CD15 immunostaining improves placental diagnosis of fetal hypoxia

作者: Larissa Seidmann , Stefanie Zimmer , Wilfried Roth , Daniel Christoph Wagner , Yevgeniy Kamyshanskiy

DOI: 10.1016/J.PLACENTA.2021.01.016

关键词: PreeclampsiaPlacental abruptionPlacental FindingMedicineFetusAsphyxiaGestational diabetesIntrauterine hypoxiaAndrologyPlacenta

摘要: Abstract Introduction Fetal hypoxic events with unclear predictive value are a common indication for placenta examination. We evaluated whether the use of CD15 immunostaining can improve assessment severity and duration fetal hypoxia. Methods compared placentas (37–42 gestational weeks) from stillborns/newborns birth asphyxia (BA) non-hypoxic newborns. Placental findings were studied in following groups: (1) acute BA (n = 11) due to placental abruption, (2) non-acute (n = 121) conditions, (3) non-BA (n = 46) pregnancies preeclampsia diabetes, (4) controls (n = 30). Results A high expression feto-placental resistance vessels (FRVs) was present (95.9%), but absent BA, (p  Discussion have defined characteristic pattern FRVs that allows interpret various clinical/placental conditions respect hypoxia, an improved predictability conventional analyses. This approach represents novel diagnostic strategy examination, which could indirectly assess intrauterine hypoxia heterogeneous population

参考文章(32)
J.H.L. Neumann, A. Jung, T. Kirchner, Molekulare Pathologie des kolorektalen Karzinoms Pathologe. ,vol. 36, pp. 137- 144 ,(2015) , 10.1007/S00292-015-0005-3
Sabaratnam Arulkumaran, D. M. F. Gibb, Fetal Monitoring in Practice ,(1992)
Loren Thompson, Sarah Crimmins, Bhanu Telugu, Shifa Turan, Intrauterine hypoxia: clinical consequences and therapeutic perspectives Research and Reports in Neonatology. ,vol. 5, pp. 79- 89 ,(2015) , 10.2147/RRN.S57990
Niles Fox, Barbara B. Knowles, Davor Solter, Ivan Damjanov, Immunohistochemical Localization of the Mouse Stage-specific Embryonic Antigen 1 in Human Tissues and Tumors Cancer Research. ,vol. 43, pp. 669- 678 ,(1983)
Raymond W. Redline, Classification of placental lesions. American Journal of Obstetrics and Gynecology. ,vol. 213, pp. 21- ,(2015) , 10.1016/J.AJOG.2015.05.056
Jerzy Stanek, Placental hypoxic overlap lesions: a clinicoplacental correlation. Journal of Obstetrics and Gynaecology Research. ,vol. 41, pp. 358- 369 ,(2015) , 10.1111/JOG.12539
Sarah Mcintyre, Nadia Badawi, Eve Blair, Karin B Nelson, Does aetiology of neonatal encephalopathy and hypoxic-ischaemic encephalopathy influence the outcome of treatment? Developmental Medicine & Child Neurology. ,vol. 57, pp. 2- 7 ,(2015) , 10.1111/DMCN.12725
Rintaro Nishimura, Tetsu Nishiwaki, Takeshi Kawasaki, Ayumi Sekine, Rika Suda, Takashi Urushibara, Toshio Suzuki, Shin Takayanagi, Jiro Terada, Seiichiro Sakao, Koichiro Tatsumi, Hypoxia-induced proliferation of tissue-resident endothelial progenitor cells in the lung. American Journal of Physiology-lung Cellular and Molecular Physiology. ,vol. 308, ,(2015) , 10.1152/AJPLUNG.00243.2014