%20%26lt%3B%200.1%29.%20The%20direction%20of%20changes%20in%20the%20EV%20fraction%20was%20consistent%20with%20that%20in%20the%20soluble%20fraction%20for%20nine%20proteins.%20In%20term%20preeclampsia%2C%20CCL3%20had%20increased%20abundance%20in%20both%20fractions%20%28q%20%26lt%3B%200.1%29.%20The%20combined%20EV%20and%20soluble%20fraction%20proteomic%20profiles%20predicted%20preterm%20and%20term%20preeclampsia%20with%20an%20AUC%20of%2078%25%20%2895%25%20CI%2C%2066%25-90%25%29%20and%2068%25%20%2895%25%20CI%2C%2056%25-80%25%29%2C%20respectively.%20Three%20clusters%20of%20preeclampsia%20featuring%20distinct%20clinical%20characteristics%20and%20placental%20pathology%20were%20identified%20based%20on%20combined%20protein%20data.%20CONCLUSIONS%3A%20Our%20findings%20reveal%20distinct%20alterations%20of%20the%20maternal%20EV-associated%20and%20soluble%20plasma%20proteome%20in%20preterm%20and%20term%20preeclampsia%20and%20identify%20molecular%20subgroups%20of%20patients%20with%20distinct%20clinical%20and%20placental%20histopathologic%20features.%22%2C%22date%22%3A%222024%20Oct%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1111%5C%2Faji.13928%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221600-0897%201046-7408%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22ZWTE85FG%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Hamilton%20et%20al.%22%2C%22parsedDate%22%3A%222024-07%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BHamilton%2C%20Emily%20F.%2C%20Tilekbek%20Zhoroev%2C%20Philip%20A.%20Warrick%2C%20Adi%20L.%20Tarca%2C%20Thomas%20J.%20Garite%2C%20Aaron%20B.%20Caughey%2C%20Jason%20Melillo%2C%20et%20al.%20%26%23x201C%3BNew%20Labor%20Curves%20of%20Dilation%20and%20Station%20to%20Improve%20the%20Accuracy%20of%20Predicting%20Labor%20Progress.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Obstetrics%20and%20Gynecology%26lt%3B%5C%2Fi%26gt%3B%20231%2C%20no.%201%20%28July%202024%29%3A%201%26%23x2013%3B18.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2024.02.289%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2024.02.289%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22New%20labor%20curves%20of%20dilation%20and%20station%20to%20improve%20the%20accuracy%20of%20predicting%20labor%20progress.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emily%20F.%22%2C%22lastName%22%3A%22Hamilton%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tilekbek%22%2C%22lastName%22%3A%22Zhoroev%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Philip%20A.%22%2C%22lastName%22%3A%22Warrick%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thomas%20J.%22%2C%22lastName%22%3A%22Garite%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Aaron%20B.%22%2C%22lastName%22%3A%22Caughey%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jason%22%2C%22lastName%22%3A%22Melillo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mona%22%2C%22lastName%22%3A%22Prasad%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Duncan%22%2C%22lastName%22%3A%22Neilson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Peter%22%2C%22lastName%22%3A%22Singson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kimberlee%22%2C%22lastName%22%3A%22McKay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20diagnosis%20of%20failure%20to%20progress%2C%20the%20most%20common%20indication%20for%20intrapartum%20cesarean%20delivery%2C%20is%20based%20on%20the%20assessment%20of%20cervical%20dilation%20and%20station%20over%20time.%20Labor%20curves%20serve%20as%20references%20for%20expected%20changes%20in%20dilation%20and%20fetal%20descent.%20The%20labor%20curves%20of%20Friedman%2C%20Zhang%20et%20al%2C%20and%20others%20are%20based%20on%20time%20alone%20and%20derived%20from%20mothers%20with%20spontaneous%20labor%20onset.%20However%2C%20labor%20induction%20is%20now%20common%2C%20and%20clinicians%20also%20consider%20other%20factors%20when%20assessing%20labor%20progress.%20Labor%20curves%20that%20consider%20the%20use%20of%20labor%20induction%20and%20other%20factors%20that%20influence%20labor%20progress%20have%20the%20potential%20to%20be%20more%20accurate%20and%20closer%20to%20clinical%20decision-making.%20OBJECTIVE%3A%20This%20study%20aimed%20to%20compare%20the%20prediction%20errors%20of%20labor%20curves%20based%20on%20a%20single%20factor%20%28time%29%20or%20multiple%20clinically%20relevant%20factors%20using%20two%20modeling%20methods%3A%20mixed-effects%20regression%2C%20a%20standard%20statistical%20method%2C%20and%20Gaussian%20processes%2C%20a%20machine%20learning%20method.%20STUDY%20DESIGN%3A%20This%20was%20a%20longitudinal%20cohort%20study%20of%20changes%20in%20dilation%20and%20station%20based%20on%20data%20from%208022%20births%20in%20nulliparous%20women%20with%20a%20live%2C%20singleton%2C%20vertex-presenting%20fetus%20%26gt%3B%5C%2F%3D35%20weeks%20of%20gestation%20with%20a%20vaginal%20delivery.%20New%20labor%20curves%20of%20dilation%20and%20station%20were%20generated%20with%2010-fold%20cross-validation.%20External%20validation%20was%20performed%20using%20a%20geographically%20independent%20group.%20Model%20variables%20included%20time%20from%20the%20first%20examination%20in%20the%2020%20hours%20before%20delivery%3B%20dilation%2C%20effacement%2C%20and%20station%20recorded%20at%20the%20previous%20examination%3B%20cumulative%20contraction%20counts%3B%20and%20use%20of%20epidural%20anesthesia%20and%20labor%20induction.%20To%20assess%20model%20accuracy%2C%20differences%20between%20each%20model%26%23039%3Bs%20predicted%20value%20and%20its%20corresponding%20observed%20value%20were%20calculated.%20These%20prediction%20errors%20were%20summarized%20using%20mean%20absolute%20error%20and%20root%20mean%20squared%20error%20statistics.%20RESULTS%3A%20Dilation%20curves%20based%20on%20multiple%20parameters%20were%20more%20accurate%20than%20those%20derived%20from%20time%20alone.%20The%20mean%20absolute%20error%20of%20the%20multifactor%20methods%20was%20better%20%28lower%29%20than%20those%20of%20the%20single-%20factor%20methods%20%280.826%20cm%20%5B95%25%20confidence%20interval%2C%200.820-0.832%5D%20for%20the%20multifactor%20machine%20learning%20and%200.893%20cm%20%5B95%25%20confidence%20interval%2C%200.885-0.901%5D%20for%20the%20multifactor%20mixed-effects%20method%20and%202.122%20cm%20%5B95%25%20confidence%20interval%2C%202.108-2.136%5D%20for%20the%20single-factor%20methods%3B%20P%26lt%3B.0001%20for%20both%20comparisons%29.%20The%20root%20mean%20squared%20errors%20of%20the%20multifactor%20methods%20were%20also%20better%20%28lower%29%20than%20those%20of%20the%20single-factor%20methods%20%281.126%20cm%20%5B95%25%20confidence%20interval%2C%201.118-1.133%5D%20for%20the%20machine%20learning%20%5BP%26lt%3B.0001%5D%20and%201.172%20cm%20%5B95%25%20confidence%20interval%2C%201.164-1.181%5D%20for%20the%20mixed-effects%20methods%20and%202.504%20cm%20%5B95%25%20confidence%20interval%2C%202.487-2.521%5D%20for%20the%20single-factor%20%5BP%26lt%3B.0001%20for%20both%20comparisons%5D%29.%20The%20multifactor%20machine%20learning%20dilation%20models%20showed%20small%20but%20statistically%20significant%20improvements%20in%20accuracy%20compared%20to%20the%20mixed-effects%20regression%20models%20%28P%26lt%3B.0001%29.%20The%20multifactor%20machine%20learning%20method%20produced%20a%20curve%20of%20descent%20with%20a%20mean%20absolute%20error%20of%200.512%20cm%20%2895%25%20confidence%20interval%2C%200.509-0.515%29%20and%20a%20root%20mean%20squared%20error%20of%200.660%20cm%20%2895%25%20confidence%20interval%2C%200.655-0.666%29.%20External%20validation%20using%20independent%20data%20produced%20similar%20findings.%20CONCLUSION%3A%20Cervical%20dilation%20models%20based%20on%20multiple%20clinically%20relevant%20parameters%20showed%20improved%20%28lower%29%20prediction%20errors%20compared%20to%20models%20based%20on%20time%20alone.%20The%20mean%20prediction%20errors%20were%20reduced%20by%20more%20than%2050%25.%20A%20more%20accurate%20assessment%20of%20departure%20from%20expected%20dilation%20and%20station%20may%20help%20clinicians%20optimize%20intrapartum%20management.%22%2C%22date%22%3A%222024%20Jul%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajog.2024.02.289%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221097-6868%200002-9378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22ID22R6LF%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Shaffer%20et%20al.%22%2C%22parsedDate%22%3A%222024-06-24%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BShaffer%2C%20Zachary%2C%20Roberto%20Romero%2C%20Adi%20L.%20Tarca%2C%20Jose%20Galaz%2C%20Marcia%20Arenas-Hernandez%2C%20Dereje%20W.%20Gudicha%2C%20Tinnakorn%20Chaiworapongsa%2C%20et%20al.%20%26%23x201C%3BThe%20Vaginal%20Immunoproteome%20for%20the%20Prediction%20of%20Spontaneous%20Preterm%20Birth%3A%20A%20Retrospective%20Longitudinal%20Study.%26%23x201D%3B%20%26lt%3Bi%26gt%3BeLife%26lt%3B%5C%2Fi%26gt%3B%2013%20%28June%2024%2C%202024%29%3A%20e90943.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7554%5C%2FeLife.90943%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7554%5C%2FeLife.90943%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20vaginal%20immunoproteome%20for%20the%20prediction%20of%20spontaneous%20preterm%20birth%3A%20A%20retrospective%20longitudinal%20study.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zachary%22%2C%22lastName%22%3A%22Shaffer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Background%3A%20Preterm%20birth%20is%20the%20leading%20cause%20of%20neonatal%20morbidity%20and%20mortality%20worldwide.%20Most%20cases%20of%20preterm%20birth%20occur%20spontaneously%20and%20result%20from%20preterm%20labor%20with%20intact%20%28spontaneous%20preterm%20labor%20%5BsPTL%5D%29%20or%20ruptured%20%28preterm%20prelabor%20rupture%20of%20membranes%20%5BPPROM%5D%29%20membranes.%20The%20prediction%20of%20spontaneous%20preterm%20birth%20%28sPTB%29%20remains%20underpowered%20due%20to%20its%20syndromic%20nature%20and%20the%20dearth%20of%20independent%20analyses%20of%20the%20vaginal%20host%20immune%20response.%20Thus%2C%20we%20conducted%20the%20largest%20longitudinal%20investigation%20targeting%20vaginal%20immune%20mediators%2C%20referred%20to%20herein%20as%20the%20immunoproteome%2C%20in%20a%20population%20at%20high%20risk%20for%20sPTB.%20Methods%3A%20Vaginal%20swabs%20were%20collected%20across%20gestation%20from%20pregnant%20women%20who%20ultimately%20underwent%20term%20birth%2C%20sPTL%2C%20or%20PPROM.%20Cytokines%2C%20chemokines%2C%20growth%20factors%2C%20and%20antimicrobial%20peptides%20in%20the%20samples%20were%20quantified%20via%20specific%20and%20sensitive%20immunoassays.%20Predictive%20models%20were%20constructed%20from%20immune%20mediator%20concentrations.%20Results%3A%20Throughout%20uncomplicated%20gestation%2C%20the%20vaginal%20immunoproteome%20harbors%20a%20cytokine%20network%20with%20a%20homeostatic%20profile.%20Yet%2C%20the%20vaginal%20immunoproteome%20is%20skewed%20toward%20a%20pro-inflammatory%20state%20in%20pregnant%20women%20who%20ultimately%20experience%20sPTL%20and%20PPROM.%20Such%20an%20inflammatory%20profile%20includes%20increased%20monocyte%20chemoattractants%2C%20cytokines%20indicative%20of%20macrophage%20and%20T-cell%20activation%2C%20and%20reduced%20antimicrobial%20proteins%5C%2Fpeptides.%20The%20vaginal%20immunoproteome%20has%20improved%20predictive%20value%20over%20maternal%20characteristics%20alone%20for%20identifying%20women%20at%20risk%20for%20early%20%28%26lt%3B34%20weeks%29%20sPTB.%20Conclusions%3A%20The%20vaginal%20immunoproteome%20undergoes%20homeostatic%20changes%20throughout%20gestation%20and%20deviations%20from%20this%20shift%20are%20associated%20with%20sPTB.%20Furthermore%2C%20the%20vaginal%20immunoproteome%20can%20be%20leveraged%20as%20a%20potential%20biomarker%20for%20early%20sPTB%2C%20a%20subset%20of%20sPTB%20associated%20with%20extremely%20adverse%20neonatal%20outcomes.%20Funding%3A%20This%20research%20was%20conducted%20by%20the%20Perinatology%20Research%20Branch%2C%20Division%20of%20Obstetrics%20and%20Maternal-Fetal%20Medicine%2C%20Division%20of%20Intramural%20Research%2C%20Eunice%20Kennedy%20Shriver%20National%20Institute%20of%20Child%20Health%20and%20Human%20Development%2C%20National%20Institutes%20of%20Health%2C%20U.S.%20Department%20of%20Health%20and%20Human%20Services%20%28NICHD%5C%2FNIH%5C%2FDHHS%29%20under%20contract%20HHSN275201300006C.%20ALT%2C%20KRT%2C%20and%20NGL%20were%20supported%20by%20the%20Wayne%20State%20University%20Perinatal%20Initiative%20in%20Maternal%2C%20Perinatal%20and%20Child%20Health.%22%2C%22date%22%3A%222024%20Jun%2024%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.7554%5C%2FeLife.90943%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222050-084X%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A50Z%22%7D%7D%2C%7B%22key%22%3A%2239CHZMWB%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chaiworapongsa%20et%20al.%22%2C%22parsedDate%22%3A%222024-04%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChaiworapongsa%2C%20Tinnakorn%2C%20Roberto%20Romero%2C%20Nardhy%20Gomez-Lopez%2C%20Manaphat%20Suksai%2C%20Dahiana%20M.%20Gallo%2C%20Eunjung%20Jung%2C%20Stanley%20M.%20Berry%2C%20Awoniyi%20Awonuga%2C%20Adi%20L.%20Tarca%2C%20and%20David%20R.%20Bryant.%20%26%23x201C%3BPreeclampsia%20at%20Term%3A%20Evidence%20of%20Disease%20Heterogeneity%20Based%20on%20the%20Profile%20of%20Circulating%20Cytokines%20and%20Angiogenic%20Factors.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Obstetrics%20and%20Gynecology%26lt%3B%5C%2Fi%26gt%3B%20230%2C%20no.%204%20%28April%202024%29%3A%20450.e1-450.e18.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2023.10.002%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2023.10.002%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Preeclampsia%20at%20term%3A%20evidence%20of%20disease%20heterogeneity%20based%20on%20the%20profile%20of%20circulating%20cytokines%20and%20angiogenic%20factors.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Intravascular%20inflammation%20and%20an%20antiangiogenic%20state%20have%20been%20implicated%20in%20the%20pathophysiology%20of%20preeclampsia.%20On%20the%20basis%20of%20the%20profiles%20of%20their%20angiogenic%5C%2Fantiangiogenic%20factors%2C%20women%20with%20preeclampsia%20at%20term%20may%20be%20classified%20into%202%20subgroups%20with%20different%20characteristics%20and%20prevalence%20of%20adverse%20outcomes.%20This%20study%20was%20undertaken%20to%20examine%20whether%20these%202%20subgroups%20of%20preeclampsia%20at%20term%20also%20show%20differences%20in%20their%20profiles%20of%20intravascular%20inflammation.%20OBJECTIVE%3A%20This%20study%20aimed%20to%20determine%20the%20plasma%20profiles%20of%20cytokines%20and%20chemokines%20in%20women%20with%20preeclampsia%20at%20term%20who%20had%20a%20normal%20or%20an%20abnormal%20angiogenic%20profile.%20STUDY%20DESIGN%3A%20A%20nested%20case-control%20study%20was%20conducted%20to%20include%20women%20classified%20into%203%20groups%3A%20women%20with%20an%20uncomplicated%20pregnancy%20%28n%3D213%29%20and%20women%20with%20preeclampsia%20at%20term%20with%20a%20normal%20%28n%3D55%29%20or%20an%20abnormal%20%28n%3D41%29%20angiogenic%20profile.%20An%20abnormal%20angiogenic%20profile%20was%20defined%20as%20a%20plasma%20ratio%20of%20placental%20growth%20factor%20and%20soluble%20fms-like%20tyrosine%20kinase-1%20multiple%20of%20the%20median%20%26lt%3B10th%20percentile%20for%20gestational%20age.%20Concentrations%20of%20cytokines%20were%20measured%20by%20multiplex%20immunoassays.%20RESULTS%3A%20Women%20with%20preeclampsia%20at%20term%20and%20an%20abnormal%20angiogenic%20profile%20showed%20evidence%20of%20the%20greatest%20intravascular%20inflammation%20among%20the%20study%20groups.%20These%20women%20had%20higher%20plasma%20concentrations%20of%205%20cytokines%20%28interleukin-6%2C%20interleukin-8%2C%20interleukin-12%5C%2Finterleukin-23p40%2C%20interleukin-15%2C%20and%20interleukin-16%29%20and%207%20chemokines%20%28eotaxin%2C%20eotaxin-3%2C%20interferon-gamma%20inducible%20protein-10%2C%20monocyte%20chemotactic%20protein-4%2C%20macrophage%20inflammatory%20protein-1beta%2C%20macrophage-derived%20chemokine%2C%20and%20thymus%20and%20activation-regulated%20chemokine%20compared%20to%20women%20with%20an%20uncomplicated%20pregnancy.%20By%20contrast%2C%20women%20with%20preeclampsia%20at%20term%20and%20a%20normal%20angiogenic%20profile%2C%20compared%20to%20women%20with%20an%20uncomplicated%20pregnancy%2C%20had%20only%20a%20higher%20plasma%20concentration%20of%20monocyte%20chemotactic%20protein-4.%20A%20correlation%20between%20severity%20of%20the%20antiangiogenic%20state%2C%20blood%20pressure%2C%20and%20plasma%20concentrations%20of%20a%20subset%20of%20cytokines%20was%20observed.%20CONCLUSION%3A%20Term%20preeclampsia%20can%20be%20classified%20into%202%20clusters.%20One%20is%20characterized%20by%20an%20antiangiogenic%20state%20coupled%20with%20an%20excessive%20inflammatory%20process%2C%20whereas%20the%20other%20has%20neither%20of%20these%20features.%20These%20findings%20further%20support%20the%20heterogeneity%20of%20preeclampsia%20at%20term%20and%20may%20explain%20the%20distinct%20clinical%20outcomes.%22%2C%22date%22%3A%222024%20Apr%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajog.2023.10.002%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221097-6868%200002-9378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22SBHDAN6G%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Than%20et%20al.%22%2C%22parsedDate%22%3A%222024-02%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BThan%2C%20Nandor%20Gabor%2C%20Roberto%20Romero%2C%20Mate%20Posta%2C%20Daniel%20Gyorffy%2C%20Gabor%20Szalai%2C%20Simona%20W.%20Rossi%2C%20Andras%20Szilagyi%2C%20et%20al.%20%26%23x201C%3BClassification%20of%20Preeclampsia%20According%20to%20Molecular%20Clusters%20with%20the%20Goal%20of%20Achieving%20Personalized%20Prevention.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Reproductive%20Immunology%26lt%3B%5C%2Fi%26gt%3B%20161%20%28February%202024%29%3A%20104172.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jri.2023.104172%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jri.2023.104172%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Classification%20of%20preeclampsia%20according%20to%20molecular%20clusters%20with%20the%20goal%20of%20achieving%20personalized%20prevention.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mate%22%2C%22lastName%22%3A%22Posta%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%22%2C%22lastName%22%3A%22Gyorffy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gabor%22%2C%22lastName%22%3A%22Szalai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Simona%20W.%22%2C%22lastName%22%3A%22Rossi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andras%22%2C%22lastName%22%3A%22Szilagyi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Petronella%22%2C%22lastName%22%3A%22Hupuczi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sandor%22%2C%22lastName%22%3A%22Nagy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Olga%22%2C%22lastName%22%3A%22Torok%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%22%2C%22lastName%22%3A%22Acs%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zoltan%22%2C%22lastName%22%3A%22Papp%22%7D%5D%2C%22abstractNote%22%3A%22The%20prevention%20of%20pre-eclampsia%20is%20difficult%20due%20to%20the%20syndromic%20nature%20and%20multiple%20underlying%20mechanisms%20of%20this%20severe%20complication%20of%20pregnancy.%20The%20current%20clinical%20distinction%20between%20early-%20and%20late-onset%20disease%2C%20although%20clinically%20useful%2C%20does%20not%20reflect%20the%20true%20nature%20and%20complexity%20of%20the%20pathologic%20processes%20leading%20to%20pre-eclampsia.%20The%20current%20gaps%20in%20knowledge%20on%20the%20heterogeneous%20molecular%20pathways%20of%20this%20syndrome%20and%20the%20lack%20of%20adequate%2C%20specific%20diagnostic%20methods%20are%20major%20obstacles%20to%20early%20screening%20and%20tailored%20preventive%20strategies.%20The%20development%20of%20novel%20diagnostic%20tools%20for%20detecting%20the%20activation%20of%20the%20identified%20disease%20pathways%20would%20enable%20early%2C%20accurate%20screening%20and%20personalized%20preventive%20therapies.%20We%20implemented%20a%20holistic%20approach%20that%20includes%20the%20utilization%20of%20different%20proteomic%20profiling%20methods%20of%20maternal%20plasma%20samples%20collected%20from%20various%20ethnic%20populations%20and%20the%20application%20of%20systems%20biology%20analysis%20to%20plasma%20proteomic%2C%20maternal%20demographic%2C%20clinical%20characteristic%2C%20and%20placental%20histopathologic%20data.%20This%20approach%20enabled%20the%20identification%20of%20four%20molecular%20subclasses%20of%20pre-eclampsia%20in%20which%20distinct%20and%20shared%20disease%20mechanisms%20are%20activated.%20The%20current%20review%20summarizes%20the%20results%20and%20conclusions%20from%20these%20studies%20and%20the%20research%20and%20clinical%20implications%20of%20our%20findings.%22%2C%22date%22%3A%222024%20Feb%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.jri.2023.104172%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221872-7603%200165-0378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22748JWBHH%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Golob%20et%20al.%22%2C%22parsedDate%22%3A%222024-01-16%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGolob%2C%20Jonathan%20L.%2C%20Tomiko%20T.%20Oskotsky%2C%20Alice%20S.%20Tang%2C%20Alennie%20Roldan%2C%20Verena%20Chung%2C%20Connie%20W.%20Y.%20Ha%2C%20Ronald%20J.%20Wong%2C%20et%20al.%20%26%23x201C%3BMicrobiome%20Preterm%20Birth%20DREAM%20Challenge%3A%20Crowdsourcing%20Machine%20Learning%20Approaches%20to%20Advance%20Preterm%20Birth%20Research.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCell%20Reports.%20Medicine%26lt%3B%5C%2Fi%26gt%3B%205%2C%20no.%201%20%28January%2016%2C%202024%29%3A%20101350.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.xcrm.2023.101350%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.xcrm.2023.101350%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Microbiome%20preterm%20birth%20DREAM%20challenge%3A%20Crowdsourcing%20machine%20learning%20approaches%20to%20advance%20preterm%20birth%20research.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jonathan%20L.%22%2C%22lastName%22%3A%22Golob%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomiko%20T.%22%2C%22lastName%22%3A%22Oskotsky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alice%20S.%22%2C%22lastName%22%3A%22Tang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alennie%22%2C%22lastName%22%3A%22Roldan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Verena%22%2C%22lastName%22%3A%22Chung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Connie%20W.%20Y.%22%2C%22lastName%22%3A%22Ha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ronald%20J.%22%2C%22lastName%22%3A%22Wong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kaitlin%20J.%22%2C%22lastName%22%3A%22Flynn%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Antonio%22%2C%22lastName%22%3A%22Parraga-Leo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Camilla%22%2C%22lastName%22%3A%22Wibrand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Samuel%20S.%22%2C%22lastName%22%3A%22Minot%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Boris%22%2C%22lastName%22%3A%22Oskotsky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaia%22%2C%22lastName%22%3A%22Andreoletti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Idit%22%2C%22lastName%22%3A%22Kosti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Julie%22%2C%22lastName%22%3A%22Bletz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Amber%22%2C%22lastName%22%3A%22Nelson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jifan%22%2C%22lastName%22%3A%22Gao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhoujingpeng%22%2C%22lastName%22%3A%22Wei%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Guanhua%22%2C%22lastName%22%3A%22Chen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zheng-Zheng%22%2C%22lastName%22%3A%22Tang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pierfrancesco%22%2C%22lastName%22%3A%22Novielli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Donato%22%2C%22lastName%22%3A%22Romano%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ester%22%2C%22lastName%22%3A%22Pantaleo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicola%22%2C%22lastName%22%3A%22Amoroso%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alfonso%22%2C%22lastName%22%3A%22Monaco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mirco%22%2C%22lastName%22%3A%22Vacca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%22%2C%22lastName%22%3A%22De%20Angelis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Bellotti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sabina%22%2C%22lastName%22%3A%22Tangaro%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Abigail%22%2C%22lastName%22%3A%22Kuntzleman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Isaac%22%2C%22lastName%22%3A%22Bigcraft%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephen%22%2C%22lastName%22%3A%22Techtmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daehun%22%2C%22lastName%22%3A%22Bae%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunyoung%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jongbum%22%2C%22lastName%22%3A%22Jeon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Soobok%22%2C%22lastName%22%3A%22Joe%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sherrianne%22%2C%22lastName%22%3A%22Ng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yun%20S.%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Patricia%22%2C%22lastName%22%3A%22Diaz-Gimeno%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Phillip%20R.%22%2C%22lastName%22%3A%22Bennett%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20A.%22%2C%22lastName%22%3A%22MacIntyre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gustavo%22%2C%22lastName%22%3A%22Stolovitzky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susan%20V.%22%2C%22lastName%22%3A%22Lynch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jake%22%2C%22lastName%22%3A%22Albrecht%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20K.%22%2C%22lastName%22%3A%22Stevenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nima%22%2C%22lastName%22%3A%22Aghaeepour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20C.%22%2C%22lastName%22%3A%22Costello%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marina%22%2C%22lastName%22%3A%22Sirota%22%7D%5D%2C%22abstractNote%22%3A%22Every%20year%2C%2011%25%20of%20infants%20are%20born%20preterm%20with%20significant%20health%20consequences%2C%20with%20the%20vaginal%20microbiome%20a%20risk%20factor%20for%20preterm%20birth.%20We%20crowdsource%20models%20to%20predict%20%281%29%20preterm%20birth%20%28PTB%3B%20%26lt%3B37%20weeks%29%20or%20%282%29%20early%20preterm%20birth%20%28ePTB%3B%20%26lt%3B32%20weeks%29%20from%209%20vaginal%20microbiome%20studies%20representing%203%2C578%20samples%20from%201%2C268%20pregnant%20individuals%2C%20aggregated%20from%20public%20raw%20data%20via%20phylogenetic%20harmonization.%20The%20predictive%20models%20are%20validated%20on%20two%20independent%20unpublished%20datasets%20representing%20331%20samples%20from%20148%20pregnant%20individuals.