Wallace EM, D'Antona D, Veveris-Lowe T, Crossley JA, Barnard R. Growth hormone binding protein in normal and aneuploid pregnancy: a paradoxical decrease in trisomy 18.
BJOG 2001;
108:701-3. [PMID:
11467694 DOI:
10.1111/j.1471-0528.2001.00179.x]
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Abstract
OBJECTIVE
To explore whether abnormalities in growth hormone binding protein (GHBP) may underlie the growth restriction associated with fetal aneuploidy.
DESIGN
A retrospective casecontrol study.
SETTING
Monash Medical Centre. Clayton, Victoria, Australia.
POPULATION
Twenty-one trisomy 18, and 30 trisomy 21 pregnancies, and 170 chromosomally normal pregnancies at 15-18 weeks of gestation representing three to five controls per case matched for source, gestation and duration of storage.
METHODS
GHBP was measured using a ligand immunofunctional assay
RESULTS
In the chromosomally normal pregnancies GHBP levels decreased slightly but significantly across the narrow gestational window studied. Compared with controls, levels of GHBP, expressed as median (95% CI) multiples of the median (MoM). in the trisomy 21 pregnancies were similar, 1.0 (0.92-1.39) MoM and 1.27 (1.04-1.50) MoM, respectively; P = 0.061 (Mann-Whitney U test) but were significantly reduced in the trisomy 18 pregnancies, 0.68 (0.5 1-0.84) MoM: P = 0.0014 (Mann-Whitney U test).
CONCLUSIONS
These data suggest that decreased levels of maternal growth hormone binding protein, and by implication growth hormone receptor complement, may underlie the early severe growth restriction that is characteristic of trisomy 18.
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