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Maternal serum protein S forms in pregnancies complicated by intrauterine growth restriction
Authors:De Bonis Maria  Sabatini Laura  Galeazzi Luna R  Torricelli Michela  Calzoni Paola  Fineschi Daniela  Novembri Romina  Severi Filiberto M  Petraglia Felice
Institution:a Obstetrics and Gynaecology, Department of Paediatrics, Obstetrics and Reproductive Medicine, University of Siena, Siena, Italy
b U.O.C. Laboratorio di Ematologia e Coagulazione, Azienda Ospedaliera Universitaria Senese, Siena, Italy
Abstract:

Objectives

The clinical relevance of protein S deficiency in pregnant women remains controversial. Major debate exists regarding which parameter (total protein S antigen, free protein S antigen or functional protein S) should be evaluated in order to define protein S deficiency. The present study aimed to identify which of these parameters correlate with intrauterine growth restriction (IUGR).

Study design

A retrospective case-control study of women with IUGR (n = 27) and healthy controls (n = 123) in the third trimester of pregnancy.

Results

The maternal serum of women in the IUGR group had significantly lower levels of functional and free protein S compared with the control group: 54.07 ± 24.72% vs 65.20 ± 17.95% (p < 0.005) and 42.88 ± 11.01% vs 56.64 ± 13.30% (p < 0.0001), respectively. No significant correlation was found between total protein S and IUGR.

Conclusions

Levels of functional and free protein S are correlated with IUGR.
Keywords:Functional protein S  Free protein S  Intrauterine growth restriction
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