%20The%20top-performing%20models%20%28among%20148%20and%20121%20submissions%20from%20318%20teams%29%20achieve%20area%20under%20the%20receiver%20operator%20characteristic%20%28AUROC%29%20curve%20scores%20of%200.69%20and%200.87%20predicting%20PTB%20and%20ePTB%2C%20respectively.%20Alpha%20diversity%2C%20VALENCIA%20community%20state%20types%2C%20and%20composition%20are%20important%20features%20in%20the%20top-performing%20models%2C%20most%20of%20which%20are%20tree-based%20methods.%20This%20work%20is%20a%20model%20for%20translation%20of%20microbiome%20data%20into%20clinically%20relevant%20predictive%20models%20and%20to%20better%20understand%20preterm%20birth.%22%2C%22date%22%3A%222024%20Jan%2016%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.xcrm.2023.101350%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222666-3791%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22PJ4N4W4P%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Garcia-Flores%20et%20al.%22%2C%22parsedDate%22%3A%222024-01-10%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGarcia-Flores%2C%20Valeria%2C%20Roberto%20Romero%2C%20Adi%20L.%20Tarca%2C%20Azam%20Peyvandipour%2C%20Yi%20Xu%2C%20Jose%20Galaz%2C%20Derek%20Miller%2C%20et%20al.%20%26%23x201C%3BDeciphering%20Maternal-Fetal%20Cross-Talk%20in%20the%20Human%20Placenta%20during%20Parturition%20Using%20Single-Cell%20RNA%20Sequencing.%26%23x201D%3B%20%26lt%3Bi%26gt%3BScience%20Translational%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2016%2C%20no.%20729%20%28January%2010%2C%202024%29%3A%20eadh8335.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1126%5C%2Fscitranslmed.adh8335%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1126%5C%2Fscitranslmed.adh8335%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Deciphering%20maternal-fetal%20cross-talk%20in%20the%20human%20placenta%20during%20parturition%20using%20single-cell%20RNA%20sequencing.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Azam%22%2C%22lastName%22%3A%22Peyvandipour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%20O.%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Labor%20is%20a%20complex%20physiological%20process%20requiring%20a%20well-orchestrated%20dialogue%20between%20the%20mother%20and%20fetus.%20However%2C%20the%20cellular%20contributions%20and%20communications%20that%20facilitate%20maternal-fetal%20cross-%20talk%20in%20labor%20have%20not%20been%20fully%20elucidated.%20Here%2C%20single-cell%20RNA%20sequencing%20%28scRNA-seq%29%20was%20applied%20to%20decipher%20maternal-fetal%20signaling%20in%20the%20human%20placenta%20during%20term%20labor.%20First%2C%20a%20single-cell%20atlas%20of%20the%20human%20placenta%20was%20established%2C%20demonstrating%20that%20maternal%20and%20fetal%20cell%20types%20underwent%20changes%20in%20transcriptomic%20activity%20during%20labor.%20Cell%20types%20most%20affected%20by%20labor%20were%20fetal%20stromal%20and%20maternal%20decidual%20cells%20in%20the%20chorioamniotic%20membranes%20%28CAMs%29%20and%20maternal%20and%20fetal%20myeloid%20cells%20in%20the%20placenta.%20Cell-cell%20interaction%20analyses%20showed%20that%20CAM%20and%20placental%20cell%20types%20participated%20in%20labor-driven%20maternal%20and%20fetal%20signaling%2C%20including%20the%20collagen%2C%20C-X-C%20motif%20ligand%20%28CXCL%29%2C%20tumor%20necrosis%20factor%20%28TNF%29%2C%20galectin%2C%20and%20interleukin-6%20%28IL-6%29%20pathways.%20Integration%20of%20scRNA-seq%20data%20with%20publicly%20available%20bulk%20transcriptomic%20data%20showed%20that%20placenta-derived%20scRNA-seq%20signatures%20could%20be%20monitored%20in%20the%20maternal%20circulation%20throughout%20gestation%20and%20in%20labor.%20Moreover%2C%20comparative%20analysis%20revealed%20that%20placenta-derived%20signatures%20in%20term%20labor%20were%20mirrored%20by%20those%20in%20spontaneous%20preterm%20labor%20and%20birth.%20Furthermore%2C%20we%20demonstrated%20that%20early%20in%20gestation%2C%20labor-specific%2C%20placenta-derived%20signatures%20could%20be%20detected%20in%20the%20circulation%20of%20women%20destined%20to%20undergo%20spontaneous%20preterm%20birth%2C%20with%20either%20intact%20or%20prelabor%20ruptured%20membranes.%20Collectively%2C%20our%20findings%20provide%20insight%20into%20the%20maternal-fetal%20cross-talk%20of%20human%20parturition%20and%20suggest%20that%20placenta-derived%20single-cell%20signatures%20can%20aid%20in%20the%20development%20of%20noninvasive%20biomarkers%20for%20the%20prediction%20of%20preterm%20birth.%22%2C%22date%22%3A%222024%20Jan%2010%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1126%5C%2Fscitranslmed.adh8335%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221946-6242%201946-6234%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22UMATDAAZ%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gallo%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGallo%2C%20Dahiana%20M.%2C%20Wendy%20Fitzgerald%2C%20Roberto%20Romero%2C%20Nardhy%20Gomez-Lopez%2C%20Dereje%20W.%20Gudicha%2C%20Nandor%20Gabor%20Than%2C%20Mariachiara%20Bosco%2C%20et%20al.%20%26%23x201C%3BProteomic%20Profile%20of%20Extracellular%20Vesicles%20in%20Maternal%20Plasma%20of%20Women%20with%20Fetal%20Death.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202177529.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2177529%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2177529%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Proteomic%20profile%20of%20extracellular%20vesicles%20in%20maternal%20plasma%20of%20women%20with%20fetal%20death.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wendy%22%2C%22lastName%22%3A%22Fitzgerald%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leonid%22%2C%22lastName%22%3A%22Margolis%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20Fetal%20death%20is%20a%20complication%20of%20pregnancy%20caused%20by%20multiple%20etiologies%20rather%20than%20being%20the%20end-result%20of%20a%20single%20disease%20process.%20Many%20soluble%20analytes%20in%20the%20maternal%20circulation%2C%20such%20as%20hormones%20and%20cytokines%2C%20have%20been%20implicated%20in%20its%20pathophysiology.%20However%2C%20changes%20in%20the%20protein%20content%20of%20extracellular%20vesicles%20%28EVs%29%2C%20which%20could%20provide%20additional%20insight%20into%20the%20disease%20pathways%20of%20this%20obstetrical%20syndrome%2C%20have%20not%20been%20examined.%20This%20study%20aimed%20to%20characterize%20the%20proteomic%20profile%20of%20EVs%20in%20the%20plasma%20of%20pregnant%20women%20who%20experienced%20fetal%20death%20and%20to%20evaluate%20whether%20such%20a%20profile%20reflected%20the%20pathophysiological%20mechanisms%20of%20this%20obstetrical%20complication.%20Moreover%2C%20the%20proteomic%20results%20were%20compared%20to%20and%20integrated%20with%20those%20obtained%20from%20the%20soluble%20fraction%20of%20maternal%20plasma.%20METHODS%3A%20This%20retrospective%20case-control%20study%20included%2047%20women%20who%20experienced%20fetal%20death%20and%2094%20matched%2C%20healthy%2C%20pregnant%20controls.%20Proteomic%20analysis%20of%2082%20proteins%20in%20the%20EVs%20and%20the%20soluble%20fractions%20of%20maternal%20plasma%20samples%20was%20conducted%20by%20using%20a%20bead-based%2C%20multiplexed%20immunoassay%20platform.%20Quantile%20regression%20analysis%20and%20random%20forest%20models%20were%20implemented%20to%20assess%20differences%20in%20the%20concentration%20of%20proteins%20in%20the%20EV%20and%20soluble%20fractions%20and%20to%20evaluate%20their%20combined%20discriminatory%20power%20between%20clinical%20groups.%20Hierarchical%20cluster%20analysis%20was%20applied%20to%20identify%20subgroups%20of%20fetal%20death%20cases%20with%20similar%20proteomic%20profiles.%20A%20p-value%20of%20%26lt%3B.05%20was%20used%20to%20infer%20significance%2C%20unless%20multiple%20testing%20was%20involved%2C%20with%20the%20false%20discovery%20rate%20controlled%20at%20the%2010%25%20level%20%28q%20%26lt%3B%200.1%29.%20All%20statistical%20analyses%20were%20performed%20by%20using%20the%20R%20statistical%20language%20and%20environment-and%20specialized%20packages.%20RESULTS%3A%20Nineteen%20proteins%20%28placental%20growth%20factor%2C%20macrophage%20migration%20inhibitory%20factor%2C%20endoglin%2C%20regulated%20upon%20activation%20normal%20T%20cell%20expressed%20and%20presumably%20secreted%20%28RANTES%29%2C%20interleukin%20%28IL%29-6%2C%20macrophage%20inflammatory%20protein%201-alpha%2C%20urokinase%20plasminogen%20activator%20surface%20receptor%2C%20tissue%20factor%20pathway%20inhibitor%2C%20IL-8%2C%20E-Selectin%2C%20vascular%20endothelial%20growth%20factor%20receptor%202%2C%20pentraxin%203%2C%20IL-16%2C%20galectin-1%2C%20monocyte%20chemotactic%20protein%201%2C%20disintegrin%20and%20metalloproteinase%20domain-containing%20protein%2012%2C%20insulin-like%20growth%20factor-binding%20protein%201%2C%20matrix%20metalloproteinase-1%28MMP1%29%2C%20and%20CD163%29%20were%20found%20to%20have%20different%20plasma%20concentrations%20%28of%20an%20EV%20or%20a%20soluble%20fraction%29%20in%20women%20with%20fetal%20death%20compared%20to%20controls.%20There%20was%20a%20similar%20pattern%20of%20change%20for%20the%20dysregulated%20proteins%20in%20the%20EV%20and%20soluble%20fractions%20and%20a%20positive%20correlation%20between%20the%20log2-fold%20changes%20of%20proteins%20significant%20in%20either%20the%20EV%20or%20the%20soluble%20fraction%20%28rho%20%3D%200.89%2C%20p%20%26lt%3B%20.001%29.%20The%20combination%20of%20EV%20and%20soluble%20fraction%20proteins%20resulted%20in%20a%20good%20discriminatory%20model%20%28area%20under%20the%20ROC%20curve%2C%2082%25%3B%20sensitivity%2C%2057.5%25%20at%20a%2010%25%20false-positive%20rate%29.%20Unsupervised%20clustering%20based%20on%20the%20proteins%20differentially%20expressed%20in%20either%20the%20EV%20or%20the%20soluble%20fraction%20of%20patients%20with%20fetal%20death%20relative%20to%20controls%20revealed%20three%20major%20clusters%20of%20patients.%20CONCLUSION%3A%20Pregnant%20women%20with%20fetal%20death%20have%20different%20concentrations%20of%2019%20proteins%20in%20the%20EV%20and%20soluble%20fractions%20compared%20to%20controls%2C%20and%20the%20direction%20of%20changes%20in%20concentration%20was%20similar%20between%20fractions.%20The%20combination%20of%20EV%20and%20soluble%20protein%20concentrations%20revealed%20three%20different%20clusters%20of%20fetal%20death%20cases%20with%20distinct%20clinical%20and%20placental%20histopathological%20characteristics.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2177529%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22P7IMRYHT%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bahado-Singh%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBahado-Singh%2C%20Ray%2C%20Adi%20L.%20Tarca%2C%20Yasmin%20G.%20Hasbini%2C%20Robert%20J.%20Sokol%2C%20Madhurima%20Keerthy%2C%20Gregory%20Goyert%2C%20Theodore%20Jones%2C%20et%20al.%20%26%23x201C%3BMaternal%20SARS-COV-2%20Infection%20and%20Prematurity%3A%20The%20Southern%20Michigan%20COVID-19%20Collaborative.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202199343.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2199343%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2199343%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Maternal%20SARS-COV-2%20infection%20and%20prematurity%3A%20the%20Southern%20Michigan%20COVID-19%20collaborative.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ray%22%2C%22lastName%22%3A%22Bahado-Singh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yasmin%20G.%22%2C%22lastName%22%3A%22Hasbini%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%20J.%22%2C%22lastName%22%3A%22Sokol%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Madhurima%22%2C%22lastName%22%3A%22Keerthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gregory%22%2C%22lastName%22%3A%22Goyert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Theodore%22%2C%22lastName%22%3A%22Jones%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lisa%22%2C%22lastName%22%3A%22Thiel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pooja%22%2C%22lastName%22%3A%22Green%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Youssef%22%2C%22lastName%22%3A%22Youssef%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Courtney%22%2C%22lastName%22%3A%22Townsel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shyla%22%2C%22lastName%22%3A%22Vengalil%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paige%22%2C%22lastName%22%3A%22Paladino%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Amy%22%2C%22lastName%22%3A%22Wright%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariam%22%2C%22lastName%22%3A%22Ayyash%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gayathri%22%2C%22lastName%22%3A%22Vadlamudi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marta%22%2C%22lastName%22%3A%22Szymanska%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%22%2C%22lastName%22%3A%22Sajja%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Onur%22%2C%22lastName%22%3A%22Turkoglu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Grace%22%2C%22lastName%22%3A%22Sterenberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexandra%20R.%22%2C%22lastName%22%3A%22Mangus%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Micheal%22%2C%22lastName%22%3A%22Baracy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%22%2C%22lastName%22%3A%22Gibbons%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karlee%22%2C%22lastName%22%3A%22Grace%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kaitlyn%22%2C%22lastName%22%3A%22Houston%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jessica%22%2C%22lastName%22%3A%22Norman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20COVID-19%20has%20been%20reported%20to%20increase%20the%20risk%20of%20prematurity%2C%20however%2C%20due%20to%20the%20frequent%20absence%20of%20unaffected%20controls%20as%20well%20as%20inadequate%20accounting%20for%20confounders%20in%20many%20studies%2C%20the%20question%20requires%20further%20investigation.%20We%20sought%20to%20determine%20the%20impact%20of%20COVID-19%20disease%20on%20preterm%20birth%20%28PTB%29%20overall%2C%20as%20well%20as%20related%20subcategories%20such%20as%20early%20prematurity%2C%20spontaneous%2C%20medically%20indicated%20preterm%20birth%2C%20and%20preterm%20labor%20%28PTL%29.%20We%20assessed%20the%20impact%20of%20confounders%20such%20as%20COVID-19%20risk%20factors%2C%20a-priori%20risk%20factors%20for%20PTB%2C%20symptomatology%2C%20and%20disease%20severity%20on%20rates%20of%20prematurity.%20METHODS%3A%20This%20was%20a%20retrospective%20cohort%20study%20of%20pregnant%20women%20from%20March%202020%20till%20October%201st%2C%202020.%20The%20study%20included%20patients%20from%2014%20obstetric%20centers%20in%20Michigan%2C%20USA.%20Cases%20were%20defined%20as%20women%20diagnosed%20with%20COVID-19%20at%20any%20point%20during%20their%20pregnancy.%20Cases%20were%20matched%20with%20uninfected%20women%20who%20delivered%20in%20the%20same%20unit%2C%20within%2030%20d%20of%20the%20delivery%20of%20the%20index%20case.%20Outcomes%20of%20interest%20were%20frequencies%20of%20prematurity%20overall%20and%20subcategories%20of%20preterm%20birth%20%28early%2C%20spontaneous%5C%2Fmedically%20indicated%2C%20preterm%20labor%2C%20and%20premature%20preterm%20rupture%20of%20membranes%29%20in%20cases%20compared%20to%20controls.%20The%20impact%20of%20modifiers%20of%20these%20outcomes%20was%20documented%20with%20extensive%20control%20for%20potential%20confounders.%20A%20p%20value%20%26lt%3B.05%20was%20used%20to%20infer%20significance.%20RESULTS%3A%20The%20rate%20of%20prematurity%20was%208.9%25%20in%20controls%2C%209.4%25%20in%20asymptomatic%20cases%2C%2026.5%25%20in%20symptomatic%20COVID-19%20cases%2C%20and%2058.8%25%20among%20cases%20admitted%20to%20the%20ICU.%20Gestational%20age%20at%20delivery%20was%20noted%20to%20decrease%20with%20disease%20severity.%20Cases%20were%20at%20an%20increased%20risk%20of%20prematurity%20overall%20%5Badjusted%20relative%20risk%20%28aRR%29%20%3D%201.62%20%281.2-2.18%29%5D%20and%20of%20early%20prematurity%20%28%26lt%3B34%20weeks%29%20%5BaRR%20%3D%201.8%20%281.02-3.16%29%5D%20when%20compared%20to%20controls.%20Medically%20indicated%20prematurity%20related%20to%20preeclampsia%20%5BaRR%20%3D%202.46%20%281.47-4.12%29%5D%20or%20other%20indications%20%5BaRR%20%3D%202.32%20%281.12-4.79%29%5D%2C%20were%20the%20primary%20drivers%20of%20overall%20prematurity%20risk.%20Symptomatic%20cases%20were%20at%20an%20increased%20risk%20of%20preterm%20labor%20%5BaRR%20%3D%201.74%20%281.04-2.8%29%5D%20and%20spontaneous%20preterm%20birth%20due%20to%20premature%20preterm%20rupture%20of%20membranes%20%5BaRR%20%3D%202.2%281.05-4.55%29%5D%20when%20compared%20to%20controls%20and%20asymptomatic%20cases%20combined.%20The%20gestational%20age%20at%20delivery%20followed%20a%20dose-response%20relation%20with%20disease%20severity%2C%20as%20more%20severe%20cases%20tended%20to%20deliver%20earlier%20%28Wilcoxon%20p%20%26lt%3B%20.05%29.%20CONCLUSIONS%3A%20COVID-19%20is%20an%20independent%20risk%20factor%20for%20preterm%20birth.%20The%20increased%20preterm%20birth%20rate%20in%20COVID-19%20was%20primarily%20driven%20by%20medically%20indicated%20delivery%2C%20with%20preeclampsia%20as%20the%20principal%20risk%20factor.%20Symptomatic%20status%20and%20disease%20severity%20were%20significant%20drivers%20of%20preterm%20birth.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2199343%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22CMTRMI4B%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Juusela%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BJuusela%2C%20Alexander%2C%20Eunjung%20Jung%2C%20Dahiana%20M.%20Gallo%2C%20Mariachiara%20Bosco%2C%20Manaphat%20Suksai%2C%20Ramiro%20Diaz-Primera%2C%20Adi%20L.%20Tarca%2C%20et%20al.%20%26%23x201C%3BMaternal%20Plasma%20Syndecan-1%3A%20A%20Biomarker%20for%20Fetal%20Growth%20Restriction.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202150074.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2022.2150074%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2022.2150074%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Maternal%20plasma%20syndecan-1%3A%20a%20biomarker%20for%20fetal%20growth%20restriction.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexander%22%2C%22lastName%22%3A%22Juusela%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ramiro%22%2C%22lastName%22%3A%22Diaz-Primera%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20The%20identification%20of%20fetal%20growth%20disorders%20is%20an%20important%20clinical%20priority%20given%20that%20they%20increase%20the%20risk%20of%20perinatal%20morbidity%20and%20mortality%20as%20well%20as%20long-term%20diseases.%20A%20subset%20of%20small-%20for-gestational-age%20%28SGA%29%20infants%20are%20growth-restricted%2C%20and%20this%20condition%20is%20often%20attributed%20to%20placental%20insufficiency.%20Syndecan-1%2C%20a%20product%20of%20the%20degradation%20of%20the%20endothelial%20glycocalyx%2C%20has%20been%20proposed%20as%20a%20biomarker%20of%20endothelial%20damage%20in%20different%20pathologies.%20During%20pregnancy%2C%20a%20%26quot%3Bspecialized%26quot%3B%20form%20of%20the%20glycocalyx-the%20%26quot%3Bsyncytiotrophoblast%20glycocalyx%26quot%3B-covers%20the%20placental%20villi.%20The%20purpose%20of%20this%20study%20was%20to%20determine%20whether%20the%20concentration%20of%20maternal%20plasma%20syndecan-1%20can%20be%20proposed%20as%20a%20biomarker%20for%20fetal%20growth%20restriction.%20STUDY%20DESIGN%3A%20A%20cross-sectional%20study%20was%20designed%20to%20include%20women%20with%20normal%20pregnancy%20%28n%20%3D%20130%29%20and%20pregnant%20women%20who%20delivered%20an%20SGA%20neonate%20%28n%20%3D%2050%29.%20Doppler%20velocimetry%20of%20the%20uterine%20and%20umbilical%20arteries%20was%20performed%20in%20women%20with%20an%20SGA%20fetus%20at%20the%20time%20of%20diagnosis.%20Venipuncture%20was%20performed%20within%2048%20h%20of%20Doppler%20velocimetry%20and%20plasma%20concentrations%20of%20syndecan-1%20were%20determined%20by%20a%20specific%20and%20sensitive%20immunoassay.%20RESULTS%3A%20%281%29%20Plasma%20syndecan-1%20concentration%20followed%20a%20nonlinear%20increase%20with%20gestational%20age%20in%20uncomplicated%20pregnancies%20%28R%282%29%20%3D%200.27%2C%20p%20%26lt%3B%20.001%29%3B%20%282%29%20women%20with%20a%20pregnancy%20complicated%20with%20an%20SGA%20fetus%20had%20a%20significantly%20lower%20mean%20plasma%20concentration%20of%20syndecan-1%20than%20those%20with%20an%20appropriate-for-%20gestational-age%20fetus%20%28p%20%3D%20.0001%29%3B%20%283%29%20this%20difference%20can%20be%20attributed%20to%20fetal%20growth%20restriction%2C%20as%20the%20mean%20plasma%20syndecan-1%20concentration%20was%20significantly%20lower%20only%20in%20the%20group%20of%20women%20with%20an%20SGA%20fetus%20who%20had%20abnormal%20umbilical%20and%20uterine%20artery%20Doppler%20velocimetry%20compared%20to%20controls%20%28p%20%3D%20.00071%3B%20adjusted%20p%20%3D%20.0028%29.%20A%20trend%20toward%20lower%20syndecan-1%20concentrations%20was%20also%20noted%20for%20SGA%20with%20abnormal%20uterine%20but%20normal%20umbilical%20artery%20Doppler%20velocimetry%20%28p%20%3D%20.0505%3B%20adjusted%20p%20%3D%20.067%29%3B%204%29%20among%20women%20with%20an%20SGA%20fetus%2C%20those%20with%20abnormal%20umbilical%20and%20uterine%20artery%20Doppler%20findings%20had%20a%20lower%20mean%20plasma%20syndecan-1%20concentration%20than%20women%20with%20normal%20Doppler%20velocimetry%20%28p%20%3D%20.02%3B%20adjusted%20p%20%3D%20.04%29%3B%205%29%20an%20inverse%20relationship%20was%20found%20between%20the%20maternal%20plasma%20syndecan-1%20concentration%20and%20the%20umbilical%20artery%20pulsatility%20index%20%28r%20%3D%20-0.5%3B%20p%20%3D%20.003%29%3B%20and%206%29%20a%20plasma%20syndecan-1%20concentration%20%26lt%3B%5C%2F%3D%20850%20ng%5C%2FmL%20had%20a%20positive%20likelihood%20ratio%20of%204.4%20and%20a%20negative%20likelihood%20ratio%20of%200.24%20for%20the%20identification%20of%20a%20mother%20with%20an%20SGA%20fetus%20who%20had%20abnormal%20umbilical%20artery%20Doppler%20velocimetry%20%28area%20under%20the%20ROC%20curve%200.83%3B%20p%20%26lt%3B%20.001%29.%20CONCLUSION%3A%20Low%20maternal%20plasma%20syndecan-1%20may%20reflect%20placental%20diseases%20and%20this%20protein%20could%20be%20a%20biomarker%20for%20fetal%20growth%20restriction.%20However%2C%20as%20a%20sole%20biomarker%20for%20this%20condition%2C%20its%20accuracy%20is%20low.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2022.2150074%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22R2BRCRM6%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bosco%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBosco%2C%20Mariachiara%2C%20Roberto%20Romero%2C%20Dahiana%20M.%20Gallo%2C%20Manaphat%20Suksai%2C%20Francesca%20Gotsch%2C%20Eunjung%20Jung%2C%20Piya%20Chaemsaithong%2C%20et%20al.%20%26%23x201C%3BEvidence%20for%20the%20Participation%20of%20CHCHD2%5C%2FMNRR1%2C%20a%20Mitochondrial%20Protein%2C%20in%20Spontaneous%20Labor%20at%20Term%20and%20in%20Preterm%20Labor%20with%20Intra-Amniotic%20Infection.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202183088.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2183088%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2183088%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Evidence%20for%20the%20participation%20of%20CHCHD2%5C%2FMNRR1%2C%20a%20mitochondrial%20protein%2C%20in%20spontaneous%20labor%20at%20term%20and%20in%20preterm%20labor%20with%20intra-amniotic%20infection.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malek%22%2C%22lastName%22%3A%22Al%20Qasem%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Massimo%20P.%22%2C%22lastName%22%3A%22Franchi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lawrence%20I.%22%2C%22lastName%22%3A%22Grossman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Siddhesh%22%2C%22lastName%22%3A%22Aras%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20Intra-amniotic%20inflammation%20%28IAI%29%2C%20associated%20with%20either%20microbe%20%28infection%29%20or%20danger%20signals%20%28sterile%29%2C%20plays%20a%20major%20role%20in%20the%20pathophysiology%20of%20preterm%20labor%20and%20delivery.%20Coiled-Coil-Helix-%20Coiled-Coil-Helix%20Domain%20Containing%202%20%28CHCHD2%29%20%5Balso%20known%20as%20Mitochondrial%20Nuclear%20Retrograde%20Regulator%201%20%28MNRR1%29%5D%2C%20a%20mitochondrial%20protein%20involved%20in%20oxidative%20phosphorylation%20and%20cell%20survival%2C%20is%20capable%20of%20sensing%20tissue%20hypoxia%20and%20inflammatory%20signaling.%20The%20ability%20to%20maintain%20an%20appropriate%20energy%20balance%20at%20the%20cellular%20level%20while%20adapting%20to%20environmental%20stress%20is%20essential%20for%20the%20survival%20of%20an%20organism.%20Mitochondrial%20dysfunction%20has%20been%20observed%20in%20acute%20systemic%20inflammatory%20conditions%2C%20such%20as%20sepsis%2C%20and%20is%20proposed%20to%20be%20involved%20in%20sepsis-induced%20multi-organ%20failure.%20The%20purpose%20of%20this%20study%20was%20to%20determine%20the%20amniotic%20fluid%20concentrations%20of%20CHCHD2%5C%2FMNRR1%20in%20pregnant%20women%2C%20women%20at%20term%20in%20labor%2C%20and%20those%20in%20preterm%20labor%20%28PTL%29%20with%20and%20without%20IAI.%20METHODS%3A%20This%20cross-sectional%20study%20comprised%20patients%20allocated%20to%20the%20following%20groups%3A%20%281%29%20mid-trimester%20%28n%20%3D%2016%29%3B%20%282%29%20term%20in%20labor%20%28n%20%3D%2037%29%3B%20%283%29%20term%20not%20in%20labor%20%28n%20%3D%2022%29%3B%20%284%29%20PTL%20without%20IAI%20who%20delivered%20at%20term%20%28n%20%3D%2025%29%3B%20%285%29%20PTL%20without%20IAI%20who%20delivered%20preterm%20%28n%20%3D%2047%29%3B%20and%20%286%29%20PTL%20with%20IAI%20who%20delivered%20preterm%20%28n%20%3D%2053%29.%20Diagnosis%20of%20IAI%20%28amniotic%20fluid%20interleukin-6%20concentration%20%26gt%3B%5C%2F%3D2.6%20ng%5C%2FmL%29%20included%20cases%20associated%20with%20microbial%20invasion%20of%20the%20amniotic%20cavity%20and%20those%20of%20sterile%20nature%20%28absence%20of%20detectable%20bacteria%2C%20using%20culture%20and%20molecular%20microbiology%20techniques%29.%20Amniotic%20fluid%20and%20maternal%20plasma%20CHCHD2%5C%2FMNRR1%20concentrations%20were%20determined%20with%20a%20validated%20and%20sensitive%20immunoassay.%20RESULTS%3A%20%281%29%20CHCHD2%5C%2FMNRR1%20was%20detectable%20in%20all%20amniotic%20fluid%20samples%20and%20women%20at%20term%20without%20labor%20had%20a%20higher%20amniotic%20fluid%20CHCHD2%5C%2FMNRR1%20concentration%20than%20those%20in%20the%20mid-trimester%20%28p%20%3D%200.003%29%3B%20%282%29%20the%20amniotic%20fluid%20concentration%20of%20CHCHD2%5C%2FMNRR1%20in%20women%20at%20term%20in%20labor%20was%20higher%20than%20that%20in%20women%20at%20term%20without%20labor%20%28p%20%3D%200.01%29%3B%20%283%29%20women%20with%20PTL%20and%20IAI%20had%20a%20higher%20amniotic%20fluid%20CHCHD2%5C%2FMNRR1%20concentration%20than%20those%20without%20IAI%2C%20either%20with%20preterm%20%28p%20%26lt%3B%200.001%29%20or%20term%20delivery%20%28p%20%3D%200.01%29%3B%20%284%29%20women%20with%20microbial-associated%20IAI%20had%20a%20higher%20amniotic%20fluid%20CHCHD2%5C%2FMNRR1%20concentration%20than%20those%20with%20sterile%20IAI%20%28p%20%26lt%3B%200.001%29%3B%20%285%29%20among%20women%20with%20PTL%20and%20IAI%2C%20the%20amniotic%20fluid%20concentration%20of%20CHCHD2%5C%2FMNRR1%20correlated%20with%20that%20of%20interleukin-6%20%28Spearman%26%23039%3Bs%20Rho%20%3D%200.7%3B%20p%20%26lt%3B%200.001%29%3B%20and%20%286%29%20no%20correlation%20was%20observed%20between%20amniotic%20fluid%20and%20maternal%20plasma%20CHCHD2%5C%2FMNRR1%20concentrations%20among%20women%20with%20PTL.