Markers Features Origin/expression Alteration in PE
PIGF, VEGF, sVEGFR-1(SFlt-1) Markers of angiogenesis trofoblast ˄(sFlt-1)
˅(VEGF, PIGF)
sEndoglin Receptor of TEGFβ1&β3 trophoblast ˄
TPO Cytokine for thrombopoiesis liver ˄
P-selectin Inflammation reactions Platelets, endothelial cells ˄
PP13 placental implantation, maternal vascular remodeling Syncytotrophoblast, ˅
PAPP-A Insulin –like growth factor binding protein throphoblast ˅ initially
˄>onset PE
ADMA Inhibitor of NO composition ADMA is formed by methylation of L-arginine ˄
CRF&CRF-BP Modulation of vascular tone trophoblast ˄(CRF)
˅(CRF-BP)
PGH Metabolism in pregnancy Syncytotrophoblast, extravillus cytotrophoblast ˅ >onset PE
˄ before the onset
IGF1, IGFBP1 implantation placenta ˅ (2nd trimester)
Inhibin A & TEGFβ-family placenta ˄
Activin A
Table 1: Biochemical markers for PE prediction; VEGF :vascular endothelial growth factor, PIGF: placental growth factor, sFlt1: soluble membrane –bound fms-like tyrosine kinase 1, sEng: Soluble endoglin, TPO: Thrombopoietin, PP13: Placenta protein 13, PAPP-A: Pregnancy –associated plasma protein, ADMA: Asymetric dimethylarginine, CRF-BP: Corticotropin releasing factor –binding protein, CRF: Corticotrophin-releasing factor, PGH: Placental growth hormone , IGF-1: Insulin like growth factor-1, IGFBP1: Insulin like growth factor binding protein-1