TY  - JOUR
A1  - Fruscalzo, Arrigo
A1  - Frommer, Julia-Marie
A1  - Londero, Ambrogio P.
A1  - Henze, Andrea
A1  - Schweigert, Florian J.
A1  - Nofer, Jerzy-Roch
A1  - Steinhard, Johannes
A1  - Klockenbusch, Walter
A1  - Schmitz, Ralf
A1  - Raila, Jens
T1  - First trimester TTR-RBP4-ROH complex and angiogenic factors in the prediction of small for gestational age infant’s outcome
JF  - Archives of gynecology and obstetrics
N2  - To study the role of the TTR-RBP4-ROH complex components (transthyretin, serum retinol binding protein, retinol) and of angiogenic factors PlGF (placental growth factor) and sFlt-1 (soluble fms-like tyrosine kinase-1) in pregnancies complicated by small for gestational age infants (SGA). Case control study conducted on maternal serum collected between 11 + 0 to 13 + 6 weeks of gestation. TTR, RBP4, ROH, PlGF and sFlt-1 were measured in SGA patients (birth weight < 10%) who delivered at term (n = 37) and before 37 weeks of gestation (n = 17) and in a matched control group with uneventful pregnancies (n = 37). We found decreased RBP4 in SGA patients that delivered fetuses < 3% and in fetuses delivered after the 37 weeks of gestation compared to controls [1.50 (95% CI 1.40-1.75) vs 1.62 (95% CI 1.47-1.98), p < 0.05]. Further, we found lower PlGF and sFlt-1 concentrations in SGA that delivered before 37 weeks of gestation compared to controls (respectively, PIGF and sFlt-1: 39.7 pg/ml (95% CI 32.3-66.3) vs 62.9 pg/ml (95% CI 45.2-78.4) and 906 pg/ml (95% CI 727-1626) vs 1610 pg/ml (95% CI 1088-212), p < 0.05). First trimester maternal serum RBP4 and angiogenic factors PlGF and sFlt-1 can differently predict the timing of delivery of pregnancies complicated by SGA fetuses.
KW  - Low birth weight
KW  - Small for gestational age
KW  - Pregnancy
KW  - First trimester
KW  - Marker
KW  - RBP4
KW  - TTR
KW  - Retinol
KW  - Vitamin A
KW  - sFlt-1
KW  - PlGF
Y1  - 2017
U6  - https://doi.org/10.1007/s00404-017-4338-4
SN  - 0932-0067
SN  - 1432-0711
VL  - 295
SP  - 1157
EP  - 1165
PB  - Springer
CY  - Heidelberg
ER  - 
TY  - JOUR
A1  - von Websky, Karoline
A1  - Hasan, Ahmed Abdallah Abdalrahman Mohamed
A1  - Reichetzeder, Christoph
A1  - Tsuprykov, Oleg
A1  - Hocher, Berthold
T1  - Impact of vitamin D on pregnancy-related disorders and on offspring outcome
JF  - The Journal of Steroid Biochemistry and Molecular Biology
N2  - Observational studies from all over the world continue to find high prevalence rates of vitamin D insufficiency and deficiency in many populations, including pregnant women. Beyond its classical function as a regulator of calcium and phosphate metabolism, vitamin D elicits numerous effects in the human body. Current evidence highlights a vital role of vitamin D in mammalian gestation. During pregnancy, adaptations in maternal vitamin D metabolism lead to a physiologic increase of vitamin D levels, mainly because of an increased renal production, although other potential sources like the placenta are being discussed. A sufficient supply of mother and child with calcium and vitamin D during pregnancy ensures a healthy bone development of the fetus, whereas lack of either of these nutrients can lead to the development of rickets in the child. Moreover, vitamin D insufficiency during pregnancy has consistently been associated with adverse maternal and neonatal pregnancy outcomes. In multitudinous studies, low maternal vitamin D status was associated with a higher risk for pre-eclampsia, gestational diabetes mellitus and other gestational diseases. Likewise, several negative consequences for the fetus have been reported, including fetal growth restriction, increased risk of preterm birth and a changed susceptibility for later-life diseases. However, study results are diverging and causality has not been proven so far. Meta-analyses on the relationship between maternal vitamin D status and pregnancy outcomes revealed a wide heterogeneity of studied populations and the applied methodology in vitamin D assessment. Until today, clinical guidelines for supplementation cannot be based on high-quality evidence and it is not clear if the required intake for pregnant women differs from non-pregnant women. Long-term safety data of vitamin D supplementation in pregnant women has not been established and overdosing of vitamin D might have unfavorable effects, especially in mothers and newborns with mutations of genes involved in vitamin D metabolism. Reliable data from large observational and interventional randomized control trials are urgently needed as a basis for any detailed and safe recommendations for supplementation in the general population and, most importantly, in pregnant women. This is of utmost importance, as ensuring a sufficient vitamin D-supply of mother and child implies a great potential for the prevention of birth complications and development of diseases.
KW  - Vitamin D deficiency
KW  - Free vitamin D
KW  - Vitamin D binding protein
KW  - Epigenetics
KW  - DNA methylation
KW  - Single nucleotide polymorphism
KW  - Preeclampsia
KW  - Gestational diabetes mellitus
KW  - Small for gestational age
KW  - Long term health
Y1  - 2018
U6  - https://doi.org/10.1016/j.jsbmb.2017.11.008
SN  - 0960-0760
VL  - 180
SP  - 51
EP  - 64
PB  - Elsevier
CY  - Oxford
ER  -