%20CONCLUSION%3A%20CHCHD2%5C%2FMNRR1%20is%20a%20physiological%20constituent%20of%20human%20amniotic%20fluid%20in%20normal%20pregnancy%2C%20and%20the%20amniotic%20concentration%20of%20this%20mitochondrial%20protein%20increases%20during%20pregnancy%2C%20labor%20at%20term%2C%20and%20preterm%20labor%20with%20intra-amniotic%20infection.%20Hence%2C%20CHCHD2%5C%2FMNRR1%20may%20be%20released%20into%20the%20amniotic%20cavity%20by%20dysfunctional%20mitochondria%20during%20microbial-associated%20IAI.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2183088%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22CIN9RVQ2%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bosco%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBosco%2C%20Mariachiara%2C%20Roberto%20Romero%2C%20Dahiana%20M.%20Gallo%2C%20Manaphat%20Suksai%2C%20Francesca%20Gotsch%2C%20Eunjung%20Jung%2C%20Piya%20Chaemsaithong%2C%20et%20al.%20%26%23x201C%3BClinical%20Chorioamnionitis%20at%20Term%20Is%20Characterized%20by%20Changes%20in%20the%20Plasma%20Concentration%20of%20CHCHD2%5C%2FMNRR1%2C%20a%20Mitochondrial%20Protein.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%202%20%28December%202023%29%3A%202222333.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2222333%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2222333%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Clinical%20chorioamnionitis%20at%20term%20is%20characterized%20by%20changes%20in%20the%20plasma%20concentration%20of%20CHCHD2%5C%2FMNRR1%2C%20a%20mitochondrial%20protein.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arun%22%2C%22lastName%22%3A%22Meyyazhagan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Malek%22%2C%22lastName%22%3A%22Al%20Qasem%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Massimo%20P.%22%2C%22lastName%22%3A%22Franchi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lawrence%20I.%22%2C%22lastName%22%3A%22Grossman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Siddhesh%22%2C%22lastName%22%3A%22Aras%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20Mitochondrial%20dysfunction%20was%20observed%20in%20acute%20systemic%20inflammatory%20conditions%20such%20as%20sepsis%20and%20might%20be%20involved%20in%20sepsis-%20induced%20multi-organ%20failure.%20Coiled-Coil-Helix-Coiled-Coil-Helix%20Domain%20Containing%202%20%28CHCHD2%29%2C%20also%20known%20as%20Mitochondrial%20Nuclear%20Retrograde%20Regulator%201%20%28MNRR1%29%2C%20a%20bi-organellar%20protein%20located%20in%20the%20mitochondria%20and%20the%20nucleus%2C%20is%20implicated%20in%20cell%20respiration%2C%20survival%2C%20and%20response%20to%20tissue%20hypoxia.%20Recently%2C%20the%20reduction%20of%20the%20cellular%20CHCHD2%5C%2FMNRR1%20protein%2C%20as%20part%20of%20mitochondrial%20dysfunction%2C%20has%20been%20shown%20to%20play%20a%20role%20in%20the%20amplification%20of%20inflammatory%20cytokines%20in%20a%20murine%20model%20of%20lipopolysaccharide-induced%20systemic%20inflammation.%20The%20aim%20of%20this%20study%20was%20to%20determine%20whether%20the%20plasma%20concentration%20of%20CHCHD2%5C%2FMNRR1%20changed%20during%20human%20normal%20pregnancy%2C%20spontaneous%20labor%20at%20term%2C%20and%20clinical%20chorioamnionitis%20at%20term.%20METHODS%3A%20We%20conducted%20a%20cross-sectional%20study%20that%20included%20the%20following%20groups%3A%201%29%20non-pregnant%20women%20%28n%20%3D%2017%29%3B%202%29%20normal%20pregnant%20women%20at%20various%20gestational%20ages%20from%20the%20first%20trimester%20until%20term%20%28n%20%3D%20110%29%3B%203%29%20women%20at%20term%20with%20spontaneous%20labor%20%28n%20%3D%2050%29%3B%20and%204%29%20women%20with%20clinical%20chorioamnionitis%20at%20term%20in%20labor%20%28n%20%3D%2025%29.%20Plasma%20concentrations%20of%20CHCHD2%5C%2FMNRR1%20were%20assessed%20by%20an%20enzyme-linked%20immunosorbent%20assay.%20RESULTS%3A%201%29%20Pregnant%20women%20at%20term%20in%20labor%20with%20clinical%20chorioamnionitis%20had%20a%20significantly%20higher%20plasma%20CHCHD2%5C%2FMNRR1%20concentration%20than%20those%20in%20labor%20without%20chorioamnionitis%20%28p%20%3D%20.003%29%3B%202%29%20CHCHD2%5C%2FMNRR1%20is%20present%20in%20the%20plasma%20of%20healthy%20non-pregnant%20and%20normal%20pregnant%20women%20without%20significant%20differences%20in%20its%20plasma%20concentrations%20between%20the%20two%20groups%3B%203%29%20there%20was%20no%20correlation%20between%20maternal%20plasma%20CHCHD2%5C%2FMNRR1%20concentration%20and%20gestational%20age%20at%20venipuncture%3B%20and%204%29%20plasma%20CHCHD2%5C%2FMNRR1%20concentration%20was%20not%20significantly%20different%20in%20women%20at%20term%20in%20spontaneous%20labor%20compared%20to%20those%20not%20in%20labor.%20CONCLUSIONS%3A%20CHCHD2%5C%2FMNRR1%20is%20physiologically%20present%20in%20the%20plasma%20of%20healthy%20non-pregnant%20and%20normal%20pregnant%20women%2C%20and%20its%20concentration%20does%20not%20change%20with%20gestational%20age%20and%20parturition%20at%20term.%20However%2C%20plasma%20CHCHD2%5C%2FMNRR1%20is%20elevated%20in%20women%20at%20term%20with%20clinical%20chorioamnionitis.%20CHCHD2%5C%2FMNRR1%2C%20a%20novel%20bi-%20organellar%20protein%20located%20in%20the%20mitochondria%20and%20the%20nucleus%2C%20is%20released%20into%20maternal%20plasma%20during%20systemic%20inflammation.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2222333%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%226XDJXK3G%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Immonen%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BImmonen%2C%20Timothy%2C%20Eunjung%20Jung%2C%20Dahiana%20M.%20Gallo%2C%20Ramiro%20Diaz-Primera%2C%20Francesca%20Gotsch%2C%20Peter%20Whittaker%2C%20Nandor%20Gabor%20Than%2C%20et%20al.%20%26%23x201C%3BAcute%20Pyelonephritis%20in%20Pregnancy%20and%20Plasma%20Syndecan-1%3A%20Evidence%20of%20Glycocalyx%20Involvement.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202155041.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2022.2155041%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2022.2155041%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Acute%20pyelonephritis%20in%20pregnancy%20and%20plasma%20syndecan-1%3A%20evidence%20of%20glycocalyx%20involvement.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%22%2C%22lastName%22%3A%22Immonen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ramiro%22%2C%22lastName%22%3A%22Diaz-Primera%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Peter%22%2C%22lastName%22%3A%22Whittaker%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Acute%20pyelonephritis%2C%20a%20risk%20factor%20for%20maternal%20sepsis%2C%20adult%20respiratory%20distress%20syndrome%2C%20and%20preterm%20labor%2C%20is%20a%20frequent%20cause%20of%20hospitalization.%20This%20condition%20is%20characterized%20by%20excessive%20intravascular%20inflammation%20and%20endothelial%20cell%20activation%20and%20dysfunction.%20Syndecan-1%2C%20a%20major%20component%20of%20the%20glycocalyx%2C%20is%20a%20gel-%20like%20layer%20that%20covers%20the%20luminal%20surface%20of%20healthy%20endothelial%20cells%2C%20preserving%20and%20mediating%20many%20endothelial%20functions.%20During%20pregnancy%2C%20there%20is%20an%20additional%20potential%20source%20of%20syndecan-1%2C%20the%20%26quot%3Bsyncytiotrophoblast%20glycocalyx%2C%26quot%3B%20which%20lines%20the%20intervillous%20space.%20Insults%20that%20damage%20the%20glycocalyx%20lead%20to%20a%20shedding%20of%20syndecan-1%20into%20the%20circulation.%20Hence%2C%20syndecan-1%20has%20been%20proposed%20as%20a%20marker%20of%20endothelial%20injury%20in%20conditions%20such%20as%20sepsis%2C%20trauma%2C%20cardiovascular%20disease%2C%20and%20diabetes%20mellitus.%20OBJECTIVE%3A%20The%20objective%20of%20this%20study%20was%20to%20determine%20whether%20the%20plasma%20syndecan-1%20concentration%20changes%20in%20women%20with%20acute%20pyelonephritis%20in%20the%20presence%20or%20absence%20of%20bacteremia.%20STUDY%20DESIGN%3A%20This%20cross-sectional%20study%20included%20three%20groups%3A%20%281%29%20non-%20pregnant%20women%20%28n%20%3D%2025%29%3B%20%282%29%20women%20with%20an%20uncomplicated%20pregnancy%20from%20whom%20samples%20were%20collected%20preterm%20%28n%20%3D%2061%29%20or%20at%20term%20%28n%20%3D%2069%29%3B%20and%20%283%29%20pregnant%20women%20diagnosed%20with%20acute%20pyelonephritis%20from%20whom%20samples%20were%20collected%20at%20the%20time%20of%20diagnosis%20during%20the%20second%20and%20third%20trimesters%20%28n%20%3D%2033%29.%20The%20diagnosis%20of%20acute%20pyelonephritis%20was%20based%20on%20clinical%20findings%20and%20a%20positive%20urine%20culture%20for%20bacteria.%20Blood%20culture%20results%20were%20available%20in%2085%25%20%2828%5C%2F33%29%20of%20women%20with%20acute%20pyelonephritis.%20Plasma%20concentrations%20of%20syndecan-1%20were%20determined%20by%20a%20validated%20immunoassay.%20RESULTS%3A%20%281%29%20Women%20with%20an%20uncomplicated%20pregnancy%20had%20a%20higher%20plasma%20concentration%20of%20syndecan-1%20than%20non-pregnant%20women.%20The%20geometric%20mean%20%2895%25%20confidence%20interval%20%5BCI%5D%29%20of%20syndecan-1%20concentration%20was%2051.0%20%2812.1-216.1%29%20ng%5C%2FmL%20in%20non-pregnant%20controls%3B%201280%20%28365-4487%29%20ng%5C%2FmL%20in%20normal%20preterm%20gestations%3B%20and%201786%20%28546-5834%29%20ng%5C%2FmL%20in%20normal%20term%20gestations%20%28adjusted%20p%20%26lt%3B%20.005%20for%20all%20three%20between%20group%20comparisons%29%3B%20%282%29%20plasma%20syndecan-1%20concentrations%20increased%20with%20gestational%20age%20among%20women%20with%20a%20normal%20pregnancy%20%28p%20%26lt%3B%20.001%2C%20R%282%29%20%3D%200.27%29%3B%20%283%29%20syndecan-1%20multiple%20of%20the%20mean%20%28MoM%29%20values%20in%20pregnant%20patients%20with%20acute%20pyelonephritis%20were%20higher%20than%20those%20in%20normal%20pregnant%20women%20based%20on%20second-%20and%20third-trimester%20samples%20%28p%20%3D%20.048%2C%201.26-fold%20change%29.%20The%20increase%20was%20driven%20primarily%20by%20cases%20with%20a%20positive%20blood%20culture%20%28p%20%3D%20.009%2C%201.74-fold%20change%29%3B%20%284%29%20when%20data%20from%20third-trimester%20samples%20were%20compared%2C%20overall%20differences%20in%20syndecan-1%20MoM%20values%20between%20cases%20and%20controls%20were%20slightly%20larger%20%28p%20%3D%20.03%2C%201.36-%20fold%20change%29%2C%20which%20were%20especially%20contributed%20to%20by%20cases%20with%20a%20positive%20blood%20culture%20%28p%20%3D%20.023%2C%20fold%20change%201.79-fold%20change%29.%20CONCLUSIONS%3A%20Plasma%20syndecan-1%20concentration%20is%20higher%20in%20pregnant%20women%20and%20increases%20as%20a%20function%20of%20gestational%20age.%20Patients%20with%20acute%20pyelonephritis%20have%20a%20higher%20plasma%20concentration%20of%20syndecan-1%2C%20and%20this%20is%20particularly%20the%20case%20in%20the%20presence%20of%20bacteremia.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2022.2155041%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22XP9F3XRI%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chatterton%20et%20al.%22%2C%22parsedDate%22%3A%222023-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChatterton%2C%20Carolyn%2C%20Roberto%20Romero%2C%20Eunjung%20Jung%2C%20Dahiana%20M.%20Gallo%2C%20Manaphat%20Suksai%2C%20Ramiro%20Diaz-Primera%2C%20Offer%20Erez%2C%20et%20al.%20%26%23x201C%3BA%20Biomarker%20for%20Bacteremia%20in%20Pregnant%20Women%20with%20Acute%20Pyelonephritis%3A%20Soluble%20Suppressor%20of%20Tumorigenicity%202%20or%20sST2.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2036%2C%20no.%201%20%28December%202023%29%3A%202183470.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2183470%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2023.2183470%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20biomarker%20for%20bacteremia%20in%20pregnant%20women%20with%20acute%20pyelonephritis%3A%20soluble%20suppressor%20of%20tumorigenicity%202%20or%20sST2.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carolyn%22%2C%22lastName%22%3A%22Chatterton%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ramiro%22%2C%22lastName%22%3A%22Diaz-Primera%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%5D%2C%22abstractNote%22%3A%22Objective%3A%20Sepsis%20is%20a%20leading%20cause%20of%20maternal%20death%2C%20and%20its%20diagnosis%20during%20the%20golden%20hour%20is%20critical%20to%20improve%20survival.%20Acute%20pyelonephritis%20in%20pregnancy%20is%20a%20risk%20factor%20for%20obstetrical%20and%20medical%20complications%2C%20and%20it%20is%20a%20major%20cause%20of%20sepsis%2C%20as%20bacteremia%20complicates%2015-20%25%20of%20pyelonephritis%20episodes%20in%20pregnancy.%20The%20diagnosis%20of%20bacteremia%20currently%20relies%20on%20blood%20cultures%2C%20whereas%20a%20rapid%20test%20could%20allow%20timely%20management%20and%20improved%20outcomes.%20Soluble%20suppression%20of%20tumorigenicity%202%20%28sST2%29%20was%20previously%20proposed%20as%20a%20biomarker%20for%20sepsis%20in%20non-pregnant%20adults%20and%20children.%20This%20study%20was%20designed%20to%20determine%20whether%20maternal%20plasma%20concentrations%20of%20sST2%20in%20pregnant%20patients%20with%20pyelonephritis%20can%20help%20to%20identify%20those%20at%20risk%20for%20bacteremia.Study%20design%3A%20This%20cross-sectional%20study%20included%20women%20with%20normal%20pregnancy%20%28n%20%3D%20131%29%20and%20pregnant%20women%20with%20acute%20pyelonephritis%20%28n%20%3D%2036%29.%20Acute%20pyelonephritis%20was%20diagnosed%20based%20on%20a%20combination%20of%20clinical%20findings%20and%20a%20positive%20urine%20culture.%20Patients%20were%20further%20classified%20according%20to%20the%20results%20of%20blood%20cultures%20into%20those%20with%20and%20without%20bacteremia.%20Plasma%20concentrations%20of%20sST2%20were%20determined%20by%20a%20sensitive%20immunoassay.%20Non-parametric%20statistics%20were%20used%20for%20analysis.Results%3A%20The%20maternal%20plasma%20sST2%20concentration%20increased%20with%20gestational%20age%20in%20normal%20pregnancies.%20Pregnant%20patients%20with%20acute%20pyelonephritis%20had%20a%20higher%20median%20%28interquartile%20range%29%20plasma%20sST2%20concentration%20than%20those%20with%20a%20normal%20pregnancy%20%5B85%20%2847-239%29%20ng%5C%2FmL%20vs.%2031%20%2814-52%29%20ng%5C%2FmL%2C%20p%20%26lt%3B%20.001%5D.%20Among%20patients%20with%20pyelonephritis%2C%20those%20with%20a%20positive%20blood%20culture%20had%20a%20median%20plasma%20concentration%20of%20sST2%20higher%20than%20that%20of%20patients%20with%20a%20negative%20blood%20culture%20%5B258%20%28IQR%3A%2075-305%29%20ng%5C%2FmL%20vs.%2083%20%28IQR%3A%2046-153%29%20ng%5C%2FmL%3B%20p%20%3D%20.03%5D.%20An%20elevated%20plasma%20concentration%20of%20sST2%20%26gt%3B%5C%2F%3D%20215%20ng%5C%2FmL%20had%20a%20sensitivity%20of%2073%25%20and%20a%20specificity%20of%2095%25%20%28area%20under%20the%20receiver%20operating%20characteristic%20curve%2C%200.74%3B%20p%20%3D%20.003%29%20with%20a%20positive%20likelihood%20ratio%20of%2013.8%20and%20a%20negative%20likelihood%20ratio%20of%200.3%20for%20the%20identification%20of%20patients%20who%20had%20a%20positive%20blood%20culture.Conclusion%3A%20sST2%20is%20a%20candidate%20biomarker%20to%20identify%20bacteremia%20in%20pregnant%20women%20with%20pyelonephritis.%20Rapid%20identification%20of%20these%20patients%20may%20optimize%20patient%20care.%22%2C%22date%22%3A%222023%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2023.2183470%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%227ZIR2B7J%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Miller%20et%20al.%22%2C%22parsedDate%22%3A%222023-10-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BMiller%2C%20Derek%2C%20Roberto%20Romero%2C%20Luke%20Myers%2C%20Yi%20Xu%2C%20Marcia%20Arenas-Hernandez%2C%20Jose%20Galaz%2C%20Cinque%20Soto%2C%20et%20al.%20%26%23x201C%3BImmunosequencing%20and%20Profiling%20of%20T%20Cells%20at%20the%20Maternal-Fetal%20Interface%20of%20Women%20with%20Preterm%20Labor%20and%20Chronic%20Chorioamnionitis.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Immunology%20%28Baltimore%2C%20Md.%26%23x202F%3B%3A%201950%29%26lt%3B%5C%2Fi%26gt%3B%20211%2C%20no.%207%20%28October%201%2C%202023%29%3A%201082%26%23x2013%3B98.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.4049%5C%2Fjimmunol.2300201%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.4049%5C%2Fjimmunol.2300201%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Immunosequencing%20and%20Profiling%20of%20T%20Cells%20at%20the%20Maternal-Fetal%20Interface%20of%20Women%20with%20Preterm%20Labor%20and%20Chronic%20Chorioamnionitis.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Luke%22%2C%22lastName%22%3A%22Myers%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cinque%22%2C%22lastName%22%3A%22Soto%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angelica%22%2C%22lastName%22%3A%22Quiroz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Awoniyi%20O.%22%2C%22lastName%22%3A%22Awonuga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20R.%22%2C%22lastName%22%3A%22Bryant%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22T%20cells%20are%20implicated%20in%20the%20pathophysiology%20of%20preterm%20labor%20and%20birth%2C%20the%20leading%20cause%20of%20neonatal%20morbidity%20and%20mortality%20worldwide.%20Specifically%2C%20maternal%20decidual%20T%20cells%20infiltrate%20the%20chorioamniotic%20membranes%20in%20chronic%20chorioamnionitis%20%28CCA%29%2C%20a%20placental%20lesion%20considered%20to%20reflect%20maternal%20anti-fetal%20rejection%2C%20leading%20to%20preterm%20labor%20and%20birth.%20However%2C%20the%20phenotype%20and%20TCR%20repertoire%20of%20decidual%20T%20cells%20in%20women%20with%20preterm%20labor%20and%20CCA%20have%20not%20been%20investigated.%20In%20this%20study%2C%20we%20used%20phenotyping%2C%20TCR%20sequencing%2C%20and%20functional%20assays%20to%20elucidate%20the%20molecular%20characteristics%20and%20Ag%20specificity%20of%20T%20cells%20infiltrating%20the%20chorioamniotic%20membranes%20in%20women%20with%20CCA%20who%20underwent%20term%20or%20preterm%20labor.%20Phenotyping%20indicated%20distinct%20enrichment%20of%20human%20decidual%20effector%20memory%20T%20cell%20subsets%20in%20cases%20of%20preterm%20labor%20with%20CCA%20without%20altered%20regulatory%20T%20cell%20proportions.%20TCR%20sequencing%20revealed%20that%20the%20T%20cell%20repertoire%20of%20CCA%20is%20characterized%20by%20increased%20TCR%20richness%20and%20decreased%20clonal%20expansion%20in%20women%20with%20preterm%20labor.%20We%20identified%2015%20clones%20associated%20with%20CCA%20and%20compared%20these%20against%20established%20TCR%20databases%2C%20reporting%20that%20infiltrating%20T%20cells%20may%20possess%20specificity%20for%20maternal%20and%20fetal%20Ags%2C%20but%20not%20common%20viral%20Ags.%20Functional%20assays%20demonstrated%20that%20choriodecidual%20T%20cells%20can%20respond%20to%20maternal%20and%20fetal%20Ags.%20Collectively%2C%20our%20findings%20provide%2C%20to%20our%20knowledge%2C%20novel%20insight%20into%20the%20complex%20processes%20underlying%20chronic%20placental%20inflammation%20and%20further%20support%20a%20role%20for%20effector%20T%20cells%20in%20the%20mechanisms%20of%20disease%20for%20preterm%20labor%20and%20birth.%20Moreover%2C%20this%20work%20further%20strengthens%20the%20contribution%20of%20adaptive%20immunity%20to%20the%20syndromic%20nature%20of%20preterm%20labor%20and%20birth.%22%2C%22date%22%3A%222023%20Oct%201%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.4049%5C%2Fjimmunol.2300201%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221550-6606%200022-1767%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22FD2IL2NI%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Galaz%20et%20al.%22%2C%22parsedDate%22%3A%222023-09%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGalaz%2C%20Jose%2C%20Kenichiro%20Motomura%2C%20Roberto%20Romero%2C%20Zhenjie%20Liu%2C%20Valeria%20Garcia-Flores%2C%20Li%20Tao%2C%20Yi%20Xu%2C%20et%20al.%20%26%23x201C%3BA%20Key%20Role%20for%20NLRP3%20Signaling%20in%20Preterm%20Labor%20and%20Birth%20Driven%20by%20the%20Alarmin%20S100B.%26%23x201D%3B%20%26lt%3Bi%26gt%3BTranslational%20Research%26%23x202F%3B%3A%20The%20Journal%20of%20Laboratory%20and%20Clinical%20Medicine%26lt%3B%5C%2Fi%26gt%3B%20259%20%28September%202023%29%3A%2046%26%23x2013%3B61.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.trsl.2023.04.004%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.trsl.2023.04.004%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20key%20role%20for%20NLRP3%20signaling%20in%20preterm%20labor%20and%20birth%20driven%20by%20the%20alarmin%20S100B.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kenichiro%22%2C%22lastName%22%3A%22Motomura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenjie%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomi%22%2C%22lastName%22%3A%22Kanninen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Preterm%20birth%20remains%20the%20leading%20cause%20of%20neonatal%20morbidity%20and%20mortality%20worldwide.%20A%20substantial%20number%20of%20spontaneous%20preterm%20births%20occur%20in%20the%20context%20of%20sterile%20intra-amniotic%20inflammation%2C%20a%20condition%20that%20has%20been%20mechanistically%20proven%20to%20be%20triggered%20by%20alarmins.%20However%2C%20sterile%20intra-amniotic%20inflammation%20still%20lacks%20treatment.%20The%20NLRP3%20inflammasome%20has%20been%20implicated%20in%20sterile%20intra-amniotic%20inflammation%3B%20yet%2C%20its%20underlying%20mechanisms%2C%20as%20well%20as%20the%20maternal%20and%20fetal%20contributions%20to%20this%20signaling%20pathway%2C%20are%20unclear.%20Herein%2C%20by%20utilizing%20a%20translational%20and%20clinically%20relevant%20model%20of%20alarmin-%20induced%20preterm%20labor%20and%20birth%20in%20Nlrp3%28-%5C%2F-%29%20mice%2C%20we%20investigated%20the%20role%20of%20NLRP3%20signaling%20by%20using%20imaging%20and%20molecular%20biology%20approaches.%20Nlrp3%20deficiency%20abrogated%20preterm%20birth%20and%20the%20resulting%20neonatal%20mortality%20induced%20by%20the%20alarmin%20S100B%20by%20impeding%20the%20premature%20activation%20of%20the%20common%20pathway%20of%20labor%20as%20well%20as%20by%20dampening%20intra-%20amniotic%20and%20fetal%20inflammation.%20Moreover%2C%20Nlrp3%20deficiency%20altered%20leukocyte%20infiltration%20and%20functionality%20in%20the%20uterus%20and%20decidua.%20Last%2C%20embryo%20transfer%20revealed%20that%20maternal%20and%20fetal%20Nlrp3%20signaling%20contribute%20to%20alarmin-induced%20preterm%20birth%20and%20neonatal%20mortality%2C%20further%20strengthening%20the%20concept%20that%20both%20individuals%20participate%20in%20the%20complex%20process%20of%20preterm%20parturition.%20These%20findings%20provide%20novel%20insights%20into%20sterile%20intra-amniotic%20inflammation%2C%20a%20common%20etiology%20of%20preterm%20labor%20and%20birth%2C%20suggesting%20that%20the%20adverse%20perinatal%20outcomes%20resulting%20from%20prematurity%20can%20be%20prevented%20by%20targeting%20NLRP3%20signaling.%22%2C%22date%22%3A%222023%20Sep%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.trsl.2023.04.004%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221878-1810%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22MMH82RKP%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Romero%20et%20al.%22%2C%22parsedDate%22%3A%222023-08-17%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BRomero%2C%20Roberto%2C%20Kevin%20R.%20Theis%2C%20Nardhy%20Gomez-Lopez%2C%20Andrew%20D.%20Winters%2C%20Jonathan%20J.%20Panzer%2C%20Huang%20Lin%2C%20Jose%20Galaz%2C%20et%20al.%20%26%23x201C%3BThe%20Vaginal%20Microbiota%20of%20Pregnant%20Women%20Varies%20with%20Gestational%20Age%2C%20Maternal%20Age%2C%20and%20Parity.%26%23x201D%3B%20%26lt%3Bi%26gt%3BMicrobiology%20Spectrum%26lt%3B%5C%2Fi%26gt%3B%2011%2C%20no.%204%20%28August%2017%2C%202023%29%3A%20e0342922.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1128%5C%2Fspectrum.03429-22%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1128%5C%2Fspectrum.03429-22%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20Vaginal%20Microbiota%20of%20Pregnant%20Women%20Varies%20with%20Gestational%20Age%2C%20Maternal%20Age%2C%20and%20Parity.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrew%20D.%22%2C%22lastName%22%3A%22Winters%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jonathan%20J.%22%2C%22lastName%22%3A%22Panzer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Huang%22%2C%22lastName%22%3A%22Lin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jonathan%20M.%22%2C%22lastName%22%3A%22Greenberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zachary%22%2C%22lastName%22%3A%22Shaffer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20J.%22%2C%22lastName%22%3A%22Kracht%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jacques%22%2C%22lastName%22%3A%22Ravel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shyamal%20D.%22%2C%22lastName%22%3A%22Peddada%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22The%20composition%20of%20the%20vaginal%20microbiota%20is%20heavily%20influenced%20by%20pregnancy%20and%20may%20factor%20into%20pregnancy%20complications%2C%20including%20spontaneous%20preterm%20birth.%20However%2C%20results%20among%20studies%20have%20been%20inconsistent%20due%2C%20in%20part%2C%20to%20variation%20in%20sample%20sizes%20and%20ethnicity.%20Thus%2C%20an%20association%20between%20the%20vaginal%20microbiota%20and%20preterm%20labor%20continues%20to%20be%20debated.%20Yet%2C%20before%20assessing%20associations%20between%20the%20composition%20of%20the%20vaginal%20microbiota%20and%20preterm%20labor%2C%20a%20robust%20and%20in-%20depth%20characterization%20of%20the%20vaginal%20microbiota%20throughout%20pregnancy%20in%20the%20specific%20study%20population%20under%20investigation%20is%20required.%20Here%2C%20we%20report%20a%20large%20longitudinal%20study%20%28n%20%3D%20474%20women%2C%201%2C862%20vaginal%20samples%29%20of%20a%20predominantly%20African-American%20cohort-a%20population%20that%20experiences%20a%20relatively%20high%20rate%20of%20pregnancy%20complications-evaluating%20associations%20between%20individual%20identity%2C%20gestational%20age%2C%20and%20other%20maternal%20characteristics%20with%20the%20composition%20of%20the%20vaginal%20microbiota%20throughout%20gestation%20resulting%20in%20term%20delivery.%20The%20principal%20factors%20influencing%20the%20composition%20of%20the%20vaginal%20microbiota%20in%20pregnancy%20are%20individual%20identity%20and%20gestational%20age%20at%20sampling.%20Other%20factors%20are%20maternal%20age%2C%20parity%2C%20obesity%2C%20and%20self-reported%20Cannabis%20use.%20The%20general%20pattern%20across%20gestation%20is%20for%20the%20vaginal%20microbiota%20to%20remain%20or%20transition%20to%20a%20state%20of%20Lactobacillus%20dominance.%20This%20pattern%20can%20be%20modified%20by%20maternal%20parity%20and%20obesity.%20Regardless%2C%20network%20analyses%20reveal%20dynamic%20associations%20among%20specific%20bacterial%20taxa%20within%20the%20vaginal%20ecosystem%2C%20which%20shift%20throughout%20the%20course%20of%20pregnancy.%20This%20study%20provides%20a%20robust%20foundational%20understanding%20of%20the%20vaginal%20microbiota%20in%20pregnancy%20and%20sets%20the%20stage%20for%20further%20investigation%20of%20this%20microbiota%20in%20obstetrical%20disease.%20IMPORTANCE%20There%20is%20debate%20regarding%20links%20between%20the%20vaginal%20microbiota%20and%20pregnancy%20complications%2C%20especially%20spontaneous%20preterm%20birth.%20Inconsistencies%20in%20results%20among%20studies%20are%20likely%20due%20to%20differences%20in%20sample%20sizes%20and%20cohort%20ethnicity.%20Ethnicity%20is%20a%20complicating%20factor%20because%2C%20although%20all%20bacterial%20taxa%20commonly%20inhabiting%20the%20vagina%20are%20present%20among%20all%20ethnicities%2C%20the%20frequencies%20of%20these%20taxa%20vary%20among%20ethnicities.%20Therefore%2C%20an%20in-depth%20characterization%20of%20the%20vaginal%20microbiota%20throughout%20pregnancy%20in%20the%20specific%20study%20population%20under%20investigation%20is%20required%20prior%20to%20evaluating%20associations%20between%20the%20vaginal%20microbiota%20and%20obstetrical%20disease.%20This%20initial%20investigation%20is%20a%20large%20longitudinal%20study%20of%20the%20vaginal%20microbiota%20throughout%20gestation%20resulting%20in%20a%20term%20delivery%20in%20a%20predominantly%20African-American%20cohort%2C%20a%20population%20that%20experiences%20disproportionally%20negative%20maternal-fetal%20health%20outcomes.%20It%20establishes%20the%20magnitude%20of%20associations%20between%20maternal%20characteristics%2C%20such%20as%20age%2C%20parity%2C%20body%20mass%20index%2C%20and%20self-reported%20Cannabis%20use%2C%20on%20the%20vaginal%20microbiota%20in%20pregnancy.%22%2C%22date%22%3A%222023%20Aug%2017%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1128%5C%2Fspectrum.03429-22%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222165-0497%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22E4U3FNF9%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chaiworapongsa%20et%20al.%22%2C%22parsedDate%22%3A%222023-06-27%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChaiworapongsa%2C%20Tinnakorn%2C%20Roberto%20Romero%2C%20Francesca%20Gotsch%2C%20Nardhy%20Gomez-Lopez%2C%20Manaphat%20Suksai%2C%20Dahiana%20M.%20Gallo%2C%20Eunjung%20Jung%2C%20Dustyn%20Levenson%2C%20and%20Adi%20L.%20Tarca.%20%26%23x201C%3BOne-Third%20of%20Patients%20with%20Eclampsia%20at%20Term%20Do%20Not%20Have%20an%20Abnormal%20Angiogenic%20Profile.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Perinatal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2051%2C%20no.%205%20%28June%2027%2C%202023%29%3A%20652%26%23x2013%3B63.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0474%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0474%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22One-third%20of%20patients%20with%20eclampsia%20at%20term%20do%20not%20have%20an%20abnormal%20angiogenic%20profile.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dustyn%22%2C%22lastName%22%3A%22Levenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20An%20abnormal%20angiogenic%20profile%20is%20present%20in%20about%20one-half%20of%20women%20with%20preeclampsia%20at%20term.%20Few%20studies%20examined%20the%20roles%20of%20angiogenic%20biomarkers%20in%20eclampsia.%20The%20aims%20of%20this%20study%20were%20to%20determine%20%281%29%20whether%20the%20degree%20of%20an%20anti-angiogenic%20state%2C%20reflected%20by%20a%20low%20placental%20growth%20factor%20%28PlGF%29%20to%20soluble%20fms-like%20tyrosine%20kinase-1%20%28sFlt-1%29%20ratio%2C%20in%20women%20with%20eclampsia%20differed%20from%20that%20of%20women%20with%20severe%20preeclampsia%3B%20and%20%282%29%20the%20prevalence%20of%20women%20who%20had%20an%20abnormal%20angiogenic%20profile%20at%20the%20diagnoses%20of%20preterm%20and%20term%20eclampsia.%20METHODS%3A%20A%20cross-sectional%20study%20was%20conducted%20to%20include%20women%20in%20the%20following%20groups%3A%20%281%29%20uncomplicated%20pregnancy%20%28n%3D40%29%3B%20%282%29%20severe%20preeclampsia%20%28n%3D50%29%3B%20and%20%283%29%20eclampsia%20%28n%3D35%29.%20Maternal%20serum%20concentrations%20of%20PlGF%20and%20sFlt-1%20were%20determined%20by%20immunoassays.%20RESULTS%3A%20Women%20with%20preterm%2C%20but%20not%20term%2C%20eclampsia%20had%20a%20more%20severe%20anti-angiogenic%20state%20than%20those%20with%20severe%20preeclampsia%20%28lower%20PlGF%20and%20PlGF%5C%2FsFlt-1%20ratio%2C%20each%20p%26lt%3B0.05%29.%20However%2C%20the%20difference%20diminished%20in%20magnitude%20with%20increasing%20gestational%20age%20%28interaction%2C%20p%3D0.005%29.%20An%20abnormal%20angiogenic%20profile%20was%20present%20in%2095%25%20%2819%5C%2F20%29%20of%20women%20with%20preterm%20eclampsia%20but%20in%20only%2067%25%20%2810%5C%2F15%29%20of%20women%20with%20eclampsia%20at%20term.%20CONCLUSIONS%3A%20Angiogenic%20biomarkers%20can%20be%20used%20for%20risk%20assessment%20of%20preterm%20eclampsia.%20By%20contrast%2C%20a%20normal%20profile%20of%20angiogenic%20biomarkers%20cannot%20reliably%20exclude%20patients%20at%20risk%20for%20eclampsia%20at%20term.%20This%20observation%20has%20major%20clinical%20implications%20given%20that%20angiogenic%20biomarkers%20are%20frequently%20used%20in%20the%20triage%20area%20as%20a%20test%20to%20rule%20out%20preeclampsia.%22%2C%22date%22%3A%222023%20Jun%2027%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1515%5C%2Fjpm-2022-0474%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221619-3997%200300-5577%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22Q6Y23JD4%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Swor%20et%20al.%22%2C%22parsedDate%22%3A%222023-05-25%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BSwor%2C%20Katie%2C%20Lami%20Yeo%2C%20Adi%20L.%20Tarca%2C%20Eunjung%20Jung%2C%20and%20Roberto%20Romero.%20%26%23x201C%3BFetal%20Intelligent%20Navigation%20Echocardiography%20%28FINE%29%20Has%20Superior%20Performance%20Compared%20to%20Manual%20Navigation%20of%20the%20Fetal%20Heart%20by%20Non-%20Expert%20Sonologists.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Perinatal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2051%2C%20no.%204%20%28May%2025%2C%202023%29%3A%20477%26%23x2013%3B91.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0387%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0387%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Fetal%20intelligent%20navigation%20echocardiography%20%28FINE%29%20has%20superior%20performance%20compared%20to%20manual%20navigation%20of%20the%20fetal%20heart%20by%20non-%20expert%20sonologists.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katie%22%2C%22lastName%22%3A%22Swor%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lami%22%2C%22lastName%22%3A%22Yeo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20Manual%20and%20intelligent%20navigation%20%28i.e.%20fetal%20intelligent%20navigation%20echocardiography%20or%20FINE%29%20by%20the%20operator%20are%20two%20methods%20to%20obtain%20standard%20fetal%20cardiac%20views%20from%20spatiotemporal%20image%20correlation%20%28STIC%29%20volumes.%20The%20objective%20was%20to%20compare%20the%20performance%20between%20manual%20and%20intelligent%20navigation%20%28FINE%29%20of%20the%20fetal%20heart%20by%20non-expert%20sonologists.%20METHODS%3A%20In%20this%20prospective%20observational%20study%2C%20ten%20sonologists%20underwent%20formal%20training%20on%20both%20navigational%20methods.%20Subsequently%2C%20they%20were%20tested%20on%20their%20ability%20to%20obtain%20nine%20cardiac%20views%20from%20five%20STIC%20volumes%20of%20normal%20fetal%20hearts%20%2819-28%20gestational%20weeks%29%20using%20such%20methods.%20The%20following%20parameters%20were%20determined%20for%20both%20methods%3A%20%281%29%20success%20rate%20of%20obtaining%20nine%20cardiac%20views%3B%20%282%29%20mean%20time%20to%20obtain%20nine%20cardiac%20views%20per%20sonologist%3B%20and%20%283%29%20maximum%20number%20of%20cardiac%20views%20successfully%20obtained%20for%20each%20STIC%20volume.%20RESULTS%3A%20All%20fetal%20cardiac%20images%20obtained%20from%20100%20STIC%20volumes%20%2850%20for%20each%20navigational%20method%29%20were%20reviewed%20by%20an%20expert%20in%20fetal%20echocardiography.%20Compared%20to%20manual%20navigation%2C%20FINE%20was%20associated%20with%20a%20significantly%3A%20%281%29%20higher%20success%20rate%20of%20obtaining%20eight%20%28excluding%20the%20abdomen%20view%29%20appropriate%20cardiac%20views%20%2892-100%25%20vs.%2056-88%25%3B%20all%20p%26lt%3B0.05%29%3B%20%282%29%20shorter%20mean%20time%20%28minute%3Aseconds%29%20to%20obtain%20nine%20cardiac%20views%20%282%3A11%20%2B%5C%2F-%200%3A37%20vs.%2015%3A49%20%2B%5C%2F-%207%3A44%3B%20p%26lt%3B0.0001%29%3B%20and%20%283%29%20higher%20success%20rate%20of%20obtaining%20all%20nine%20cardiac%20views%20for%20a%20given%20STIC%20volume%20%2886%20vs.%2014%25%3B%20p%26lt%3B0.001%29.%20CONCLUSIONS%3A%20When%20performed%20by%20non-expert%20sonologists%2C%20intelligent%20navigation%20%28FINE%29%20had%20a%20superior%20performance%20compared%20to%20manual%20navigation%20of%20the%20normal%20fetal%20heart.%20Specifically%2C%20FINE%20obtained%20appropriate%20fetal%20cardiac%20views%20in%2092-100%25%20of%20cases.%22%2C%22date%22%3A%222023%20May%2025%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1515%5C%2Fjpm-2022-0387%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221619-3997%200300-5577%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%225DGE9TPH%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Farias-Jofre%20et%20al.%22%2C%22parsedDate%22%3A%222023-05-06%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BFarias-Jofre%2C%20Marcelo%2C%20Roberto%20Romero%2C%20Yi%20Xu%2C%20Dustyn%20Levenson%2C%20Li%20Tao%2C%20Tomi%20Kanninen%2C%20Jose%20Galaz%2C%20et%20al.%20%26%23x201C%3BDifferential%20Immunophenotype%20of%20Circulating%20Monocytes%20from%20Pregnant%20Women%20in%20Response%20to%20Viral%20Ligands.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMC%20Pregnancy%20and%20Childbirth%26lt%3B%5C%2Fi%26gt%3B%2023%2C%20no.%201%20%28May%206%2C%202023%29%3A%20323.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12884-023-05562-0%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12884-023-05562-0%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Differential%20immunophenotype%20of%20circulating%20monocytes%20from%20pregnant%20women%20in%20response%20to%20viral%20ligands.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dustyn%22%2C%22lastName%22%3A%22Levenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomi%22%2C%22lastName%22%3A%22Kanninen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenjie%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Megan%22%2C%22lastName%22%3A%22Seyerle%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Viral%20infections%20during%20pregnancy%20can%20have%20deleterious%20effects%20on%20mothers%20and%20their%20offspring.%20Monocytes%20participate%20in%20the%20maternal%20host%20defense%20against%20invading%20viruses%3B%20however%2C%20whether%20pregnancy%20alters%20monocyte%20responses%20is%20still%20under%20investigation.%20Herein%2C%20we%20undertook%20a%20comprehensive%20in%20vitro%20study%20of%20peripheral%20monocytes%20to%20characterize%20the%20differences%20in%20phenotype%20and%20interferon%20release%20driven%20by%20viral%20ligands%20between%20pregnant%20and%20non-pregnant%20women.%20METHODS%3A%20Peripheral%20blood%20was%20collected%20from%20third-trimester%20pregnant%20%28n%20%3D%2020%29%20or%20non-pregnant%20%28n%20%3D%2020%2C%20controls%29%20women.%20Peripheral%20blood%20mononuclear%20cells%20were%20isolated%20and%20exposed%20to%20R848%20%28TLR7%5C%2FTLR8%20agonist%29%2C%20Gardiquimod%20%28TLR7%20agonist%29%2C%20Poly%28I%3AC%29%20%28HMW%29%20VacciGrade%20%28TLR3%20agonist%29%2C%20Poly%28I%3AC%29%20%28HMW%29%20LyoVec%20%28RIG-I%5C%2FMDA-5%20agonist%29%2C%20or%20ODN2216%20%28TLR9%20agonist%29%20for%2024%20h.%20Cells%20and%20supernatants%20were%20collected%20for%20monocyte%20phenotyping%20and%20immunoassays%20to%20detect%20specific%20interferons%2C%20respectively.%20RESULTS%3A%20The%20proportions%20of%20classical%20%28CD14%28hi%29CD16%28-%29%29%2C%20intermediate%20%28CD14%28hi%29CD16%28%2B%29%29%2C%20non-%20classical%20%28CD14%28lo%29CD16%28%2B%29%29%2C%20and%20CD14%28lo%29CD16%28-%29%20monocytes%20were%20differentially%20affected%20between%20pregnant%20and%20non-pregnant%20women%20in%20response%20to%20TLR3%20stimulation.%20The%20proportions%20of%20pregnancy-derived%20monocytes%20expressing%20adhesion%20molecules%20%28Basigin%20and%20PSGL-1%29%20or%20the%20chemokine%20receptors%20CCR5%20and%20CCR2%20were%20diminished%20in%20response%20to%20TLR7%5C%2FTLR8%20stimulation%2C%20while%20the%20proportions%20of%20CCR5%28-%29%20monocytes%20were%20increased.%20Such%20differences%20were%20found%20to%20be%20primarily%20driven%20by%20TLR8%20signaling%2C%20rather%20than%20TLR7.%20Moreover%2C%20the%20proportions%20of%20monocytes%20expressing%20the%20chemokine%20receptor%20CXCR1%20were%20increased%20during%20pregnancy%20in%20response%20to%20poly%28I%3AC%29%20stimulation%20through%20TLR3%2C%20but%20not%20RIG-I%5C%2FMDA-5.%20By%20contrast%2C%20pregnancy-specific%20changes%20in%20the%20monocyte%20response%20to%20TLR9%20stimulation%20were%20not%20observed.%20Notably%2C%20the%20soluble%20interferon%20response%20to%20viral%20stimulation%20by%20mononuclear%20cells%20was%20not%20diminished%20in%20pregnancy.%20CONCLUSIONS%3A%20Our%20data%20provide%20insight%20into%20the%20differential%20responsiveness%20of%20pregnancy-derived%20monocytes%20to%20ssRNA%20and%20dsRNA%2C%20mainly%20driven%20by%20TLR8%20and%20membrane-bound%20TLR3%2C%20which%20may%20help%20to%20explain%20the%20increased%20susceptibility%20of%20pregnant%20women%20to%20adverse%20outcomes%20resulting%20from%20viral%20infection%20as%20observed%20during%20recent%20and%20historic%20pandemics.%22%2C%22date%22%3A%222023%20May%206%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12884-023-05562-0%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221471-2393%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%2228KF9DZG%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Hamilton%20et%20al.%22%2C%22parsedDate%22%3A%222023-05%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BHamilton%2C%20Emily%20F.%2C%20Roberto%20Romero%2C%20Adi%20L.%20Tarca%2C%20and%20Philip%20A.%20Warrick.%20%26%23x201C%3BThe%20Evolution%20of%20the%20Labor%20Curve%20and%20Its%20Implications%20for%20Clinical%20Practice%3A%20The%20Relationship%20between%20Cervical%20Dilation%2C%20Station%2C%20and%20Time%20during%20Labor.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Obstetrics%20and%20Gynecology%26lt%3B%5C%2Fi%26gt%3B%20228%2C%20no.%205S%20%28May%202023%29%3A%20S1050%26%23x2013%3B62.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.12.005%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.12.005%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20evolution%20of%20the%20labor%20curve%20and%20its%20implications%20for%20clinical%20practice%3A%20the%20relationship%20between%20cervical%20dilation%2C%20station%2C%20and%20time%20during%20labor.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emily%20F.%22%2C%22lastName%22%3A%22Hamilton%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Philip%20A.%22%2C%22lastName%22%3A%22Warrick%22%7D%5D%2C%22abstractNote%22%3A%22The%20assessment%20of%20labor%20progress%20is%20germane%20to%20every%20woman%20in%20labor.%20Two%20labor%20disorders-arrest%20of%20dilation%20and%20arrest%20of%20descent-are%20the%20primary%20indications%20for%20surgery%20in%20close%20to%2050%25%20of%20all%20intrapartum%20cesarean%20deliveries%20and%20are%20often%20contributing%20indications%20for%20cesarean%20deliveries%20for%20fetal%20heart%20rate%20abnormalities.%20Beginning%20in%201954%2C%20the%20assessment%20of%20labor%20progress%20was%20transformed%20by%20Friedman.%20He%20published%20a%20series%20of%20seminal%20works%20describing%20the%20relationship%20between%20cervical%20dilation%2C%20station%20of%20the%20presenting%20part%2C%20and%20time.%20He%20proposed%20nomenclature%20for%20the%20classification%20of%20labor%20disorders.%20Generations%20of%20obstetricians%20used%20this%20terminology%20and%20normal%20labor%20curves%20to%20determine%20expected%20rates%20of%20dilation%20and%20fetal%20descent%20and%20to%20decide%20when%20intervention%20was%20required.%20The%20analysis%20of%20labor%20progress%20presents%20many%20mathematical%20challenges.%20Clinical%20measurements%20of%20dilation%20and%20station%20are%20imprecise%20and%20prone%20to%20variation%2C%20especially%20for%20inexperienced%20observers.%20Many%20interrelated%20factors%20influence%20how%20the%20cervix%20dilates%20and%20how%20the%20fetus%20descends.%20There%20is%20substantial%20variability%20in%20when%20data%20collection%20begins%20and%20in%20the%20frequency%20of%20examinations.%20Statistical%20methods%20to%20account%20for%20these%20issues%20have%20advanced%20considerably%20in%20recent%20decades.%20In%20parallel%2C%20there%20is%20growing%20recognition%20among%20clinicians%20of%20the%20limitations%20of%20using%20time%20alone%20to%20assess%20progress%20in%20cervical%20dilation%20in%20labor.%20There%20is%20wide%20variation%20in%20the%20patterns%20of%20dilation%20over%20time%20and%20most%20labors%20do%20not%20follow%20an%20average%20dilation%20curve.%20Reliable%20assessment%20of%20labor%20progression%20is%20important%20because%20uncertainty%20leads%20to%20both%20over-use%20and%20under-use%20of%20cesarean%20delivery%20and%20neither%20of%20these%20extremes%20are%20desirable.%20This%20review%20traces%20the%20evolution%20of%20labor%20curves%2C%20describes%20how%20limitations%20are%20being%20addressed%20to%20reduce%20uncertainty%20and%20to%20improve%20the%20assessment%20of%20labor%20progression%20using%20modern%20statistical%20techniques%20and%20multi-dimensional%20data%2C%20and%20discusses%20the%20implications%20for%20obstetrical%20practice.%22%2C%22date%22%3A%222023%20May%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajog.2022.12.005%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221097-6868%200002-9378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%226Y5NXXYZ%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chaiworapongsa%20et%20al.%22%2C%22parsedDate%22%3A%222023-05%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChaiworapongsa%2C%20Tinnakorn%2C%20Roberto%20Romero%2C%20Francesca%20Gotsch%2C%20Manaphat%20Suksai%2C%20Dahiana%20M.%20Gallo%2C%20Eunjung%20Jung%2C%20Arthur%20Krieger%2C%20Piya%20Chaemsaithong%2C%20Offer%20Erez%2C%20and%20Adi%20L.%20Tarca.%20%26%23x201C%3BPreeclampsia%20at%20Term%20Can%20Be%20Classified%20into%202%20Clusters%20with%20Different%20Clinical%20Characteristics%20and%20Outcomes%20Based%20on%20Angiogenic%20Biomarkers%20in%20Maternal%20Blood.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Obstetrics%20and%20Gynecology%26lt%3B%5C%2Fi%26gt%3B%20228%2C%20no.%205%20%28May%202023%29%3A%20569.e1-569.e24.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.11.001%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.11.001%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Preeclampsia%20at%20term%20can%20be%20classified%20into%202%20clusters%20with%20different%20clinical%20characteristics%20and%20outcomes%20based%20on%20angiogenic%20biomarkers%20in%20maternal%20blood.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arthur%22%2C%22lastName%22%3A%22Krieger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20An%20antiangiogenic%20state%20has%20emerged%20as%20a%20mechanism%20of%20disease%20in%20preeclampsia.%20Angiogenic%20biomarkers%20are%20used%20in%20the%20risk%20assessment%20of%20this%20syndrome%2C%20particularly%20of%20early%20disease.%20The%20role%20of%20an%20antiangiogenic%20state%20in%20late%20preeclampsia%20is%20unclear.%20OBJECTIVE%3A%20This%20study%20aimed%20to%20determine%20the%20prevalence%2C%20characteristics%2C%20and%20clinical%20significance%20of%20angiogenic%5C%2Fantiangiogenic%20factor%20abnormalities%20in%20women%20with%20preeclampsia%20stratified%20according%20to%20gestational%20age%20at%20delivery.%20STUDY%20DESIGN%3A%20Two%20studies%20were%20conducted%3A%20%281%29%20a%20longitudinal%20nested%20case-%20control%20study%20comprising%20women%20with%20preeclampsia%20%28n%3D151%29%20and%20a%20control%20group%20%28n%3D540%29%3B%20and%20%282%29%20a%20case%20series%20of%20patients%20with%20preeclampsia%20%28n%3D452%29.%20In%20patients%20with%20preeclampsia%2C%20blood%20was%20collected%20at%20the%20time%20of%20diagnosis.%20Plasma%20concentrations%20of%20placental%20growth%20factor%20and%20soluble%20fms-like%20tyrosine%20kinase-1%20were%20determined%20by%20enzyme-linked%20immunosorbent%20assays.%20An%20abnormal%20angiogenic%20profile%20was%20defined%20as%20a%20plasma%20ratio%20of%20placental%20growth%20factor%20and%20soluble%20fms-like%20tyrosine%20kinase-1%20expressed%20as%20a%20multiple%20of%20the%20median%20%26lt%3B10th%20percentile%20for%20gestational%20age%20based%20on%20values%20derived%20from%20the%20longitudinal%20study.%20The%20proportion%20of%20patients%20diagnosed%20with%20preeclampsia%20who%20had%20an%20abnormal%20angiogenic%20profile%20was%20determined%20in%20the%20case-series%20participants%20and%20stratified%20by%20gestational%20age%20at%20delivery%20into%20early%20%28%26lt%3B%5C%2F%3D34%20weeks%29%2C%20intermediate%20%2834.1-36.9%20weeks%29%2C%20and%20term%20%28%26gt%3B%5C%2F%3D37%20weeks%29%20preeclampsia.%20The%20demographics%2C%20clinical%20characteristics%2C%20and%20pregnancy%20outcomes%20of%20women%20with%20preeclampsia%20with%20and%20without%20an%20abnormal%20angiogenic%20profile%20were%20compared.%20RESULTS%3A%20The%20prevalence%20of%20an%20abnormal%20angiogenic%20profile%20was%20higher%20in%20preterm%20than%20in%20term%20preeclampsia%20%28for%20early%2C%20intermediate%2C%20and%20term%20in%20the%20case-control%20study%3A%2090%25%2C%20100%25%2C%20and%2039%25%3B%20for%20the%20case%20series%3A%2098%25%2C%2080%25%2C%20and%2055%25%2C%20respectively%29.%20Women%20with%20preeclampsia%20at%20term%20who%20had%20an%20abnormal%20angiogenic%20profile%20were%20more%20frequently%20nulliparous%20%2857%25%20vs%2035%25%29%2C%20less%20likely%20to%20smoke%20%2814%25%20vs%2026%25%29%2C%20at%20greater%20risk%20for%20maternal%20%2814%25%20vs%205%25%29%20or%20neonatal%20%287%25%20vs%201%25%29%20complications%2C%20and%20more%20often%20had%20placental%20lesions%20consistent%20with%20maternal%20vascular%20malperfusion%20%2842%25%20vs%2023%25%3B%20all%2C%20P%26lt%3B.05%29%20than%20those%20without%20an%20abnormal%20profile.%20Women%20with%20preeclampsia%20at%20term%20who%20had%20a%20normal%20angiogenic%20profile%20had%20a%20higher%20frequency%20of%20chronic%20hypertension%20%2836%25%20vs%2021%25%29%20and%20were%20more%20likely%20to%20have%20class%20%26gt%3B%5C%2F%3D2%20obesity%20%2841%25%20vs%2023%25%29%20than%20those%20with%20an%20abnormal%20profile%20%28both%2C%20P%26lt%3B.05%29.%20CONCLUSION%3A%20Patients%20with%20early%20preeclampsia%20had%20an%20abnormal%20angiogenic%20profile%20in%20virtually%20all%20cases%2C%20whereas%20only%2050%25%20of%20women%20with%20preeclampsia%20at%20term%20had%20such%20abnormalities.%20The%20profile%20of%20angiogenic%20biomarkers%20can%20be%20used%20to%20classify%20patients%20with%20preeclampsia%20at%20term%2C%20on%20the%20basis%20of%20mechanisms%20of%20disease%2C%20into%202%20clusters%2C%20which%20have%20different%20demographics%2C%20clinical%20characteristics%2C%20and%20risks%20of%20adverse%20maternal%20and%20neonatal%20outcomes.%20These%20findings%20provide%20a%20simple%20approach%20to%20classify%20preeclampsia%20at%20term%20and%20have%20implications%20for%20future%20clinical%20care%20and%20research.%22%2C%22date%22%3A%222023%20May%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajog.2022.11.001%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221097-6868%200002-9378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22M93MXTK4%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gomez-Lopez%20et%20al.%22%2C%22parsedDate%22%3A%222023-04-04%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGomez-Lopez%2C%20Nardhy%2C%20Roberto%20Romero%2C%20Maria%20Fernanda%20Escobar%2C%20Javier%20Andres%20Carvajal%2C%20Maria%20Paula%20Echavarria%2C%20Ludwig%20L.%20Albornoz%2C%20Daniela%20Nasner%2C%20et%20al.%20%26%23x201C%3BPregnancy-Specific%20Responses%20to%20COVID-19%20Revealed%20by%20High-Throughput%20Proteomics%20of%20Human%20Plasma.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCommunications%20Medicine%26lt%3B%5C%2Fi%26gt%3B%203%2C%20no.%201%20%28April%204%2C%202023%29%3A%2048.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-023-00268-y%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs43856-023-00268-y%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Pregnancy-specific%20responses%20to%20COVID-19%20revealed%20by%20high-throughput%20proteomics%20of%20human%20plasma.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%20Fernanda%22%2C%22lastName%22%3A%22Escobar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Javier%20Andres%22%2C%22lastName%22%3A%22Carvajal%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%20Paula%22%2C%22lastName%22%3A%22Echavarria%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ludwig%20L.%22%2C%22lastName%22%3A%22Albornoz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniela%22%2C%22lastName%22%3A%22Nasner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%20Andrea%22%2C%22lastName%22%3A%22Zambrano%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Isabella%22%2C%22lastName%22%3A%22Ramos%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paula%20Andrea%22%2C%22lastName%22%3A%22Fernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leandro%22%2C%22lastName%22%3A%22Posada%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Pregnant%20women%20are%20at%20greater%20risk%20of%20adverse%20outcomes%2C%20including%20mortality%2C%20as%20well%20as%20obstetrical%20complications%20resulting%20from%20COVID-19.%20However%2C%20pregnancy-specific%20changes%20that%20underlie%20such%20worsened%20outcomes%20remain%20unclear.%20METHODS%3A%20Plasma%20samples%20were%20collected%20from%20pregnant%20women%20and%20non-pregnant%20individuals%20%28male%20and%20female%29%20with%20%28n%20%3D%2072%20pregnant%2C%2052%20non-pregnant%29%20and%20without%20%28n%20%3D%2029%20pregnant%2C%2041%20non-%20pregnant%29%20COVID-19.%20COVID-19%20patients%20were%20grouped%20as%20asymptomatic%2C%20mild%2C%20moderate%2C%20severe%2C%20or%20critically%20ill%20according%20to%20NIH%20classifications.%20Proteomic%20profiling%20of%207%2C288%20analytes%20corresponding%20to%206%2C596%20unique%20protein%20targets%20was%20performed%20using%20the%20SOMAmer%20platform.%20RESULTS%3A%20Herein%2C%20we%20profile%20the%20plasma%20proteome%20of%20pregnant%20and%20non-pregnant%20COVID-19%20patients%20and%20controls%20and%20show%20alterations%20that%20display%20a%20dose-%20response%20relationship%20with%20disease%20severity%3B%20yet%2C%20such%20proteomic%20perturbations%20are%20dampened%20during%20pregnancy.%20In%20both%20pregnant%20and%20non-%20pregnant%20state%2C%20the%20proteome%20response%20induced%20by%20COVID-19%20shows%20enrichment%20of%20mediators%20implicated%20in%20cytokine%20storm%2C%20endothelial%20dysfunction%2C%20and%20angiogenesis.%20Shared%20and%20pregnancy-specific%20proteomic%20changes%20are%20identified%3A%20pregnant%20women%20display%20a%20tailored%20response%20that%20may%20protect%20the%20conceptus%20from%20heightened%20inflammation%2C%20while%20non-%20pregnant%20individuals%20display%20a%20stronger%20response%20to%20repel%20infection.%20Furthermore%2C%20the%20plasma%20proteome%20can%20accurately%20identify%20COVID-19%20patients%2C%20even%20when%20asymptomatic%20or%20with%20mild%20symptoms.%20CONCLUSION%3A%20This%20study%20represents%20the%20most%20comprehensive%20characterization%20of%20the%20plasma%20proteome%20of%20pregnant%20and%20non-pregnant%20COVID-19%20patients.%20Our%20findings%20emphasize%20the%20distinct%20immune%20modulation%20between%20the%20non-pregnant%20and%20pregnant%20states%2C%20providing%20insight%20into%20the%20pathogenesis%20of%20COVID-19%20as%20well%20as%20a%20potential%20explanation%20for%20the%20more%20severe%20outcomes%20observed%20in%20pregnant%20women.%22%2C%22date%22%3A%222023%20Apr%204%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs43856-023-00268-y%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222730-664X%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22B44H5KZ3%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bhatti%20et%20al.%22%2C%22parsedDate%22%3A%222023-02-23%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BBhatti%2C%20Gaurav%2C%20Roberto%20Romero%2C%20Nardhy%20Gomez-Lopez%2C%20Tinnakorn%20Chaiworapongsa%2C%20Nandor%20Gabor%20Than%2C%20Kevin%20R.%20Theis%2C%20Jose%20Galaz%2C%20et%20al.%20%26%23x201C%3BThe%20Amniotic%20Fluid%20Proteome%20Changes%20with%20Term%20Labor%20and%20Informs%20Biomarker%20Discovery%20in%20Maternal%20Plasma.%26%23x201D%3B%20%26lt%3Bi%26gt%3BScientific%20Reports%26lt%3B%5C%2Fi%26gt%3B%2013%2C%20no.%201%20%28February%2023%2C%202023%29%3A%203136.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-023-28157-3%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-023-28157-3%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20amniotic%20fluid%20proteome%20changes%20with%20term%20labor%20and%20informs%20biomarker%20discovery%20in%20maternal%20plasma.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mahendra%22%2C%22lastName%22%3A%22Kavdia%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22The%20intra-uterine%20components%20of%20labor%2C%20namely%2C%20myometrial%20contractility%2C%20cervical%20ripening%2C%20and%20decidua%5C%2Fmembrane%20activation%2C%20have%20been%20extensively%20characterized%20and%20involve%20a%20local%20pro-inflammatory%20milieu%20of%20cellular%20and%20soluble%20immune%20mediators.%20Targeted%20profiling%20has%20demonstrated%20that%20such%20processes%20extend%20to%20the%20intra-amniotic%20space%2C%20yet%20unbiased%20analyses%20of%20the%20proteome%20of%20human%20amniotic%20fluid%20during%20labor%20are%20lacking.%20Herein%2C%20we%20utilized%20an%20aptamer-based%20platform%20to%20characterize%201%2C310%20amniotic%20fluid%20proteins%20and%20found%20that%20the%20proteome%20undergoes%20substantial%20changes%20with%20term%20labor%20%28251%20proteins%20with%20differential%20abundance%2C%20q%20%26lt%3B%200.1%2C%20and%20fold%20change%20%26gt%3B%201.25%29.%20Proteins%20with%20increased%20abundance%20in%20labor%20are%20enriched%20for%20immune%20and%20inflammatory%20processes%2C%20consistent%20with%20prior%20reports%20of%20labor-associated%20changes%20in%20the%20intra-uterine%20space.%20By%20integrating%20the%20amniotic%20fluid%20proteome%20with%20previously%20generated%20placental-derived%20single-cell%20RNA-seq%20data%2C%20we%20demonstrated%20the%20labor-driven%20upregulation%20of%20signatures%20corresponding%20to%20stromal-3%20and%20decidual%20cells.%20We%20also%20determined%20that%20changes%20in%20amniotic%20fluid%20protein%20abundance%20are%20reflected%20in%20the%20maternal%20plasma%20proteome.%20Collectively%2C%20these%20findings%20provide%20novel%20insights%20into%20the%20amniotic%20fluid%20proteome%20in%20term%20labor%20and%20support%20its%20potential%20use%20as%20a%20source%20of%20biomarkers%20to%20distinguish%20between%20true%20and%20false%20labor%20by%20using%20maternal%20blood%20samples.%22%2C%22date%22%3A%222023%20Feb%2023%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs41598-023-28157-3%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222045-2322%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22V64JL8X4%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gallo%20et%20al.%22%2C%22parsedDate%22%3A%222023-02-23%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGallo%2C%20Dahiana%20M.%2C%20Roberto%20Romero%2C%20Mariachiara%20Bosco%2C%20Tinnakorn%20Chaiworapongsa%2C%20Nardhy%20Gomez-Lopez%2C%20Marcia%20Arenas-Hernandez%2C%20Eunjung%20Jung%2C%20et%20al.%20%26%23x201C%3BMaternal%20Plasma%20Cytokines%20and%20the%20Subsequent%20Risk%20of%20Uterine%20Atony%20and%20Postpartum%20Hemorrhage.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Perinatal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2051%2C%20no.%202%20%28February%2023%2C%202023%29%3A%20219%26%23x2013%3B32.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0211%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0211%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Maternal%20plasma%20cytokines%20and%20the%20subsequent%20risk%20of%20uterine%20atony%20and%20postpartum%20hemorrhage.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20To%20determine%20whether%20the%20maternal%20plasma%20concentrations%20of%20cytokines%20are%20higher%20in%20pregnant%20women%20with%20postpartum%20hemorrhage%20%28PPH%29%20compared%20to%20pregnant%20women%20without%20PPH.%20METHODS%3A%20A%20retrospective%20case-%20control%20study%20included%2036%20women%20with%20PPH%20and%2072%20matched%20controls.%20Cases%20and%20controls%20were%20matched%20for%20gestational%20age%20at%20delivery%2C%20labor%20status%2C%20delivery%20route%2C%20parity%2C%20and%20year%20of%20sample%20collection.%20Maternal%20plasma%20samples%20were%20collected%20up%20to%203%20days%20prior%20to%20delivery.%20Comparison%20of%20the%20plasma%20concentrations%20of%2029%20cytokines%20was%20performed%20by%20using%20linear%20mixed-effects%20models%20and%20included%20adjustment%20for%20covariates%20and%20multiple%20testing.%20A%20false%20discovery%20rate%20adjusted%20p-value%20%26lt%3B0.1%20was%20used%20to%20infer%20significance.%20Random%20forest%20models%20with%20evaluation%20by%20leave-one-out%20and%209-fold%20cross-validation%20were%20used%20to%20assess%20the%20combined%20value%20of%20the%20proteins%20in%20predicting%20PPH.%20RESULTS%3A%20Concentrations%20of%20interleukin%20%28IL%29-16%2C%20IL-6%2C%20IL-12%5C%2FIL-23p40%2C%20monocyte%20chemotactic%20protein%201%20%28MCP-1%29%2C%20and%20IL-1beta%20were%20significantly%20higher%20in%20PPH%20than%20in%20the%20control%20group.%20This%20difference%20remained%20significant%20after%20adjustment%20for%20maternal%20age%2C%20clinical%20chorioamnionitis%2C%20and%20preeclampsia.%20Multi-protein%20random%20forest%20proteomics%20models%20had%20moderate%20cross-validated%20accuracy%20for%20prediction%20of%20PPH%20%5Barea%20under%20the%20ROC%20curve%2C%200.69%20%280.58-0.81%29%20by%20leave-one-out%20cross%20validation%20and%200.73%20%280.65-0.81%29%20by%209-fold%20cross-validation%5D%2C%20and%20the%20inclusion%20of%20clinical%20and%20demographic%20information%20did%20not%20increase%20the%20prediction%20performance.%20CONCLUSIONS%3A%20Pregnant%20women%20with%20severe%20PPH%20had%20higher%20median%20maternal%20plasma%20concentrations%20of%20IL-16%2C%20IL-6%2C%20IL-12%5C%2FIL-23p40%2C%20MCP-1%2C%20and%20IL-1beta%20than%20patients%20without%20PPH.%20These%20cytokines%20could%20serve%20as%20biomarkers%20or%20their%20pathways%20may%20be%20therapeutic%20targets.%22%2C%22date%22%3A%222023%20Feb%2023%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1515%5C%2Fjpm-2022-0211%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221619-3997%200300-5577%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22XL67JPK7%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Garcia-Flores%20et%20al.%22%2C%22parsedDate%22%3A%222023-01-31%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGarcia-Flores%2C%20Valeria%2C%20Roberto%20Romero%2C%20Azam%20Peyvandipour%2C%20Jose%20Galaz%2C%20Errile%20Pusod%2C%20Bogdan%20Panaitescu%2C%20Derek%20Miller%2C%20et%20al.%20%26%23x201C%3BA%20Single-Cell%20Atlas%20of%20Murine%20Reproductive%20Tissues%20during%20Preterm%20Labor.%26%23x201D%3B%20%26lt%3Bi%26gt%3BCell%20Reports%26lt%3B%5C%2Fi%26gt%3B%2042%2C%20no.%201%20%28January%2031%2C%202023%29%3A%20111846.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.celrep.2022.111846%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.celrep.2022.111846%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20single-cell%20atlas%20of%20murine%20reproductive%20tissues%20during%20preterm%20labor.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Azam%22%2C%22lastName%22%3A%22Peyvandipour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Errile%22%2C%22lastName%22%3A%22Pusod%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Panaitescu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenjie%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Preterm%20birth%2C%20the%20leading%20cause%20of%20perinatal%20morbidity%20and%20mortality%20worldwide%2C%20frequently%20results%20from%20the%20syndrome%20of%20preterm%20labor.%20The%20best-established%20causal%20link%20to%20preterm%20labor%20is%20intra-amniotic%20infection%2C%20which%20involves%20premature%20activation%20of%20the%20parturition%20cascade%20in%20the%20reproductive%20tissues.%20Herein%2C%20we%20utilize%20single-cell%20RNA%20sequencing%20%28scRNA-seq%29%20to%20generate%20a%20single-cell%20atlas%20of%20the%20murine%20uterus%2C%20decidua%2C%20and%20cervix%20in%20a%20model%20of%20infection-induced%20preterm%20labor.%20We%20show%20that%20preterm%20labor%20affects%20the%20transcriptomic%20profiles%20of%20specific%20immune%20and%20non-immune%20cell%20subsets.%20Shared%20and%20tissue-specific%20gene%20expression%20signatures%20are%20identified%20among%20affected%20cells.%20Determination%20of%20intercellular%20communications%20implicates%20specific%20cell%20types%20in%20preterm%20labor-associated%20signaling%20pathways%20across%20tissues.%20In%20silico%20comparison%20of%20murine%20and%20human%20uterine%20cell-cell%20interactions%20reveals%20conserved%20signaling%20pathways%20implicated%20in%20labor.%20Thus%2C%20our%20scRNA-seq%20data%20provide%20insights%20into%20the%20preterm%20labor-driven%20cellular%20landscape%20and%20communications%20in%20reproductive%20tissues.%22%2C%22date%22%3A%222023%20Jan%2031%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.celrep.2022.111846%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222211-1247%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22JAUSG3CC%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Than%20et%20al.%22%2C%22parsedDate%22%3A%222023-01-27%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BThan%2C%20Nandor%20Gabor%2C%20Roberto%20Romero%2C%20Daniel%20Gyorffy%2C%20Mate%20Posta%2C%20Gaurav%20Bhatti%2C%20Bogdan%20Done%2C%20Piya%20Chaemsaithong%2C%20et%20al.%20%26%23x201C%3BMolecular%20Subclasses%20of%20Preeclampsia%20Characterized%20by%20a%20Longitudinal%20Maternal%20Proteomics%20Study%3A%20Distinct%20Biomarkers%2C%20Disease%20Pathways%20and%20Options%20for%20Prevention.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Perinatal%20Medicine%26lt%3B%5C%2Fi%26gt%3B%2051%2C%20no.%201%20%28January%2027%2C%202023%29%3A%2051%26%23x2013%3B68.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0433%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1515%5C%2Fjpm-2022-0433%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Molecular%20subclasses%20of%20preeclampsia%20characterized%20by%20a%20longitudinal%20maternal%20proteomics%20study%3A%20distinct%20biomarkers%2C%20disease%20pathways%20and%20options%20for%20prevention.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%22%2C%22lastName%22%3A%22Gyorffy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mate%22%2C%22lastName%22%3A%22Posta%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bomi%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yeon%20Mee%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Simona%20W.%22%2C%22lastName%22%3A%22Rossi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andras%22%2C%22lastName%22%3A%22Szilagyi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zoltan%22%2C%22lastName%22%3A%22Papp%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20The%20heterogeneous%20nature%20of%20preeclampsia%20is%20a%20major%20obstacle%20to%20early%20screening%20and%20prevention%2C%20and%20a%20molecular%20taxonomy%20of%20disease%20is%20needed.%20We%20have%20previously%20identified%20four%20subclasses%20of%20preeclampsia%20based%20on%20first-trimester%20plasma%20proteomic%20profiles.%20Herein%2C%20we%20expanded%20this%20approach%20by%20using%20a%20more%20comprehensive%20panel%20of%20proteins%20profiled%20in%20longitudinal%20samples.%20METHODS%3A%20Proteomic%20data%20collected%20longitudinally%20from%20plasma%20samples%20of%20women%20who%20developed%20preeclampsia%20%28n%3D109%29%20and%20of%20controls%20%28n%3D90%29%20were%20available%20from%20our%20previous%20report%20on%201%2C125%20proteins.%20Consensus%20clustering%20was%20performed%20to%20identify%20subgroups%20of%20patients%20with%20preeclampsia%20based%20on%20data%20from%20five%20gestational-age%20intervals%20by%20using%20select%20interval-specific%20features.%20Demographic%2C%20clinical%2C%20and%20proteomic%20differences%20among%20clusters%20were%20determined.%20Differentially%20abundant%20proteins%20were%20used%20to%20identify%20cluster-specific%20perturbed%20KEGG%20pathways.%20RESULTS%3A%20Four%20molecular%20clusters%20with%20different%20clinical%20phenotypes%20were%20discovered%20by%20longitudinal%20proteomic%20profiling.%20Cluster%201%20involves%20metabolic%20and%20prothrombotic%20changes%20with%20high%20rates%20of%20early-onset%20preeclampsia%20and%20small-for-gestational-age%20neonates%3B%20Cluster%202%20includes%20maternal%20anti-fetal%20rejection%20mechanisms%20and%20recurrent%20preeclampsia%20cases%3B%20Cluster%203%20is%20associated%20with%20extracellular%20matrix%20regulation%20and%20comprises%20cases%20of%20mostly%20mild%2C%20late-onset%20preeclampsia%3B%20and%20Cluster%204%20is%20characterized%20by%20angiogenic%20imbalance%20and%20a%20high%20prevalence%20of%20early-onset%20disease.%20CONCLUSIONS%3A%20This%20study%20is%20an%20independent%20validation%20and%20further%20refining%20of%20molecular%20subclasses%20of%20preeclampsia%20identified%20by%20a%20different%20proteomic%20platform%20and%20study%20population.%20The%20results%20lay%20the%20groundwork%20for%20novel%20diagnostic%20and%20personalized%20tools%20of%20prevention.%22%2C%22date%22%3A%222023%20Jan%2027%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1515%5C%2Fjpm-2022-0433%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221619-3997%200300-5577%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%226I7UZ2DN%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Prasad%20et%20al.%22%2C%22parsedDate%22%3A%222023%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BPrasad%2C%20Priya%2C%20Roberto%20Romero%2C%20Tinnakorn%20Chaiworapongsa%2C%20Nardhy%20Gomez-Lopez%2C%20Anderson%20Lo%2C%20Jose%20Galaz%2C%20Andreea%20B.%20Taran%2C%20et%20al.%20%26%23x201C%3BFurther%20Evidence%20That%20an%20Episode%20of%20Premature%20Labor%20Is%20a%20Pathologic%20State%3A%20Involvement%20of%20the%20Insulin-Like%20Growth%20Factor%20System.%26%23x201D%3B%20%26lt%3Bi%26gt%3BFetal%20Diagnosis%20and%20Therapy%26lt%3B%5C%2Fi%26gt%3B%2050%2C%20no.%204%20%282023%29%3A%20236%26%23x2013%3B47.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1159%5C%2F000530862%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1159%5C%2F000530862%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Further%20Evidence%20that%20an%20Episode%20of%20Premature%20Labor%20Is%20a%20Pathologic%20State%3A%20Involvement%20of%20the%20Insulin-Like%20Growth%20Factor%20System.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Priya%22%2C%22lastName%22%3A%22Prasad%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anderson%22%2C%22lastName%22%3A%22Lo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andreea%20B.%22%2C%22lastName%22%3A%22Taran%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22INTRODUCTION%3A%20Approximately%2047%25%20of%20women%20with%20an%20episode%20of%20preterm%20labor%20deliver%20at%20term%3B%20however%2C%20their%20infants%20are%20at%20greater%20risk%20of%20being%20small%20for%20gestational%20age%20and%20for%20neurodevelopmental%20disorders.%20In%20these%20cases%2C%20a%20pathologic%20insult%20may%20disrupt%20the%20homeostatic%20responses%20sustaining%20pregnancy.%20We%20tested%20the%20hypothesis%20of%20an%20involvement%20of%20components%20of%20the%20insulin-like%20growth%20factor%20%28IGF%29%20system.%20METHODS%3A%20This%20is%20a%20cross-sectional%20study%20in%20which%20maternal%20plasma%20concentrations%20of%20pregnancy-associated%20plasma%20protease%20%28PAPP%29-A%2C%20PAPP-A2%2C%20insulin-like%20growth%20factor-binding%20protein%201%20%28IGFBP-1%29%2C%20and%20IGFBP-4%20were%20determined%20in%20the%20following%20groups%20of%20women%3A%20%281%29%20no%20episodes%20of%20preterm%20labor%2C%20term%20delivery%20%28controls%2C%20n%20%3D%20100%29%3B%20%282%29%20episode%20of%20preterm%20labor%2C%20term%20delivery%20%28n%20%3D%2050%29%3B%20%283%29%20episode%20of%20preterm%20labor%2C%20preterm%20delivery%20%28n%20%3D%20100%29%3B%20%284%29%20pregnant%20women%20at%20term%20not%20in%20labor%20%28n%20%3D%2061%29%3B%20and%20%285%29%20pregnant%20women%20at%20term%20in%20labor%20%28n%20%3D%2061%29.%20Pairwise%20differences%20in%20maternal%20plasma%20concentrations%20of%20PAPP-A%2C%20PAPP-A2%2C%20IGFBP-1%2C%20and%20IGFBP-4%20among%20study%20groups%20were%20assessed%20by%20fitting%20linear%20models%20on%20log-transformed%20data%20and%20included%20adjustment%20for%20relevant%20covariates.%20Significance%20of%20the%20group%20coefficient%20in%20the%20linear%20models%20was%20assessed%20via%20t-scores%2C%20with%20p%20%26lt%3B%200.05%20deemed%20a%20significant%20result.%20RESULTS%3A%20Compared%20to%20controls%2C%20%281%29%20women%20with%20an%20episode%20of%20premature%20labor%2C%20regardless%20of%20a%20preterm%20or%20a%20term%20delivery%2C%20had%20higher%20mean%20plasma%20concentrations%20of%20PAPP-A2%20and%20IGFBP-1%20%28each%20p%20%26lt%3B%200.05%29%3B%20%282%29%20women%20with%20an%20episode%20of%20premature%20labor%20who%20delivered%20at%20term%20also%20had%20a%20higher%20mean%20concentration%20of%20PAPP-A%20%28p%20%26lt%3B%200.05%29%3B%20and%20%283%29%20acute%20histologic%20chorioamnionitis%20and%20spontaneous%20labor%20at%20term%20were%20not%20associated%20with%20significant%20changes%20in%20these%20analytes.%20CONCLUSION%3A%20An%20episode%20of%20preterm%20labor%20involves%20the%20IGF%20system%2C%20supporting%20the%20view%20that%20the%20premature%20activation%20of%20parturition%20is%20a%20pathologic%20state%2C%20even%20in%20those%20women%20who%20delivered%20at%20term.%22%2C%22date%22%3A%222023%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1159%5C%2F000530862%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221421-9964%201015-3837%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22SB8AAS9A%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ghaemi%20et%20al.%22%2C%22parsedDate%22%3A%222022-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGhaemi%2C%20Mohammad%20S.%2C%20Adi%20L.%20Tarca%2C%20Roberto%20Romero%2C%20Natalie%20Stanley%2C%20Ramin%20Fallahzadeh%2C%20Athena%20Tanada%2C%20Anthony%20Culos%2C%20et%20al.%20%26%23x201C%3BProteomic%20Signatures%20Predict%20Preeclampsia%20in%20Individual%20Cohorts%20but%20Not%20across%20Cohorts%20-%20Implications%20for%20Clinical%20Biomarker%20Studies.%26%23x201D%3B%20%26lt%3Bi%26gt%3BThe%20Journal%20of%20Maternal-Fetal%20%26amp%3B%20Neonatal%20Medicine%26%23x202F%3B%3A%20The%20Official%20Journal%20of%20the%20European%20Association%20of%20Perinatal%20Medicine%2C%20the%20Federation%20of%20Asia%20and%20Oceania%20Perinatal%20Societies%2C%20the%20International%20Society%20of%20Perinatal%20Obstetricians%26lt%3B%5C%2Fi%26gt%3B%2035%2C%20no.%2025%20%28December%202022%29%3A%205621%26%23x2013%3B28.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2021.1888915%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1080%5C%2F14767058.2021.1888915%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Proteomic%20signatures%20predict%20preeclampsia%20in%20individual%20cohorts%20but%20not%20across%20cohorts%20-%20implications%20for%20clinical%20biomarker%20studies.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mohammad%20S.%22%2C%22lastName%22%3A%22Ghaemi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Natalie%22%2C%22lastName%22%3A%22Stanley%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ramin%22%2C%22lastName%22%3A%22Fallahzadeh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Athena%22%2C%22lastName%22%3A%22Tanada%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anthony%22%2C%22lastName%22%3A%22Culos%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kazuo%22%2C%22lastName%22%3A%22Ando%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xiaoyuan%22%2C%22lastName%22%3A%22Han%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yair%20J.%22%2C%22lastName%22%3A%22Blumenfeld%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maurice%20L.%22%2C%22lastName%22%3A%22Druzin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yasser%20Y.%22%2C%22lastName%22%3A%22El-Sayed%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ronald%20S.%22%2C%22lastName%22%3A%22Gibbs%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Virginia%20D.%22%2C%22lastName%22%3A%22Winn%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%22%2C%22lastName%22%3A%22Contrepois%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Xuefeng%20B.%22%2C%22lastName%22%3A%22Ling%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ronald%20J.%22%2C%22lastName%22%3A%22Wong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gary%20M.%22%2C%22lastName%22%3A%22Shaw%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%20K.%22%2C%22lastName%22%3A%22Stevenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brice%22%2C%22lastName%22%3A%22Gaudilliere%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nima%22%2C%22lastName%22%3A%22Aghaeepour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%20S.%22%2C%22lastName%22%3A%22Angst%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Early%20identification%20of%20pregnant%20women%20at%20risk%20for%20preeclampsia%20%28PE%29%20is%20important%2C%20as%20it%20will%20enable%20targeted%20interventions%20ahead%20of%20clinical%20manifestations.%20The%20quantitative%20analyses%20of%20plasma%20proteins%20feature%20prominently%20among%20molecular%20approaches%20used%20for%20risk%20prediction.%20However%2C%20derivation%20of%20protein%20signatures%20of%20sufficient%20predictive%20power%20has%20been%20challenging.%20The%20recent%20availability%20of%20platforms%20simultaneously%20assessing%20over%201000%20plasma%20proteins%20offers%20broad%20examinations%20of%20the%20plasma%20proteome%2C%20which%20may%20enable%20the%20extraction%20of%20proteomic%20signatures%20with%20improved%20prognostic%20performance%20in%20prenatal%20care.%20OBJECTIVE%3A%20The%20primary%20aim%20of%20this%20study%20was%20to%20examine%20the%20generalizability%20of%20proteomic%20signatures%20predictive%20of%20PE%20in%20two%20cohorts%20of%20pregnant%20women%20whose%20plasma%20proteome%20was%20interrogated%20with%20the%20same%20highly%20multiplexed%20platform.%20Establishing%20generalizability%2C%20or%20lack%20thereof%2C%20is%20critical%20to%20devise%20strategies%20facilitating%20the%20development%20of%20clinically%20useful%20predictive%20tests.%20A%20second%20aim%20was%20to%20examine%20the%20generalizability%20of%20protein%20signatures%20predictive%20of%20gestational%20age%20%28GA%29%20in%20uncomplicated%20pregnancies%20in%20the%20same%20cohorts%20to%20contrast%20physiological%20and%20pathological%20pregnancy%20outcomes.%20STUDY%20DESIGN%3A%20Serial%20blood%20samples%20were%20collected%20during%20the%20first%2C%20second%2C%20and%20third%20trimesters%20in%2018%20women%20who%20developed%20PE%20and%2018%20women%20with%20uncomplicated%20pregnancies%20%28Stanford%20cohort%29.%20The%20second%20cohort%20%28Detroit%29%2C%20used%20for%20comparative%20analysis%2C%20consisted%20of%2076%20women%20with%20PE%20and%2090%20women%20with%20uncomplicated%20pregnancies.%20Multivariate%20analyses%20were%20applied%20to%20infer%20predictive%20and%20cohort-specific%20proteomic%20models%2C%20which%20were%20then%20tested%20in%20the%20alternate%20cohort.%20Gene%20ontology%20%28GO%29%20analysis%20was%20performed%20to%20identify%20biological%20processes%20that%20were%20over-represented%20among%20top-ranked%20proteins%20associated%20with%20PE.%20RESULTS%3A%20The%20model%20derived%20in%20the%20Stanford%20cohort%20was%20highly%20significant%20%28p%20%3D%203.9E-15%29%20and%20predictive%20%28AUC%20%3D%200.96%29%2C%20but%20failed%20validation%20in%20the%20Detroit%20cohort%20%28p%20%3D%209.7E-01%2C%20AUC%20%3D%200.50%29.%20Similarly%2C%20the%20model%20derived%20in%20the%20Detroit%20cohort%20was%20highly%20significant%20%28p%20%3D%201.0E-21%2C%20AUC%20%3D%200.73%29%2C%20but%20failed%20validation%20in%20the%20Stanford%20cohort%20%28p%20%3D%207.3E-02%2C%20AUC%20%3D%200.60%29.%20By%20contrast%2C%20proteomic%20models%20predicting%20GA%20were%20readily%20validated%20across%20the%20Stanford%20%28p%20%3D%201.1E-454%2C%20R%20%3D%200.92%29%20and%20Detroit%20cohorts%20%28p%20%3D%201.1.E-92%2C%20R%20%3D%200.92%29%20indicating%20that%20the%20proteomic%20assay%20performed%20well%20enough%20to%20infer%20a%20generalizable%20model%20across%20studied%20cohorts%2C%20which%20makes%20it%20less%20likely%20that%20technical%20aspects%20of%20the%20assay%2C%20including%20batch%20effects%2C%20accounted%20for%20observed%20differences.%20CONCLUSIONS%3A%20Results%20point%20to%20a%20broader%20issue%20relevant%20for%20proteomic%20and%20other%20omic%20discovery%20studies%20in%20patient%20cohorts%20suffering%20from%20a%20clinical%20syndrome%2C%20such%20as%20PE%2C%20driven%20by%20heterogeneous%20pathophysiologies.%20While%20novel%20technologies%20including%20highly%20multiplex%20proteomic%20arrays%20and%20adapted%20computational%20algorithms%20allow%20for%20novel%20discoveries%20for%20a%20particular%20study%20cohort%2C%20they%20may%20not%20readily%20generalize%20across%20cohorts.%20A%20likely%20reason%20is%20that%20the%20prevalence%20of%20pathophysiologic%20processes%20leading%20up%20to%20the%20%26quot%3Bsame%26quot%3B%20clinical%20syndrome%20can%20be%20distributed%20differently%20in%20different%20and%20smaller-sized%20cohorts.%20Signatures%20derived%20in%20individual%20cohorts%20may%20simply%20capture%20different%20facets%20of%20the%20spectrum%20of%20pathophysiologic%20processes%20driving%20a%20syndrome.%20Our%20findings%20have%20important%20implications%20for%20the%20design%20of%20omic%20studies%20of%20a%20syndrome%20like%20PE.%20They%20highlight%20the%20need%20for%20performing%20such%20studies%20in%20diverse%20and%20well-phenotyped%20patient%20populations%20that%20are%20large%20enough%20to%20characterize%20subsets%20of%20patients%20with%20shared%20pathophysiologies%20to%20then%20derive%20subset-specific%20signatures%20of%20sufficient%20predictive%20power.%22%2C%22date%22%3A%222022%20Dec%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1080%5C%2F14767058.2021.1888915%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221476-4954%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22DH2LHZQW%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Tarca%20et%20al.%22%2C%22parsedDate%22%3A%222022-11-04%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BTarca%2C%20Adi%20L.%2C%20Roberto%20Romero%2C%20Gaurav%20Bhatti%2C%20Francesca%20Gotsch%2C%20Bogdan%20Done%2C%20Dereje%20W.%20Gudicha%2C%20Dahiana%20M.%20Gallo%2C%20et%20al.%20%26%23x201C%3BHuman%20Plasma%20Proteome%20During%20Normal%20Pregnancy.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Proteome%20Research%26lt%3B%5C%2Fi%26gt%3B%2021%2C%20no.%2011%20%28November%204%2C%202022%29%3A%202687%26%23x2013%3B2702.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1021%5C%2Facs.jproteome.2c00391%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1021%5C%2Facs.jproteome.2c00391%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Human%20Plasma%20Proteome%20During%20Normal%20Pregnancy.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22The%20human%20plasma%20proteome%20is%20underexplored%20despite%20its%20potential%20value%20for%20monitoring%20health%20and%20disease.%20Herein%2C%20using%20a%20recently%20developed%20aptamer-based%20platform%2C%20we%20profiled%207288%20proteins%20in%20528%20plasma%20samples%20from%2091%20normal%20pregnancies%20%28Gene%20Expression%20Omnibus%20identifier%20GSE206454%29.%20The%20coefficient%20of%20variation%20was%20%26lt%3B20%25%20for%2093%25%20of%20analytes%20%28median%207%25%29%2C%20and%20a%20cross-platform%20correlation%20for%20selected%20key%20angiogenic%20and%20anti-angiogenic%20proteins%20was%20significant.%20Gestational%20age%20was%20associated%20with%20changes%20in%20953%20proteins%2C%20including%20highly%20modulated%20placenta-%20and%20decidua-specific%20proteins%2C%20and%20they%20were%20enriched%20in%20biological%20processes%20including%20regulation%20of%20growth%2C%20angiogenesis%2C%20immunity%2C%20and%20inflammation.%20The%20abundance%20of%20proteins%20corresponding%20to%20RNAs%20specific%20to%20populations%20of%20cells%20previously%20described%20by%20single-cell%20RNA-Seq%20analysis%20of%20the%20placenta%20was%20highly%20modulated%20throughout%20gestation.%20Furthermore%2C%20machine%20learning-based%20prediction%20of%20gestational%20age%20and%20of%20time%20from%20sampling%20to%20term%20delivery%20compared%20favorably%20with%20transcriptomic%20models%20%28mean%20absolute%20error%20of%202%20weeks%29.%20These%20results%20suggested%20that%20the%20plasma%20proteome%20may%20provide%20a%20non-invasive%20readout%20of%20placental%20cellular%20dynamics%20and%20serve%20as%20a%20blueprint%20for%20investigating%20obstetrical%20disease.%22%2C%22date%22%3A%222022%20Nov%204%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1021%5C%2Facs.jproteome.2c00391%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221535-3907%201535-3893%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22YV6NLRDH%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Demery-Poulos%20et%20al.%22%2C%22parsedDate%22%3A%222022-11%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BDemery-Poulos%2C%20Catherine%2C%20Roberto%20Romero%2C%20Yi%20Xu%2C%20Marcia%20Arenas-Hernandez%2C%20Derek%20Miller%2C%20Li%20Tao%2C%20Jose%20Galaz%2C%20et%20al.%20%26%23x201C%3BPregnancy%20Imparts%20Distinct%20Systemic%20Adaptive%20Immune%20Function.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Reproductive%20Immunology%20%28New%20York%2C%20N.Y.%26%23x202F%3B%3A%201989%29%26lt%3B%5C%2Fi%26gt%3B%2088%2C%20no.%205%20%28November%202022%29%3A%20e13606.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1111%5C%2Faji.13606%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1111%5C%2Faji.13606%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Pregnancy%20imparts%20distinct%20systemic%20adaptive%20immune%20function.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Catherine%22%2C%22lastName%22%3A%22Demery-Poulos%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Megan%22%2C%22lastName%22%3A%22Seyerle%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22PROBLEM%3A%20Pregnancy%20represents%20a%20state%20of%20systemic%20immune%20activation%20that%20is%20primarily%20driven%20by%20alterations%20in%20circulating%20innate%20immune%20cells.%20Recent%20studies%20have%20suggested%20that%20cellular%20adaptive%20immune%20components%2C%20T%20cells%20and%20B%20cells%2C%20also%20undergo%20changes%20throughout%20gestation.%20However%2C%20the%20phenotypes%20and%20functions%20of%20such%20adaptive%20immune%20cells%20are%20poorly%20understood.%20Herein%2C%20we%20utilized%20high-dimensional%20flow%20cytometry%20and%20functional%20assays%20to%20characterize%20T-cell%20and%20B-cell%20responses%20in%20pregnant%20and%20non-pregnant%20women.%20METHODS%3A%20Peripheral%20blood%20mononuclear%20cells%20from%20pregnant%20%28n%20%3D%2020%29%20and%20non-pregnant%20%28n%20%3D%2025%29%20women%20were%20used%20for%20phenotyping%20of%20T-cell%20and%20B-cell%20subsets.%20T-cell%20proliferation%20and%20B-cell%20activation%20were%20assessed%20by%20flow%20cytometry%20after%20in%20vitro%20stimulation%2C%20and%20lymphocyte%20cytotoxicity%20was%20evaluated%20by%20using%20a%20cell-based%20assay.%20Statistical%20comparisons%20were%20performed%20with%20linear%20mixed-effects%20models.%20RESULTS%3A%20Pregnancy%20was%20associated%20with%20modestly%20enhanced%20basal%20activation%20of%20peripheral%20CD4%28%2B%29%20T%20cells.%20Both%20CD4%28%2B%29%20and%20CD8%28%2B%29%20T%20cells%20from%20pregnant%20women%20showed%20increased%20activation-induced%20proliferation%3B%20yet%2C%20a%20reduced%20proportion%20of%20these%20cells%20expressed%20activation%20markers%20compared%20to%20non-pregnant%20women.%20There%20were%20no%20differences%20in%20peripheral%20lymphocyte%20cytotoxicity%20between%20study%20groups.%20A%20greater%20proportion%20of%20B%20cells%20from%20pregnant%20women%20displayed%20memory-like%20and%20activated%20phenotypes%2C%20and%20such%20cells%20exhibited%20higher%20activation%20following%20stimulation.%20CONCLUSION%3A%20Maternal%20circulating%20T%20cells%20and%20B%20cells%20display%20distinct%20responses%20during%20pregnancy.%20The%20former%20may%20reflect%20the%20unique%20capacity%20of%20T%20cells%20to%20respond%20to%20potential%20threats%20without%20undergoing%20aberrant%20activation%2C%20thereby%20preventing%20systemic%20inflammatory%20responses%20that%20can%20lead%20to%20adverse%20perinatal%20consequences.%22%2C%22date%22%3A%222022%20Nov%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1111%5C%2Faji.13606%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221600-0897%201046-7408%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%225FLQXSUZ%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Romero%20et%20al.%22%2C%22parsedDate%22%3A%222022-10%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BRomero%2C%20Roberto%2C%20Eunjung%20Jung%2C%20Tinnakorn%20Chaiworapongsa%2C%20Offer%20Erez%2C%20Dereje%20W.%20Gudicha%2C%20Yeon%20Mee%20Kim%2C%20Jung-Sun%20Kim%2C%20et%20al.%20%26%23x201C%3BToward%20a%20New%20Taxonomy%20of%20Obstetrical%20Disease%3A%20Improved%20Performance%20of%20Maternal%20Blood%20Biomarkers%20for%20the%20Great%20Obstetrical%20Syndromes%20When%20Classified%20According%20to%20Placental%20Pathology.%26%23x201D%3B%20%26lt%3Bi%26gt%3BAmerican%20Journal%20of%20Obstetrics%20and%20Gynecology%26lt%3B%5C%2Fi%26gt%3B%20227%2C%20no.%204%20%28October%202022%29%3A%20615.e1-615.e25.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.04.015%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ajog.2022.04.015%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Toward%20a%20new%20taxonomy%20of%20obstetrical%20disease%3A%20improved%20performance%20of%20maternal%20blood%20biomarkers%20for%20the%20great%20obstetrical%20syndromes%20when%20classified%20according%20to%20placental%20pathology.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yeon%20Mee%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jung-Sun%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bomi%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Juan%20Pedro%22%2C%22lastName%22%3A%22Kusanovic%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andreea%20B.%22%2C%22lastName%22%3A%22Taran%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bo%20Hyun%22%2C%22lastName%22%3A%22Yoon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chaur-Dong%22%2C%22lastName%22%3A%22Hsu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lami%22%2C%22lastName%22%3A%22Yeo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chong%20Jai%22%2C%22lastName%22%3A%22Kim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20major%20challenge%20for%20obstetrics%20is%20the%20prediction%20and%20prevention%20of%20the%20great%20obstetrical%20syndromes.%20We%20propose%20that%20defining%20obstetrical%20diseases%20by%20the%20combination%20of%20clinical%20presentation%20and%20disease%20mechanisms%20as%20inferred%20by%20placental%20pathology%20will%20aid%20in%20the%20discovery%20of%20biomarkers%20and%20add%20specificity%20to%20those%20already%20known.%20OBJECTIVE%3A%20To%20describe%20the%20longitudinal%20profile%20of%20placental%20growth%20factor%20%28PlGF%29%2C%20soluble%20fms-like%20tyrosine%20kinase-1%20%28sFlt-1%29%2C%20and%20the%20PlGF%5C%2FsFlt-1%20ratio%20throughout%20gestation%2C%20and%20to%20determine%20whether%20the%20association%20between%20abnormal%20biomarker%20profiles%20and%20obstetrical%20syndromes%20is%20strengthened%20by%20information%20derived%20from%20placental%20examination%2C%20eg%2C%20the%20presence%20or%20absence%20of%20placental%20lesions%20of%20maternal%20vascular%20malperfusion.%20STUDY%20DESIGN%3A%20This%20retrospective%20case%20cohort%20study%20was%20based%20on%20a%20parent%20cohort%20of%204006%20pregnant%20women%20enrolled%20prospectively.%20The%20case%20cohort%20of%201499%20pregnant%20women%20included%201000%20randomly%20selected%20patients%20from%20the%20parent%20cohort%20and%20all%20additional%20patients%20with%20obstetrical%20syndromes%20from%20the%20parent%20cohort.%20Pregnant%20women%20were%20classified%20into%20six%20groups%3A%201%29%20term%20delivery%20without%20pregnancy%20complications%20%28n%3D540%3B%20control%29%3B%202%29%20preterm%20labor%20and%20delivery%20%28n%3D203%29%3B%203%29%20preterm%20premature%20rupture%20of%20the%20membranes%20%28n%3D112%29%3B%204%29%20preeclampsia%20%28n%3D230%29%3B%205%29%20small-for-gestational-age%20neonate%20%28n%3D334%29%3B%20and%206%29%20other%20pregnancy%20complications%20%28n%3D182%29.%20Maternal%20plasma%20concentrations%20of%20PlGF%20and%20sFlt-1%20were%20determined%20by%20enzyme-linked%20immunosorbent%20assays%20in%207560%20longitudinal%20samples.%20Placental%20pathologists%2C%20masked%20to%20clinical%20outcomes%2C%20diagnosed%20the%20presence%20or%20absence%20of%20placental%20lesions%20of%20maternal%20vascular%20malperfusion.%20Comparisons%20between%20mean%20biomarker%20concentrations%20in%20cases%20and%20controls%20were%20performed%20by%20utilizing%20longitudinal%20generalized%20additive%20models.%20Comparisons%20were%20made%20between%20controls%20and%20each%20obstetrical%20syndrome%20with%20and%20without%20subclassifying%20cases%20according%20to%20the%20presence%20or%20absence%20of%20placental%20lesions%20of%20maternal%20vascular%20malperfusion.%20RESULTS%3A%201%29%20When%20obstetrical%20syndromes%20are%20classified%20based%20on%20the%20presence%20or%20absence%20of%20placental%20lesions%20of%20maternal%20vascular%20malperfusion%2C%20significant%20differences%20in%20the%20mean%20plasma%20concentrations%20of%20PlGF%2C%20sFlt-1%2C%20and%20the%20PlGF%5C%2FsFlt-1%20ratio%20between%20cases%20and%20controls%20emerge%20earlier%20in%20gestation%3B%202%29%20the%20strength%20of%20association%20between%20an%20abnormal%20PlGF%5C%2FsFlt-1%20ratio%20and%20the%20occurrence%20of%20obstetrical%20syndromes%20increases%20when%20placental%20lesions%20of%20maternal%20vascular%20malperfusion%20are%20present%20%28adjusted%20odds%20ratio%20%5BaOR%5D%2C%2013.6%20vs%206.7%20for%20preeclampsia%3B%20aOR%2C%208.1%20vs%204.4%20for%20small-for-gestational-age%20neonates%3B%20aOR%2C%205.5%20vs%202.1%20for%20preterm%20premature%20rupture%20of%20the%20membranes%3B%20and%20aOR%2C%203.3%20vs%202.1%20for%20preterm%20labor%20%28all%20P%26lt%3B0.05%29%3B%20and%203%29%20the%20PlGF%5C%2FsFlt-1%20ratio%20at%2028%20to%2032%20weeks%20of%20gestation%20is%20abnormal%20in%20patients%20who%20subsequently%20delivered%20due%20to%20preterm%20labor%20with%20intact%20membranes%20and%20in%20those%20with%20preterm%20premature%20rupture%20of%20the%20membranes%20if%20both%20groups%20have%20placental%20lesions%20of%20maternal%20vascular%20malperfusion.%20Such%20association%20is%20not%20significant%20in%20patients%20with%20these%20obstetrical%20syndromes%20who%20do%20not%20have%20placental%20lesions.%20CONCLUSION%3A%20Classification%20of%20obstetrical%20syndromes%20according%20to%20the%20presence%20or%20absence%20of%20placental%20lesions%20of%20maternal%20vascular%20malperfusion%20allows%20biomarkers%20to%20be%20informative%20earlier%20in%20gestation%20and%20enhances%20the%20strength%20of%20association%20between%20biomarkers%20and%20clinical%20outcomes.%20We%20propose%20that%20a%20new%20taxonomy%20of%20obstetrical%20disorders%20informed%20by%20placental%20pathology%20will%20facilitate%20the%20discovery%20and%20implementation%20of%20biomarkers%20as%20well%20as%20the%20prediction%20and%20prevention%20of%20such%20disorders.%22%2C%22date%22%3A%222022%20Oct%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ajog.2022.04.015%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221097-6868%200002-9378%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22R9X2VUZJ%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Motomura%20et%20al.%22%2C%22parsedDate%22%3A%222022-08-22%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BMotomura%2C%20Kenichiro%2C%20Roberto%20Romero%2C%20Jose%20Galaz%2C%20Li%20Tao%2C%20Valeria%20Garcia-Flores%2C%20Yi%20Xu%2C%20Bogdan%20Done%2C%20et%20al.%20%26%23x201C%3BFetal%20and%20Maternal%20NLRP3%20Signaling%20Is%20Required%20for%20Preterm%20Labor%20and%20Birth.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJCI%20Insight%26lt%3B%5C%2Fi%26gt%3B%207%2C%20no.%2016%20%28August%2022%2C%202022%29%3A%20e158238.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1172%5C%2Fjci.insight.158238%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1172%5C%2Fjci.insight.158238%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Fetal%20and%20maternal%20NLRP3%20signaling%20is%20required%20for%20preterm%20labor%20and%20birth.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kenichiro%22%2C%22lastName%22%3A%22Motomura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pedro%22%2C%22lastName%22%3A%22Gutierrez-Contreras%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Siddhesh%22%2C%22lastName%22%3A%22Aras%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lawrence%20I.%22%2C%22lastName%22%3A%22Grossman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Preterm%20birth%20is%20the%20leading%20cause%20of%20neonatal%20morbidity%20and%20mortality%20worldwide.%20One%20of%20every%204%20preterm%20neonates%20is%20born%20to%20a%20mother%20with%20intra-amniotic%20inflammation%20driven%20by%20invading%20bacteria.%20However%2C%20the%20molecular%20mechanisms%20underlying%20this%20hostile%20immune%20response%20remain%20unclear.%20Here%2C%20we%20used%20a%20translationally%20relevant%20model%20of%20preterm%20birth%20in%20Nlrp3-deficient%20and%20-sufficient%20pregnant%20mice%20to%20identify%20what%20we%20believe%20is%20a%20previously%20unknown%20dual%20role%20for%20the%20NLRP3%20pathway%20in%20the%20fetal%20and%20maternal%20signaling%20required%20for%20the%20premature%20onset%20of%20the%20labor%20cascade%20leading%20to%20fetal%20injury%20and%20neonatal%20death.%20Specifically%2C%20the%20NLRP3%20sensor%20molecule%20and%5C%2For%20inflammasome%20is%20essential%20for%20triggering%20intra-amniotic%20and%20decidual%20inflammation%2C%20fetal%20membrane%20activation%2C%20uterine%20contractility%2C%20and%20cervical%20dilation.%20NLRP3%20also%20regulates%20the%20functional%20status%20of%20neutrophils%20and%20macrophages%20in%20the%20uterus%20and%20decidua%2C%20without%20altering%20their%20influx%2C%20as%20well%20as%20maternal%20systemic%20inflammation.%20Finally%2C%20both%20embryo%20transfer%20experimentation%20and%20heterozygous%20mating%20systems%20provided%20mechanistic%20evidence%20showing%20that%20NLRP3%20signaling%20in%20both%20the%20fetus%20and%20the%20mother%20is%20required%20for%20the%20premature%20activation%20of%20the%20labor%20cascade.%20These%20data%20provide%20insights%20into%20the%20mechanisms%20of%20fetal-maternal%20dialog%20in%20the%20syndrome%20of%20preterm%20labor%20and%20indicate%20that%20targeting%20the%20NLRP3%20pathway%20could%20prevent%20adverse%20perinatal%20outcomes.%22%2C%22date%22%3A%222022%20Aug%2022%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1172%5C%2Fjci.insight.158238%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222379-3708%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22YYL9CQ8H%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gudicha%20et%20al.%22%2C%22parsedDate%22%3A%222022-07-11%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGudicha%2C%20Dereje%20W.%2C%20Roberto%20Romero%2C%20Nardhy%20Gomez-Lopez%2C%20Jose%20Galaz%2C%20Gaurav%20Bhatti%2C%20Bogdan%20Done%2C%20Eunjung%20Jung%2C%20et%20al.%20%26%23x201C%3BThe%20Amniotic%20Fluid%20Proteome%20Predicts%20Imminent%20Preterm%20Delivery%20in%20Asymptomatic%20Women%20with%20a%20Short%20Cervix.%26%23x201D%3B%20%26lt%3Bi%26gt%3BScientific%20Reports%26lt%3B%5C%2Fi%26gt%3B%2012%2C%20no.%201%20%28July%2011%2C%202022%29%3A%2011781.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-022-15392-3%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41598-022-15392-3%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20amniotic%20fluid%20proteome%20predicts%20imminent%20preterm%20delivery%20in%20asymptomatic%20women%20with%20a%20short%20cervix.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dereje%20W.%22%2C%22lastName%22%3A%22Gudicha%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bogdan%22%2C%22lastName%22%3A%22Done%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dahiana%20M.%22%2C%22lastName%22%3A%22Gallo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mariachiara%22%2C%22lastName%22%3A%22Bosco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Manaphat%22%2C%22lastName%22%3A%22Suksai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ramiro%22%2C%22lastName%22%3A%22Diaz-Primera%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Piya%22%2C%22lastName%22%3A%22Chaemsaithong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Francesca%22%2C%22lastName%22%3A%22Gotsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%5D%2C%22abstractNote%22%3A%22Preterm%20birth%2C%20the%20leading%20cause%20of%20perinatal%20morbidity%20and%20mortality%2C%20is%20associated%20with%20increased%20risk%20of%20short-%20and%20long-term%20adverse%20outcomes.%20For%20women%20identified%20as%20at%20risk%20for%20preterm%20birth%20attributable%20to%20a%20sonographic%20short%20cervix%2C%20the%20determination%20of%20imminent%20delivery%20is%20crucial%20for%20patient%20management.%20The%20current%20study%20aimed%20to%20identify%20amniotic%20fluid%20%28AF%29%20proteins%20that%20could%20predict%20imminent%20delivery%20in%20asymptomatic%20patients%20with%20a%20short%20cervix.%20This%20retrospective%20cohort%20study%20included%20women%20enrolled%20between%20May%202002%20and%20September%202015%20who%20were%20diagnosed%20with%20a%20sonographic%20short%20cervix%20%28%26lt%3B%2025%20mm%29%20at%2016-32%20weeks%20of%20gestation.%20Amniocenteses%20were%20performed%20to%20exclude%20intra-amniotic%20infection%3B%20none%20of%20the%20women%20included%20had%20clinical%20signs%20of%20infection%20or%20labor%20at%20the%20time%20of%20amniocentesis.%20An%20aptamer-based%20multiplex%20platform%20was%20used%20to%20profile%201310%20AF%20proteins%2C%20and%20the%20differential%20protein%20abundance%20between%20women%20who%20delivered%20within%20two%20weeks%20from%20amniocentesis%2C%20and%20those%20who%20did%20not%2C%20was%20determined.%20The%20analysis%20included%20adjustment%20for%20quantitative%20cervical%20length%20and%20control%20of%20the%20false-positive%20rate%20at%2010%25.%20The%20area%20under%20the%20receiver%20operating%20characteristic%20curve%20was%20calculated%20to%20determine%20whether%20protein%20abundance%20in%20combination%20with%20cervical%20length%20improved%20the%20prediction%20of%20imminent%20preterm%20delivery%20as%20compared%20to%20cervical%20length%20alone.%20Of%20the%201%2C310%20proteins%20profiled%20in%20AF%2C%2017%20were%20differentially%20abundant%20in%20women%20destined%20to%20deliver%20within%20two%20weeks%20of%20amniocentesis%20independently%20of%20the%20cervical%20length%20%28adjusted%20p-value%20%26lt%3B%200.10%29.%20The%20decreased%20abundance%20of%20SNAP25%20and%20the%20increased%20abundance%20of%20GPI%2C%20PTPN11%2C%20OLR1%2C%20ENO1%2C%20GAPDH%2C%20CHI3L1%2C%20RETN%2C%20CSF3%2C%20LCN2%2C%20CXCL1%2C%20CXCL8%2C%20PGLYRP1%2C%20LDHB%2C%20IL6%2C%20MMP8%2C%20and%20PRTN3%20were%20associated%20with%20an%20increased%20risk%20of%20imminent%20delivery%20%28odds%20ratio%20%26gt%3B%201.5%20for%20each%29.%20The%20sensitivity%20at%20a%2010%25%20false-positive%20rate%20for%20the%20prediction%20of%20imminent%20delivery%20by%20a%20quantitative%20cervical%20length%20alone%20was%2038%25%2C%20yet%20it%20increased%20to%2079%25%20when%20combined%20with%20the%20abundance%20of%20four%20AF%20proteins%20%28CXCL8%2C%20SNAP25%2C%20PTPN11%2C%20and%20MMP8%29.%20Neutrophil-%20mediated%20immunity%2C%20neutrophil%20activation%2C%20granulocyte%20activation%2C%20myeloid%20leukocyte%20activation%2C%20and%20myeloid%20leukocyte-mediated%20immunity%20were%20biological%20processes%20impacted%20by%20protein%20dysregulation%20in%20women%20destined%20to%20deliver%20within%20two%20weeks%20of%20diagnosis.%20The%20combination%20of%20AF%20protein%20abundance%20and%20quantitative%20cervical%20length%20improves%20prediction%20of%20the%20timing%20of%20delivery%20compared%20to%20cervical%20length%20alone%2C%20among%20women%20with%20a%20sonographic%20short%20cervix.%22%2C%22date%22%3A%222022%20Jul%2011%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs41598-022-15392-3%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222045-2322%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22QX63VKJ4%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Than%20et%20al.%22%2C%22parsedDate%22%3A%222022-07%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BThan%2C%20Nandor%20Gabor%2C%20Mate%20Posta%2C%20Daniel%20Gyorffy%2C%20Laszlo%20Orosz%2C%20Gergo%20Orosz%2C%20Simona%20W.%20Rossi%2C%20Geza%20Ambrus-Aikelin%2C%20et%20al.%20%26%23x201C%3BEarly%20Pathways%2C%20Biomarkers%2C%20and%20Four%20Distinct%20Molecular%20Subclasses%20of%20Preeclampsia%3A%20The%20Intersection%20of%20Clinical%2C%20Pathological%2C%20and%20High-%20Dimensional%20Biology%20Studies.%26%23x201D%3B%20%26lt%3Bi%26gt%3BPlacenta%26lt%3B%5C%2Fi%26gt%3B%20125%20%28July%202022%29%3A%2010%26%23x2013%3B19.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.placenta.2022.03.009%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.placenta.2022.03.009%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Early%20pathways%2C%20biomarkers%2C%20and%20four%20distinct%20molecular%20subclasses%20of%20preeclampsia%3A%20The%20intersection%20of%20clinical%2C%20pathological%2C%20and%20high-%20dimensional%20biology%20studies.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mate%22%2C%22lastName%22%3A%22Posta%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%22%2C%22lastName%22%3A%22Gyorffy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Laszlo%22%2C%22lastName%22%3A%22Orosz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gergo%22%2C%22lastName%22%3A%22Orosz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Simona%20W.%22%2C%22lastName%22%3A%22Rossi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Geza%22%2C%22lastName%22%3A%22Ambrus-Aikelin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andras%22%2C%22lastName%22%3A%22Szilagyi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sandor%22%2C%22lastName%22%3A%22Nagy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Petronella%22%2C%22lastName%22%3A%22Hupuczi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Olga%22%2C%22lastName%22%3A%22Torok%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Offer%22%2C%22lastName%22%3A%22Erez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zoltan%22%2C%22lastName%22%3A%22Papp%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%5D%2C%22abstractNote%22%3A%22Preeclampsia%20is%20a%20syndromic%20disease%20of%20the%20mother%2C%20fetus%2C%20and%20placenta.%20The%20main%20limitation%20in%20early%20and%20accurate%20diagnosis%20of%20preeclampsia%20is%20rooted%20in%20the%20heterogeneity%20of%20this%20syndrome%20as%20reflected%20by%20diverse%20molecular%20pathways%2C%20symptoms%2C%20and%20clinical%20outcomes.%20Gaps%20in%20our%20knowledge%20preclude%20successful%20early%20diagnosis%2C%20personalized%20treatment%2C%20and%20prevention.%20The%20advent%20of%20%26quot%3Bomics%26quot%3B%20technologies%20and%20systems%20biology%20approaches%20addresses%20this%20problem%20by%20identifying%20the%20molecular%20pathways%20associated%20with%20the%20underlying%20mechanisms%20and%20clinical%20phenotypes%20of%20preeclampsia.%20Here%2C%20we%20provide%20a%20brief%20overview%20on%20how%20the%20field%20has%20progressed%2C%20focusing%20on%20studies%20utilizing%20state-of-the-art%20transcriptomics%20and%20proteomics%20methods.%20Moreover%2C%20we%20summarize%20our%20systems%20biology%20studies%20involving%20maternal%20blood%20proteomics%20and%20placental%20transcriptomics%2C%20which%20identified%20early%20maternal%20and%20placental%20disease%20pathways%20and%20showed%20that%20their%20interaction%20influences%20the%20clinical%20presentation%20of%20preeclampsia.%20We%20also%20present%20an%20analysis%20of%20maternal%20blood%20proteomics%20data%20which%20revealed%20distinct%20molecular%20subclasses%20of%20preeclampsia%20and%20their%20molecular%20mechanisms.%20Maternal%20and%20placental%20disease%20pathways%20behind%20these%20subclasses%20are%20similar%20to%20those%20recently%20reported%20in%20studies%20on%20the%20placental%20transcriptome.%20These%20findings%20may%20promote%20the%20development%20of%20novel%20diagnostic%20tools%20for%20the%20distinct%20subtypes%20of%20preeclampsia%20syndrome%2C%20enabling%20early%20detection%20and%20personalized%20follow-up%20and%20tailored%20care%20of%20patients.%22%2C%22date%22%3A%222022%20Jul%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.placenta.2022.03.009%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221532-3102%200143-4004%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22H4D3K63E%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Farias-Jofre%20et%20al.%22%2C%22parsedDate%22%3A%222022-06%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BFarias-Jofre%2C%20Marcelo%2C%20Roberto%20Romero%2C%20Jose%20Galaz%2C%20Yi%20Xu%2C%20Li%20Tao%2C%20Catherine%20Demery-Poulos%2C%20Marcia%20Arenas-Hernandez%2C%20et%20al.%20%26%23x201C%3BPregnancy%20Tailors%20Endotoxin-Induced%20Monocyte%20and%20Neutrophil%20Responses%20in%20the%20Maternal%20Circulation.%26%23x201D%3B%20%26lt%3Bi%26gt%3BInflammation%20Research%26%23x202F%3B%3A%20Official%20Journal%20of%20the%20European%20Histamine%20Research%20Society%20...%20%5Bet%20Al.%5D%26lt%3B%5C%2Fi%26gt%3B%2071%2C%20no.%205%26%23x2013%3B6%20%28June%202022%29%3A%20653%26%23x2013%3B68.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00011-022-01569-z%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00011-022-01569-z%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Pregnancy%20tailors%20endotoxin-induced%20monocyte%20and%20neutrophil%20responses%20in%20the%20maternal%20circulation.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Catherine%22%2C%22lastName%22%3A%22Demery-Poulos%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenjie%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Naoki%22%2C%22lastName%22%3A%22Kawahara%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomi%22%2C%22lastName%22%3A%22Kanninen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zachary%22%2C%22lastName%22%3A%22Shaffer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tinnakorn%22%2C%22lastName%22%3A%22Chaiworapongsa%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20To%20comprehensively%20characterize%20monocyte%20and%20neutrophil%20responses%20to%20E.%20coli%20and%20its%20product%20%5Blipopolysaccharide%20%28LPS%29%20or%20endotoxin%5D%20in%20vitro%20during%20pregnancy.%20MATERIAL%20OR%20SUBJECTS%3A%20Peripheral%20blood%20was%20collected%20from%20pregnant%20women%20during%20the%20third%20trimester%20%28n%20%3D%2020%29%20and%20from%20non-pregnant%20women%20%28n%20%3D%2020%29.%20METHODS%3A%20The%20number%2C%20phagocytic%20activity%2C%20and%20reactive%20oxygen%20species%20%28ROS%29%20production%20of%20peripheral%20monocytes%20and%20neutrophils%20were%20investigated%20using%20flow%20cytometry.%20The%20phenotypes%20of%20peripheral%20monocytes%20and%20neutrophils%20after%20acute%20or%20chronic%20LPS%20stimulation%20were%20also%20determined%20using%20flow%20cytometry.%20Cytokine%20profiles%20were%20quantified%20for%20LPS-stimulated%20peripheral%20blood%20mononuclear%20cells%20%28PBMCs%29%20and%20a%20whole%20blood%20TruCulture%28%28R%29%29%20system%20using%20a%20multiplex%20immunoassay.%20RESULTS%3A%20Increased%20number%2C%20phagocytic%20activity%2C%20and%20ROS%20production%20capacity%20of%20monocytes%20and%20neutrophils%20were%20found%20in%20pregnant%20compared%20to%20non-pregnant%20women.%20Additionally%2C%20specific%20subsets%20of%20pro-%20inflammatory%20monocytes%20%28IL-6%28%2B%29CD14%28%2B%29%20or%20MIP-1alpha%28%2B%29CD14%28%2B%29%20cells%29%20and%20neutrophils%20%28IL-1beta%28%2B%29CD15%28%2B%29%20or%20MIP-1beta%28%2B%29CD15%28%2B%29%20cells%29%20were%20increased%20in%20pregnant%20women%20in%20response%20to%20acute%20LPS%20stimulation.%20Moreover%2C%20distinct%20subsets%20of%20intermediate-activated%20monocytes%20expressing%20CD142%2C%20IL-6%2C%20and%20IL-1RA%20were%20increased%20in%20pregnant%20women%20upon%20chronic%20LPS%20stimulation.%20Last%2C%20pregnant%20women%20displayed%20a%20different%20cytokine%20profile%20than%20non-pregnant%20women%20in%20LPS-stimulated%20PBMCs%20and%20in%20whole%20blood.%20CONCLUSIONS%3A%20Pregnancy%20tailors%20the%20immune%20responses%20of%20circulating%20monocytes%20and%20neutrophils%20to%20endotoxin%2C%20a%20Gram-negative%20bacterial%20product.%22%2C%22date%22%3A%222022%20Jun%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1007%5C%2Fs00011-022-01569-z%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221420-908X%201023-3830%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22AGZ49PIL%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Oravecz%20et%20al.%22%2C%22parsedDate%22%3A%222022-05-21%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BOravecz%2C%20Orsolya%2C%20Andrea%20Balogh%2C%20Roberto%20Romero%2C%20Yi%20Xu%2C%20Kata%20Juhasz%2C%20Zsolt%20Gelencser%2C%20Zhonghui%20Xu%2C%20et%20al.%20%26%23x201C%3BProteoglycans%3A%20Systems-Level%20Insight%20into%20Their%20Expression%20in%20Healthy%20and%20Diseased%20Placentas.%26%23x201D%3B%20%26lt%3Bi%26gt%3BInternational%20Journal%20of%20Molecular%20Sciences%26lt%3B%5C%2Fi%26gt%3B%2023%2C%20no.%2010%20%28May%2021%2C%202022%29%3A%205798.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3390%5C%2Fijms23105798%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3390%5C%2Fijms23105798%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Proteoglycans%3A%20Systems-Level%20Insight%20into%20Their%20Expression%20in%20Healthy%20and%20Diseased%20Placentas.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Orsolya%22%2C%22lastName%22%3A%22Oravecz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andrea%22%2C%22lastName%22%3A%22Balogh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kata%22%2C%22lastName%22%3A%22Juhasz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zsolt%22%2C%22lastName%22%3A%22Gelencser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhonghui%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Balint%22%2C%22lastName%22%3A%22Peterfia%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Petronella%22%2C%22lastName%22%3A%22Hupuczi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ilona%22%2C%22lastName%22%3A%22Kovalszky%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Padma%22%2C%22lastName%22%3A%22Murthi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zoltan%22%2C%22lastName%22%3A%22Papp%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Janos%22%2C%22lastName%22%3A%22Matko%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nandor%20Gabor%22%2C%22lastName%22%3A%22Than%22%7D%5D%2C%22abstractNote%22%3A%22Proteoglycan%20macromolecules%20play%20key%20roles%20in%20several%20physiological%20processes%20%28e.g.%2C%20adhesion%2C%20proliferation%2C%20migration%2C%20invasion%2C%20angiogenesis%2C%20and%20apoptosis%29%2C%20all%20of%20which%20are%20important%20for%20placentation%20and%20healthy%20pregnancy.%20However%2C%20their%20precise%20roles%20in%20human%20reproduction%20have%20not%20been%20clarified.%20To%20fill%20this%20gap%2C%20herein%2C%20we%20provide%20an%20overview%20of%20the%20proteoglycans%26%23039%3B%20expression%20and%20role%20in%20the%20placenta%2C%20in%20trophoblast%20development%2C%20and%20in%20pregnancy%20complications%20%28pre-eclampsia%2C%20fetal%20growth%20restriction%29%2C%20highlighting%20one%20of%20the%20most%20important%20members%20of%20this%20family%2C%20syndecan-1%20%28SDC1%29.%20Microarray%20data%20analysis%20showed%20that%20of%2034%20placentally%20expressed%20proteoglycans%2C%20SDC1%20production%20is%20markedly%20the%20highest%20in%20the%20placenta%20and%20that%20SDC1%20is%20the%20most%20upregulated%20gene%20during%20trophoblast%20differentiation%20into%20the%20syncytiotrophoblast.%20Furthermore%2C%20placental%20transcriptomic%20data%20identified%20dysregulated%20proteoglycan%20genes%20in%20pre-eclampsia%20and%20in%20fetal%20growth%20restriction%2C%20including%20SDC1%2C%20which%20is%20supported%20by%20the%20lower%20concentration%20of%20syndecan-1%20in%20maternal%20blood%20in%20these%20syndromes.%20Overall%2C%20our%20clinical%20and%20in%20vitro%20studies%2C%20data%20analyses%2C%20and%20literature%20search%20pointed%20out%20that%20proteoglycans%2C%20as%20important%20components%20of%20the%20placenta%2C%20may%20regulate%20various%20stages%20of%20placental%20development%20and%20participate%20in%20the%20maintenance%20of%20a%20healthy%20pregnancy.%20Moreover%2C%20syndecan-1%20may%20serve%20as%20a%20useful%20marker%20of%20syncytialization%20and%20a%20prognostic%20marker%20of%20adverse%20pregnancy%20outcomes.%20Further%20studies%20are%20warranted%20to%20explore%20the%20role%20of%20proteoglycans%20in%20healthy%20and%20complicated%20pregnancies%2C%20which%20may%20help%20in%20diagnostic%20or%20therapeutic%20developments.%22%2C%22date%22%3A%222022%20May%2021%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.3390%5C%2Fijms23105798%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221422-0067%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%22DFGCEXEF%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Gomez-Lopez%20et%20al.%22%2C%22parsedDate%22%3A%222022-04-15%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGomez-Lopez%2C%20Nardhy%2C%20Roberto%20Romero%2C%20Li%20Tao%2C%20Meyer%20Gershater%2C%20Yaozhu%20Leng%2C%20Chengrui%20Zou%2C%20Marcelo%20Farias-Jofre%2C%20et%20al.%20%26%23x201C%3BDistinct%20Cellular%20Immune%20Responses%20to%20SARS-CoV-2%20in%20Pregnant%20Women.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Immunology%20%28Baltimore%2C%20Md.%26%23x202F%3B%3A%201950%29%26lt%3B%5C%2Fi%26gt%3B%20208%2C%20no.%208%20%28April%2015%2C%202022%29%3A%201857%26%23x2013%3B72.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.4049%5C%2Fjimmunol.2101123%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.4049%5C%2Fjimmunol.2101123%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Distinct%20Cellular%20Immune%20Responses%20to%20SARS-CoV-2%20in%20Pregnant%20Women.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Meyer%22%2C%22lastName%22%3A%22Gershater%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yaozhu%22%2C%22lastName%22%3A%22Leng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chengrui%22%2C%22lastName%22%3A%22Zou%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcelo%22%2C%22lastName%22%3A%22Farias-Jofre%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zhenjie%22%2C%22lastName%22%3A%22Liu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%22%2C%22lastName%22%3A%22Para%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomi%22%2C%22lastName%22%3A%22Kanninen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ola%22%2C%22lastName%22%3A%22Hadaya%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carmen%22%2C%22lastName%22%3A%22Paredes%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%5D%2C%22abstractNote%22%3A%22Pregnant%20women%20are%20at%20increased%20risk%20of%20adverse%20outcomes%2C%20including%20preeclampsia%20and%20preterm%20birth%2C%20that%20may%20result%20from%20severe%20acute%20respiratory%20syndrome%20coronavirus%202%20%28SARS-CoV-2%29%20infection.%20Pregnancy%20imprints%20specific%20maternal%20immune%20responses%20that%20can%20modulate%20host%20susceptibility%20to%20microbial%20infection%3B%20therefore%2C%20recent%20studies%20have%20focused%20on%20the%20humoral%20response%20against%20SARS-CoV-2%20in%20pregnant%20women.%20However%2C%20the%20pregnancy-specific%20cellular%20immune%20responses%20triggered%20by%20SARS-CoV-2%20infection%20are%20poorly%20understood.%20In%20this%20study%2C%20we%20undertook%20an%20extensive%20in%20vitro%20investigation%20to%20determine%20the%20cellular%20immune%20responses%20to%20SARS-CoV-2%20particles%20and%20proteins%5C%2Fpeptides%20in%20pregnant%20women.%20First%2C%20we%20show%20that%20SARS-CoV-2%20particles%20do%20not%20alter%20the%20pregnancy-specific%20oxidative%20burst%20of%20neutrophils%20and%20monocytes.%20Yet%2C%20SARS-CoV-2%20particles%5C%2Fproteins%20shift%20monocyte%20activation%20from%20the%20classical%20to%20intermediate%20states%20in%20pregnant%2C%20but%20not%20in%20nonpregnant%2C%20women.%20Furthermore%2C%20SARS-CoV-2%20proteins%2C%20but%20not%20particles%20or%20peptide%20pools%2C%20mildly%20enhance%20T%20cell%20activation%20during%20pregnancy.%20As%20expected%2C%20B%20cell%20phenotypes%20are%20heavily%20modulated%20by%20SARS-CoV-2%20particles%20in%20all%20women%3B%20yet%2C%20pregnancy%20itself%20further%20modified%20such%20responses%20in%20these%20adaptive%20immune%20cells.%20Lastly%2C%20we%20report%20that%20pregnancy%20itself%20governs%20cytokine%20responses%20in%20the%20maternal%20circulation%2C%20of%20which%20IFN-beta%20and%20IL-8%20were%20diminished%20upon%20SARS-CoV-2%20challenge.%20Collectively%2C%20these%20findings%20highlight%20the%20differential%20in%20vitro%20responses%20to%20SARS-CoV-2%20in%20pregnant%20and%20nonpregnant%20women%20and%20shed%20light%20on%20the%20immune%20mechanisms%20implicated%20in%20coronavirus%20disease%202019%20during%20pregnancy.%22%2C%22date%22%3A%222022%20Apr%2015%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.4049%5C%2Fjimmunol.2101123%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221550-6606%200022-1767%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22QA7UMY4W%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wolf%20et%20al.%22%2C%22parsedDate%22%3A%222022-03-17%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BWolf%2C%20Hope%20M.%2C%20Roberto%20Romero%2C%20Jerome%20F.%20Strauss%2C%20Sonia%20S.%20Hassan%2C%20Shawn%20J.%20Latendresse%2C%20Bradley%20T.%20Webb%2C%20Adi%20L.%20Tarca%2C%20Nardhy%20Gomez-Lopez%2C%20Chaur-Dong%20Hsu%2C%20and%20Timothy%20P.%20York.%20%26%23x201C%3BStudy%20Protocol%20to%20Quantify%20the%20Genetic%20Architecture%20of%20Sonographic%20Cervical%20Length%20and%20Its%20Relationship%20to%20Spontaneous%20Preterm%20Birth.%26%23x201D%3B%20%26lt%3Bi%26gt%3BBMJ%20Open%26lt%3B%5C%2Fi%26gt%3B%2012%2C%20no.%203%20%28March%2017%2C%202022%29%3A%20e053631.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2021-053631%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2021-053631%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Study%20protocol%20to%20quantify%20the%20genetic%20architecture%20of%20sonographic%20cervical%20length%20and%20its%20relationship%20to%20spontaneous%20preterm%20birth.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hope%20M.%22%2C%22lastName%22%3A%22Wolf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jerome%20F.%22%2C%22lastName%22%3A%22Strauss%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sonia%20S.%22%2C%22lastName%22%3A%22Hassan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shawn%20J.%22%2C%22lastName%22%3A%22Latendresse%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bradley%20T.%22%2C%22lastName%22%3A%22Webb%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chaur-Dong%22%2C%22lastName%22%3A%22Hsu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20P.%22%2C%22lastName%22%3A%22York%22%7D%5D%2C%22abstractNote%22%3A%22INTRODUCTION%3A%20A%20short%20cervix%20%28cervical%20length%20%26lt%3B25%20mm%29%20in%20the%20midtrimester%20%2818-24%20weeks%29%20of%20pregnancy%20is%20a%20powerful%20predictor%20of%20spontaneous%20preterm%20delivery.%20Although%20the%20biological%20mechanisms%20of%20cervical%20change%20during%20pregnancy%20have%20been%20the%20subject%20of%20extensive%20investigation%2C%20little%20is%20known%20about%20whether%20genes%20influence%20the%20length%20of%20the%20cervix%2C%20or%20the%20extent%20to%20which%20genetic%20factors%20contribute%20to%20premature%20cervical%20shortening.%20Defining%20the%20genetic%20architecture%20of%20cervical%20length%20is%20foundational%20to%20understanding%20the%20aetiology%20of%20a%20short%20cervix%20and%20its%20contribution%20to%20an%20increased%20risk%20of%20spontaneous%20preterm%20delivery.%20METHODS%5C%2FANALYSIS%3A%20The%20proposed%20study%20is%20designed%20to%20characterise%20the%20genetic%20architecture%20of%20cervical%20length%20and%20its%20genetic%20relationship%20to%20gestational%20age%20at%20delivery%20in%20a%20large%20cohort%20of%20Black%5C%2FAfrican%20American%20women%2C%20who%20are%20at%20an%20increased%20risk%20of%20developing%20a%20short%20cervix%20and%20delivering%20preterm.%20Repeated%20measurements%20of%20cervical%20length%20will%20be%20modelled%20as%20a%20longitudinal%20growth%20curve%2C%20with%20parameters%20estimating%20the%20initial%20length%20of%20the%20cervix%20at%20the%20beginning%20of%20pregnancy%2C%20and%20its%20rate%20of%20change%20over%20time.%20Genome-wide%20complex%20trait%20analysis%20methods%20will%20be%20used%20to%20estimate%20the%20heritability%20of%20cervical%20length%20growth%20parameters%20and%20their%20bivariate%20genetic%20correlation%20with%20gestational%20age%20at%20delivery.%20Polygenic%20risk%20profiling%20will%20assess%20maternal%20genetic%20risk%20for%20developing%20a%20short%20cervix%20and%20subsequently%20delivering%20preterm%20and%20evaluate%20the%20role%20of%20cervical%20length%20in%20mediating%20the%20relationship%20between%20maternal%20genetic%20variation%20and%20gestational%20age%20at%20delivery.%20ETHICS%5C%2FDISSEMINATION%3A%20The%20proposed%20analyses%20will%20be%20conducted%20using%20deidentified%20data%20from%20participants%20in%20an%20IRB-approved%20study%20of%20longitudinal%20cervical%20length%20who%20provided%20blood%20samples%20and%20written%20informed%20consent%20for%20their%20use%20in%20future%20genetic%20research.%20These%20analyses%20are%20preregistered%20with%20the%20Center%20for%20Open%20Science%20using%20the%20AsPredicted%20format%20and%20the%20results%20and%20genomic%20summary%20statistics%20will%20be%20published%20in%20a%20peer-reviewed%20journal.%22%2C%22date%22%3A%222022%20Mar%2017%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2021-053631%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222044-6055%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%2C%7B%22key%22%3A%224PM2NBBY%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Pique-Regi%20et%20al.%22%2C%22parsedDate%22%3A%222022-03-08%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BPique-Regi%2C%20Roger%2C%20Roberto%20Romero%2C%20Valeria%20Garcia-Flores%2C%20Azam%20Peyvandipour%2C%20Adi%20L.%20Tarca%2C%20Errile%20Pusod%2C%20Jose%20Galaz%2C%20et%20al.%20%26%23x201C%3BA%20Single-Cell%20Atlas%20of%20the%20Myometrium%20in%20Human%20Parturition.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJCI%20Insight%26lt%3B%5C%2Fi%26gt%3B%207%2C%20no.%205%20%28March%208%2C%202022%29%3A%20e153921.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1172%5C%2Fjci.insight.153921%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1172%5C%2Fjci.insight.153921%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20single-cell%20atlas%20of%20the%20myometrium%20in%20human%20parturition.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Azam%22%2C%22lastName%22%3A%22Peyvandipour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Errile%22%2C%22lastName%22%3A%22Pusod%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%22%2C%22lastName%22%3A%22Para%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tomi%22%2C%22lastName%22%3A%22Kanninen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ola%22%2C%22lastName%22%3A%22Hadaya%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carmen%22%2C%22lastName%22%3A%22Paredes%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kenichiro%22%2C%22lastName%22%3A%22Motomura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jeffrey%20R.%22%2C%22lastName%22%3A%22Johnson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eunjung%22%2C%22lastName%22%3A%22Jung%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chaur-Dong%22%2C%22lastName%22%3A%22Hsu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stanley%20M.%22%2C%22lastName%22%3A%22Berry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Parturition%20is%20a%20well-orchestrated%20process%20characterized%20by%20increased%20uterine%20contractility%2C%20cervical%20ripening%2C%20and%20activation%20of%20the%20chorioamniotic%20membranes%3B%20yet%2C%20the%20transition%20from%20a%20quiescent%20to%20a%20contractile%20myometrium%20heralds%20the%20onset%20of%20labor.%20However%2C%20the%20cellular%20underpinnings%20of%20human%20parturition%20in%20the%20uterine%20tissues%20are%20still%20poorly%20understood.%20Herein%2C%20we%20performed%20a%20comprehensive%20study%20of%20the%20human%20myometrium%20during%20spontaneous%20term%20labor%20using%20single-cell%20RNA%20sequencing%20%28scRNA-Seq%29.%20First%2C%20we%20established%20a%20single-cell%20atlas%20of%20the%20human%20myometrium%20and%20unraveled%20the%20cell%20type-specific%20transcriptomic%20activity%20modulated%20during%20labor.%20Major%20cell%20types%20included%20distinct%20subsets%20of%20smooth%20muscle%20cells%2C%20monocytes%5C%2Fmacrophages%2C%20stromal%20cells%2C%20and%20endothelial%20cells%2C%20all%20of%20which%20communicated%20and%20participated%20in%20immune%20%28e.g.%2C%20inflammation%29%20and%20nonimmune%20%28e.g.%2C%20contraction%29%20processes%20associated%20with%20labor.%20Furthermore%2C%20integrating%20scRNA-Seq%20and%20microarray%20data%20with%20deconvolution%20of%20bulk%20gene%20expression%20highlighted%20the%20contribution%20of%20smooth%20muscle%20cells%20to%20labor-associated%20contractility%20and%20inflammatory%20processes.%20Last%2C%20myometrium-derived%20single-cell%20signatures%20can%20be%20quantified%20in%20the%20maternal%20whole-blood%20transcriptome%20throughout%20pregnancy%20and%20are%20enriched%20in%20women%20in%20labor%2C%20providing%20a%20potential%20means%20of%20noninvasively%20monitoring%20pregnancy%20and%20its%20complications.%20Together%2C%20our%20findings%20provide%20insights%20into%20the%20contributions%20of%20specific%20myometrial%20cell%20types%20to%20the%20biological%20processes%20that%20take%20place%20during%20term%20parturition.%22%2C%22date%22%3A%222022%20Mar%208%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1172%5C%2Fjci.insight.153921%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222379-3708%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A48Z%22%7D%7D%2C%7B%22key%22%3A%22WVEIJ6XK%22%2C%22library%22%3A%7B%22id%22%3A6376738%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Garcia-Flores%20et%20al.%22%2C%22parsedDate%22%3A%222022-01-18%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BGarcia-Flores%2C%20Valeria%2C%20Roberto%20Romero%2C%20Yi%20Xu%2C%20Kevin%20R.%20Theis%2C%20Marcia%20Arenas-Hernandez%2C%20Derek%20Miller%2C%20Azam%20Peyvandipour%2C%20et%20al.%20%26%23x201C%3BMaternal-Fetal%20Immune%20Responses%20in%20Pregnant%20Women%20Infected%20with%20SARS-%20CoV-2.%26%23x201D%3B%20%26lt%3Bi%26gt%3BNature%20Communications%26lt%3B%5C%2Fi%26gt%3B%2013%2C%20no.%201%20%28January%2018%2C%202022%29%3A%20320.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41467-021-27745-z%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1038%5C%2Fs41467-021-27745-z%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Maternal-fetal%20immune%20responses%20in%20pregnant%20women%20infected%20with%20SARS-%20CoV-2.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valeria%22%2C%22lastName%22%3A%22Garcia-Flores%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Romero%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yi%22%2C%22lastName%22%3A%22Xu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kevin%20R.%22%2C%22lastName%22%3A%22Theis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marcia%22%2C%22lastName%22%3A%22Arenas-Hernandez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Derek%22%2C%22lastName%22%3A%22Miller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Azam%22%2C%22lastName%22%3A%22Peyvandipour%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gaurav%22%2C%22lastName%22%3A%22Bhatti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%22%2C%22lastName%22%3A%22Galaz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Meyer%22%2C%22lastName%22%3A%22Gershater%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dustyn%22%2C%22lastName%22%3A%22Levenson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Errile%22%2C%22lastName%22%3A%22Pusod%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Li%22%2C%22lastName%22%3A%22Tao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22David%22%2C%22lastName%22%3A%22Kracht%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Violetta%22%2C%22lastName%22%3A%22Florova%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yaozhu%22%2C%22lastName%22%3A%22Leng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kenichiro%22%2C%22lastName%22%3A%22Motomura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%22%2C%22lastName%22%3A%22Para%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Megan%22%2C%22lastName%22%3A%22Faucett%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chaur-Dong%22%2C%22lastName%22%3A%22Hsu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gary%22%2C%22lastName%22%3A%22Zhang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adi%20L.%22%2C%22lastName%22%3A%22Tarca%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roger%22%2C%22lastName%22%3A%22Pique-Regi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nardhy%22%2C%22lastName%22%3A%22Gomez-Lopez%22%7D%5D%2C%22abstractNote%22%3A%22Pregnant%20women%20represent%20a%20high-risk%20population%20for%20severe%5C%2Fcritical%20COVID-19%20and%20mortality.%20However%2C%20the%20maternal-fetal%20immune%20responses%20initiated%20by%20SARS-CoV-2%20infection%2C%20and%20whether%20this%20virus%20is%20detectable%20in%20the%20placenta%2C%20are%20still%20under%20investigation.%20Here%20we%20show%20that%20SARS-%20CoV-2%20infection%20during%20pregnancy%20primarily%20induces%20unique%20inflammatory%20responses%20at%20the%20maternal-fetal%20interface%2C%20which%20are%20largely%20governed%20by%20maternal%20T%20cells%20and%20fetal%20stromal%20cells.%20SARS-CoV-2%20infection%20during%20pregnancy%20is%20also%20associated%20with%20humoral%20and%20cellular%20immune%20responses%20in%20the%20maternal%20blood%2C%20as%20well%20as%20with%20a%20mild%20cytokine%20response%20in%20the%20neonatal%20circulation%20%28i.e.%2C%20umbilical%20cord%20blood%29%2C%20without%20compromising%20the%20T-cell%20repertoire%20or%20initiating%20IgM%20responses.%20Importantly%2C%20SARS-%20CoV-2%20is%20not%20detected%20in%20the%20placental%20tissues%2C%20nor%20is%20the%20sterility%20of%20the%20placenta%20compromised%20by%20maternal%20viral%20infection.%20This%20study%20provides%20insight%20into%20the%20maternal-fetal%20immune%20responses%20triggered%20by%20SARS-CoV-2%20and%20emphasizes%20the%20rarity%20of%20placental%20infection.%22%2C%22date%22%3A%222022%20Jan%2018%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1038%5C%2Fs41467-021-27745-z%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222041-1723%22%2C%22language%22%3A%22eng%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222026-01-09T21%3A33%3A49Z%22%7D%7D%5D%7D
Chaiworapongsa, Tinnakorn, Roberto Romero, Elizabeth M. McClure, Shivaprasad Goudar, Manjunath Somannavar, Shiyam Sunder Tikmani, Sarah Saleem, et al. “Maternal Circulating sFlt-1/Placental Growth Factor Is a Biomarker of Fetal Death Associated with Placental Lesions of Maternal Vascular Malperfusion.” Journal of Perinatal Medicine, January 7, 2026. https://doi.org/10.1515/jpm-2025-0624.
Wolf, Hope M., Roberto Romero, Jerome F. Strauss, Adi L. Tarca, Sonia S. Hassan, Bradley T. Webb, Shawn J. Latendresse, and Timothy P. York. “Risk Factors for Spontaneous Preterm Birth Are Mediated through Changes in Cervical Length.” Communications Medicine, December 16, 2025. https://doi.org/10.1038/s43856-025-01309-4.
Andresen, Ina J., Roberto Romero, Ane C. Westerberg, Nándor Gábor Than, Nardhy Gomez-Lopez, Gaurav Bhatti, Oladejo Ahmodu, et al. “Large-Scale Proteomics Reveals New Candidate Biomarkers for Late-Onset Preeclampsia.” Hypertension (Dallas, Tex.: 1979), October 1, 2025. https://doi.org/10.1161/HYPERTENSIONAHA.125.25189.
Bhatti, Gaurav, Herdiantri Sufriyana, Roberto Romero, Tushar Patel, Fasil Tekola-Ayele, Ibrahim Alsaggaf, Nardhy Gomez-Lopez, et al. “Placental Epigenetic Clocks Derived from Crowdsourcing: Implications for the Study of Accelerated Aging in Obstetrics.” iScience 28, no. 8 (August 15, 2025): 113181. https://doi.org/10.1016/j.isci.2025.113181.
Wolf, Hope M., Bradley T. Webb, Jerome F. Strauss, Adi L. Tarca, Roberto Romero, Sonia S. Hassan, Shawn J. Latendresse, et al. “The Genetic Architecture of Cervical Length Is Shared with Spontaneous Preterm Birth Risk.” Communications Medicine 5, no. 1 (August 14, 2025): 352. https://doi.org/10.1038/s43856-025-01078-0.
Andresen, Ina J., Manuela Zucknick, Maren-Helene L. Degnes, Martin S. Angst, Nima Aghaeepour, Roberto Romero, Marie Cecilie P. Roland, Adi L. Tarca, Ane Cecilie Westerberg, and Trond M. Michelsen. “Prediction of Late-Onset Preeclampsia Using Plasma Proteomics: A Longitudinal Multi-Cohort Study.” Scientific Reports 14, no. 1 (December 28, 2024): 30813. https://doi.org/10.1038/s41598-024-81277-2.
Hasbini, Yasmin G., Robert J. Sokol, Pooja M. Green, Adi L. Tarca, Gregory Goyert, Hala M. El Ouweini, Madhurima Keerthy, et al. “COVID-19 Is Associated with Early Emergence of Preeclampsia: Results from a Large Regional Collaborative.” 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 37, no. 1 (December 2024): 2345852. https://doi.org/10.1080/14767058.2024.2345852.
Suksai, Manaphat, Roberto Romero, Mariachiara Bosco, Francesca Gotsch, Eunjung Jung, Piya Chaemsaithong, Adi L. Tarca, et al. “A Mitochondrial Regulator Protein, MNRR1, Is Elevated in the Maternal Blood of Women with Preeclampsia.” 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 37, no. 1 (December 2024): 2297158. https://doi.org/10.1080/14767058.2023.2297158.
Parraga-Leo, Antonio, Tomiko T. Oskotsky, Boris Oskotsky, Camilla Wibrand, Alennie Roldan, Alice S. Tang, Connie W. Y. Ha, et al. “VMAP: Vaginal Microbiome Atlas during Pregnancy.” JAMIA Open 7, no. 3 (October 2024): ooae099. https://doi.org/10.1093/jamiaopen/ooae099.
Than, Nandor Gabor, Roberto Romero, Wendy Fitzgerald, Dereje W. Gudicha, Nardhy Gomez-Lopez, Mate Posta, Fei Zhou, et al. “Proteomic Profiles of Maternal Plasma Extracellular Vesicles for Prediction of Preeclampsia.” American Journal of Reproductive Immunology (New York, N.Y. : 1989) 92, no. 4 (October 2024): e13928. https://doi.org/10.1111/aji.13928.
Hamilton, Emily F., Tilekbek Zhoroev, Philip A. Warrick, Adi L. Tarca, Thomas J. Garite, Aaron B. Caughey, Jason Melillo, et al. “New Labor Curves of Dilation and Station to Improve the Accuracy of Predicting Labor Progress.” American Journal of Obstetrics and Gynecology 231, no. 1 (July 2024): 1–18. https://doi.org/10.1016/j.ajog.2024.02.289.
Shaffer, Zachary, Roberto Romero, Adi L. Tarca, Jose Galaz, Marcia Arenas-Hernandez, Dereje W. Gudicha, Tinnakorn Chaiworapongsa, et al. “The Vaginal Immunoproteome for the Prediction of Spontaneous Preterm Birth: A Retrospective Longitudinal Study.” eLife 13 (June 24, 2024): e90943. https://doi.org/10.7554/eLife.90943.
Chaiworapongsa, Tinnakorn, Roberto Romero, Nardhy Gomez-Lopez, Manaphat Suksai, Dahiana M. Gallo, Eunjung Jung, Stanley M. Berry, Awoniyi Awonuga, Adi L. Tarca, and David R. Bryant. “Preeclampsia at Term: Evidence of Disease Heterogeneity Based on the Profile of Circulating Cytokines and Angiogenic Factors.” American Journal of Obstetrics and Gynecology 230, no. 4 (April 2024): 450.e1-450.e18. https://doi.org/10.1016/j.ajog.2023.10.002.
Than, Nandor Gabor, Roberto Romero, Mate Posta, Daniel Gyorffy, Gabor Szalai, Simona W. Rossi, Andras Szilagyi, et al. “Classification of Preeclampsia According to Molecular Clusters with the Goal of Achieving Personalized Prevention.” Journal of Reproductive Immunology 161 (February 2024): 104172. https://doi.org/10.1016/j.jri.2023.104172.
Golob, Jonathan L., Tomiko T. Oskotsky, Alice S. Tang, Alennie Roldan, Verena Chung, Connie W. Y. Ha, Ronald J. Wong, et al. “Microbiome Preterm Birth DREAM Challenge: Crowdsourcing Machine Learning Approaches to Advance Preterm Birth Research.” Cell Reports. Medicine 5, no. 1 (January 16, 2024): 101350. https://doi.org/10.1016/j.xcrm.2023.101350.
Garcia-Flores, Valeria, Roberto Romero, Adi L. Tarca, Azam Peyvandipour, Yi Xu, Jose Galaz, Derek Miller, et al. “Deciphering Maternal-Fetal Cross-Talk in the Human Placenta during Parturition Using Single-Cell RNA Sequencing.” Science Translational Medicine 16, no. 729 (January 10, 2024): eadh8335. https://doi.org/10.1126/scitranslmed.adh8335.
Gallo, Dahiana M., Wendy Fitzgerald, Roberto Romero, Nardhy Gomez-Lopez, Dereje W. Gudicha, Nandor Gabor Than, Mariachiara Bosco, et al. “Proteomic Profile of Extracellular Vesicles in Maternal Plasma of Women with Fetal Death.” 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 36, no. 1 (December 2023): 2177529. https://doi.org/10.1080/14767058.2023.2177529.
Bahado-Singh, Ray, Adi L. Tarca, Yasmin G. Hasbini, Robert J. Sokol, Madhurima Keerthy, Gregory Goyert, Theodore Jones, et al. “Maternal SARS-COV-2 Infection and Prematurity: The Southern Michigan COVID-19 Collaborative.” 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 36, no. 1 (December 2023): 2199343. https://doi.org/10.1080/14767058.2023.2199343.
Juusela, Alexander, Eunjung Jung, Dahiana M. Gallo, Mariachiara Bosco, Manaphat Suksai, Ramiro Diaz-Primera, Adi L. Tarca, et al. “Maternal Plasma Syndecan-1: A Biomarker for Fetal Growth Restriction.” 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 36, no. 1 (December 2023): 2150074. https://doi.org/10.1080/14767058.2022.2150074.
Bosco, Mariachiara, Roberto Romero, Dahiana M. Gallo, Manaphat Suksai, Francesca Gotsch, Eunjung Jung, Piya Chaemsaithong, et al. “Evidence for the Participation of CHCHD2/MNRR1, a Mitochondrial Protein, in Spontaneous Labor at Term and in Preterm Labor with Intra-Amniotic Infection.” 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 36, no. 1 (December 2023): 2183088. https://doi.org/10.1080/14767058.2023.2183088.
Bosco, Mariachiara, Roberto Romero, Dahiana M. Gallo, Manaphat Suksai, Francesca Gotsch, Eunjung Jung, Piya Chaemsaithong, et al. “Clinical Chorioamnionitis at Term Is Characterized by Changes in the Plasma Concentration of CHCHD2/MNRR1, a Mitochondrial Protein.” 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 36, no. 2 (December 2023): 2222333. https://doi.org/10.1080/14767058.2023.2222333.
Immonen, Timothy, Eunjung Jung, Dahiana M. Gallo, Ramiro Diaz-Primera, Francesca Gotsch, Peter Whittaker, Nandor Gabor Than, et al. “Acute Pyelonephritis in Pregnancy and Plasma Syndecan-1: Evidence of Glycocalyx Involvement.” 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 36, no. 1 (December 2023): 2155041. https://doi.org/10.1080/14767058.2022.2155041.
Chatterton, Carolyn, Roberto Romero, Eunjung Jung, Dahiana M. Gallo, Manaphat Suksai, Ramiro Diaz-Primera, Offer Erez, et al. “A Biomarker for Bacteremia in Pregnant Women with Acute Pyelonephritis: Soluble Suppressor of Tumorigenicity 2 or sST2.” 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 36, no. 1 (December 2023): 2183470. https://doi.org/10.1080/14767058.2023.2183470.
Miller, Derek, Roberto Romero, Luke Myers, Yi Xu, Marcia Arenas-Hernandez, Jose Galaz, Cinque Soto, et al. “Immunosequencing and Profiling of T Cells at the Maternal-Fetal Interface of Women with Preterm Labor and Chronic Chorioamnionitis.” Journal of Immunology (Baltimore, Md. : 1950) 211, no. 7 (October 1, 2023): 1082–98. https://doi.org/10.4049/jimmunol.2300201.
Galaz, Jose, Kenichiro Motomura, Roberto Romero, Zhenjie Liu, Valeria Garcia-Flores, Li Tao, Yi Xu, et al. “A Key Role for NLRP3 Signaling in Preterm Labor and Birth Driven by the Alarmin S100B.” Translational Research : The Journal of Laboratory and Clinical Medicine 259 (September 2023): 46–61. https://doi.org/10.1016/j.trsl.2023.04.004.
Romero, Roberto, Kevin R. Theis, Nardhy Gomez-Lopez, Andrew D. Winters, Jonathan J. Panzer, Huang Lin, Jose Galaz, et al. “The Vaginal Microbiota of Pregnant Women Varies with Gestational Age, Maternal Age, and Parity.” Microbiology Spectrum 11, no. 4 (August 17, 2023): e0342922. https://doi.org/10.1128/spectrum.03429-22.
Chaiworapongsa, Tinnakorn, Roberto Romero, Francesca Gotsch, Nardhy Gomez-Lopez, Manaphat Suksai, Dahiana M. Gallo, Eunjung Jung, Dustyn Levenson, and Adi L. Tarca. “One-Third of Patients with Eclampsia at Term Do Not Have an Abnormal Angiogenic Profile.” Journal of Perinatal Medicine 51, no. 5 (June 27, 2023): 652–63. https://doi.org/10.1515/jpm-2022-0474.
Swor, Katie, Lami Yeo, Adi L. Tarca, Eunjung Jung, and Roberto Romero. “Fetal Intelligent Navigation Echocardiography (FINE) Has Superior Performance Compared to Manual Navigation of the Fetal Heart by Non- Expert Sonologists.” Journal of Perinatal Medicine 51, no. 4 (May 25, 2023): 477–91. https://doi.org/10.1515/jpm-2022-0387.
Farias-Jofre, Marcelo, Roberto Romero, Yi Xu, Dustyn Levenson, Li Tao, Tomi Kanninen, Jose Galaz, et al. “Differential Immunophenotype of Circulating Monocytes from Pregnant Women in Response to Viral Ligands.” BMC Pregnancy and Childbirth 23, no. 1 (May 6, 2023): 323. https://doi.org/10.1186/s12884-023-05562-0.
Hamilton, Emily F., Roberto Romero, Adi L. Tarca, and Philip A. Warrick. “The Evolution of the Labor Curve and Its Implications for Clinical Practice: The Relationship between Cervical Dilation, Station, and Time during Labor.” American Journal of Obstetrics and Gynecology 228, no. 5S (May 2023): S1050–62. https://doi.org/10.1016/j.ajog.2022.12.005.
Chaiworapongsa, Tinnakorn, Roberto Romero, Francesca Gotsch, Manaphat Suksai, Dahiana M. Gallo, Eunjung Jung, Arthur Krieger, Piya Chaemsaithong, Offer Erez, and Adi L. Tarca. “Preeclampsia at Term Can Be Classified into 2 Clusters with Different Clinical Characteristics and Outcomes Based on Angiogenic Biomarkers in Maternal Blood.” American Journal of Obstetrics and Gynecology 228, no. 5 (May 2023): 569.e1-569.e24. https://doi.org/10.1016/j.ajog.2022.11.001.
Gomez-Lopez, Nardhy, Roberto Romero, Maria Fernanda Escobar, Javier Andres Carvajal, Maria Paula Echavarria, Ludwig L. Albornoz, Daniela Nasner, et al. “Pregnancy-Specific Responses to COVID-19 Revealed by High-Throughput Proteomics of Human Plasma.” Communications Medicine 3, no. 1 (April 4, 2023): 48. https://doi.org/10.1038/s43856-023-00268-y.
Bhatti, Gaurav, Roberto Romero, Nardhy Gomez-Lopez, Tinnakorn Chaiworapongsa, Nandor Gabor Than, Kevin R. Theis, Jose Galaz, et al. “The Amniotic Fluid Proteome Changes with Term Labor and Informs Biomarker Discovery in Maternal Plasma.” Scientific Reports 13, no. 1 (February 23, 2023): 3136. https://doi.org/10.1038/s41598-023-28157-3.
Gallo, Dahiana M., Roberto Romero, Mariachiara Bosco, Tinnakorn Chaiworapongsa, Nardhy Gomez-Lopez, Marcia Arenas-Hernandez, Eunjung Jung, et al. “Maternal Plasma Cytokines and the Subsequent Risk of Uterine Atony and Postpartum Hemorrhage.” Journal of Perinatal Medicine 51, no. 2 (February 23, 2023): 219–32. https://doi.org/10.1515/jpm-2022-0211.
Garcia-Flores, Valeria, Roberto Romero, Azam Peyvandipour, Jose Galaz, Errile Pusod, Bogdan Panaitescu, Derek Miller, et al. “A Single-Cell Atlas of Murine Reproductive Tissues during Preterm Labor.” Cell Reports 42, no. 1 (January 31, 2023): 111846. https://doi.org/10.1016/j.celrep.2022.111846.
Than, Nandor Gabor, Roberto Romero, Daniel Gyorffy, Mate Posta, Gaurav Bhatti, Bogdan Done, Piya Chaemsaithong, et al. “Molecular Subclasses of Preeclampsia Characterized by a Longitudinal Maternal Proteomics Study: Distinct Biomarkers, Disease Pathways and Options for Prevention.” Journal of Perinatal Medicine 51, no. 1 (January 27, 2023): 51–68. https://doi.org/10.1515/jpm-2022-0433.
Prasad, Priya, Roberto Romero, Tinnakorn Chaiworapongsa, Nardhy Gomez-Lopez, Anderson Lo, Jose Galaz, Andreea B. Taran, et al. “Further Evidence That an Episode of Premature Labor Is a Pathologic State: Involvement of the Insulin-Like Growth Factor System.” Fetal Diagnosis and Therapy 50, no. 4 (2023): 236–47. https://doi.org/10.1159/000530862.
Ghaemi, Mohammad S., Adi L. Tarca, Roberto Romero, Natalie Stanley, Ramin Fallahzadeh, Athena Tanada, Anthony Culos, et al. “Proteomic Signatures Predict Preeclampsia in Individual Cohorts but Not across Cohorts - Implications for Clinical Biomarker Studies.” 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 35, no. 25 (December 2022): 5621–28. https://doi.org/10.1080/14767058.2021.1888915.
Tarca, Adi L., Roberto Romero, Gaurav Bhatti, Francesca Gotsch, Bogdan Done, Dereje W. Gudicha, Dahiana M. Gallo, et al. “Human Plasma Proteome During Normal Pregnancy.” Journal of Proteome Research 21, no. 11 (November 4, 2022): 2687–2702. https://doi.org/10.1021/acs.jproteome.2c00391.
Demery-Poulos, Catherine, Roberto Romero, Yi Xu, Marcia Arenas-Hernandez, Derek Miller, Li Tao, Jose Galaz, et al. “Pregnancy Imparts Distinct Systemic Adaptive Immune Function.” American Journal of Reproductive Immunology (New York, N.Y. : 1989) 88, no. 5 (November 2022): e13606. https://doi.org/10.1111/aji.13606.
Romero, Roberto, Eunjung Jung, Tinnakorn Chaiworapongsa, Offer Erez, Dereje W. Gudicha, Yeon Mee Kim, Jung-Sun Kim, et al. “Toward a New Taxonomy of Obstetrical Disease: Improved Performance of Maternal Blood Biomarkers for the Great Obstetrical Syndromes When Classified According to Placental Pathology.” American Journal of Obstetrics and Gynecology 227, no. 4 (October 2022): 615.e1-615.e25. https://doi.org/10.1016/j.ajog.2022.04.015.
Motomura, Kenichiro, Roberto Romero, Jose Galaz, Li Tao, Valeria Garcia-Flores, Yi Xu, Bogdan Done, et al. “Fetal and Maternal NLRP3 Signaling Is Required for Preterm Labor and Birth.” JCI Insight 7, no. 16 (August 22, 2022): e158238. https://doi.org/10.1172/jci.insight.158238.
Gudicha, Dereje W., Roberto Romero, Nardhy Gomez-Lopez, Jose Galaz, Gaurav Bhatti, Bogdan Done, Eunjung Jung, et al. “The Amniotic Fluid Proteome Predicts Imminent Preterm Delivery in Asymptomatic Women with a Short Cervix.” Scientific Reports 12, no. 1 (July 11, 2022): 11781. https://doi.org/10.1038/s41598-022-15392-3.
Than, Nandor Gabor, Mate Posta, Daniel Gyorffy, Laszlo Orosz, Gergo Orosz, Simona W. Rossi, Geza Ambrus-Aikelin, et al. “Early Pathways, Biomarkers, and Four Distinct Molecular Subclasses of Preeclampsia: The Intersection of Clinical, Pathological, and High- Dimensional Biology Studies.” Placenta 125 (July 2022): 10–19. https://doi.org/10.1016/j.placenta.2022.03.009.
Farias-Jofre, Marcelo, Roberto Romero, Jose Galaz, Yi Xu, Li Tao, Catherine Demery-Poulos, Marcia Arenas-Hernandez, et al. “Pregnancy Tailors Endotoxin-Induced Monocyte and Neutrophil Responses in the Maternal Circulation.” Inflammation Research : Official Journal of the European Histamine Research Society ... [et Al.] 71, no. 5–6 (June 2022): 653–68. https://doi.org/10.1007/s00011-022-01569-z.
Oravecz, Orsolya, Andrea Balogh, Roberto Romero, Yi Xu, Kata Juhasz, Zsolt Gelencser, Zhonghui Xu, et al. “Proteoglycans: Systems-Level Insight into Their Expression in Healthy and Diseased Placentas.” International Journal of Molecular Sciences 23, no. 10 (May 21, 2022): 5798. https://doi.org/10.3390/ijms23105798.
Gomez-Lopez, Nardhy, Roberto Romero, Li Tao, Meyer Gershater, Yaozhu Leng, Chengrui Zou, Marcelo Farias-Jofre, et al. “Distinct Cellular Immune Responses to SARS-CoV-2 in Pregnant Women.” Journal of Immunology (Baltimore, Md. : 1950) 208, no. 8 (April 15, 2022): 1857–72. https://doi.org/10.4049/jimmunol.2101123.
Wolf, Hope M., Roberto Romero, Jerome F. Strauss, Sonia S. Hassan, Shawn J. Latendresse, Bradley T. Webb, Adi L. Tarca, Nardhy Gomez-Lopez, Chaur-Dong Hsu, and Timothy P. York. “Study Protocol to Quantify the Genetic Architecture of Sonographic Cervical Length and Its Relationship to Spontaneous Preterm Birth.” BMJ Open 12, no. 3 (March 17, 2022): e053631. https://doi.org/10.1136/bmjopen-2021-053631.
Pique-Regi, Roger, Roberto Romero, Valeria Garcia-Flores, Azam Peyvandipour, Adi L. Tarca, Errile Pusod, Jose Galaz, et al. “A Single-Cell Atlas of the Myometrium in Human Parturition.” JCI Insight 7, no. 5 (March 8, 2022): e153921. https://doi.org/10.1172/jci.insight.153921.
Garcia-Flores, Valeria, Roberto Romero, Yi Xu, Kevin R. Theis, Marcia Arenas-Hernandez, Derek Miller, Azam Peyvandipour, et al. “Maternal-Fetal Immune Responses in Pregnant Women Infected with SARS- CoV-2.” Nature Communications 13, no. 1 (January 18, 2022): 320. https://doi.org/10.1038/s41467-021-27745-z.
