Vascular Endothelial Factor Gene Polymorphism in Preeclampsia

NCT ID: NCT03500588

Last Updated: 2021-03-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

290 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-31

Study Completion Date

2018-02-28

Brief Summary

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In this study, the investigators assessed one of the released protein factors during the pathophysiology of preeclampsia. They evaluated vascular endothelial growth factor gene mutation which affects the angiogenesis in case of inadequate placentation and its association with Doppler changes in the pulsatility index of the umbilical artery.

Detailed Description

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Preeclampsia is a syndrome characterized by occurrence of hypertension and proteinuria after 20 weeks of gestation. The pathophysiology of preeclampsia involves abnormalities in the development of placental vasculature early in pregnancy may result in relative placental under perfusion/hypoxia/ischemia, which then leads to release of factors into the maternal circulation that alter maternal endothelial function and cause hypertension and other manifestations of disease .Vascular endothelial growth factor (VEGF) is a signal protein produced by cells that stimulates vasculogenesis and angiogenesis. It is part of the system that restores the oxygen supply to tissues when blood circulation is inadequate. Human VEGF gene is located on chromosome 6 and consists of 8 exons with alternate splicing, forming a family of proteins. There are several common single nucleotide polymorphisms (SNPs) in the VEGF gene, which could alter gene expression and protein production, and alter the risk of developing diseases characterized by deranged angiogenesis including preeclampsia.

Conditions

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Preeclampsia

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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normotensive pregnant women more than 20 weeks gestation.

One hundred and forty-five pregnant women after 20 weeks with normal blood pressure were evaluated for VEGF gene mutation.

PCR

Intervention Type DIAGNOSTIC_TEST

Polymerase chain reaction was used to diagnose gene polymorphism.

Pregnant women after 20 weeks with preeclampsia.

One hundred and forty-five pregnant women after 20 weeks with preeclampsia were evaluated for VEGF gene mutation by using PCR and Pulsitality index of umbilical artery by doppler velocimetry.

PCR

Intervention Type DIAGNOSTIC_TEST

Polymerase chain reaction was used to diagnose gene polymorphism.

Doppler ultrasound

Intervention Type DEVICE

Doppler ultrasound was used to assess the pulsatility index of the umbilical artery .

Interventions

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PCR

Polymerase chain reaction was used to diagnose gene polymorphism.

Intervention Type DIAGNOSTIC_TEST

Doppler ultrasound

Doppler ultrasound was used to assess the pulsatility index of the umbilical artery .

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

More than 20 weeks gestation. Preeclamptic patients

Exclusion Criteria

association with chronic disease (cardiac, hepatic, renal) and if the patient was known to have chronic hypertension.

association with auto-immune disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beni-Suef University

OTHER

Sponsor Role lead

Responsible Party

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Nesreen Abdel Fattah Abdullah Shehata

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Beni-Suef University

Cairo, Beni Suweif Governorate, Egypt

Site Status

Countries

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Egypt

References

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Lain KY, Roberts JM. Contemporary concepts of the pathogenesis and management of preeclampsia. JAMA. 2002 Jun 26;287(24):3183-6. doi: 10.1001/jama.287.24.3183. No abstract available.

Reference Type BACKGROUND
PMID: 12076198 (View on PubMed)

Huppertz B. Placental origins of preeclampsia: challenging the current hypothesis. Hypertension. 2008 Apr;51(4):970-5. doi: 10.1161/HYPERTENSIONAHA.107.107607. Epub 2008 Feb 7. No abstract available.

Reference Type BACKGROUND
PMID: 18259009 (View on PubMed)

Cooper ME, Vranes D, Youssef S, Stacker SA, Cox AJ, Rizkalla B, Casley DJ, Bach LA, Kelly DJ, Gilbert RE. Increased renal expression of vascular endothelial growth factor (VEGF) and its receptor VEGFR-2 in experimental diabetes. Diabetes. 1999 Nov;48(11):2229-39. doi: 10.2337/diabetes.48.11.2229.

Reference Type BACKGROUND
PMID: 10535459 (View on PubMed)

Chedraui P, Solis EJ, Bocci G, Gopal S, Russo E, Escobar GS, Hidalgo L, Perez-Lopez FR, Genazzani AR, Mannella P, Simoncini T. Feto-placental nitric oxide, asymmetric dimethylarginine and vascular endothelial growth factor (VEGF) levels and VEGF gene polymorphisms in severe preeclampsia. J Matern Fetal Neonatal Med. 2013 Feb;26(3):226-32. doi: 10.3109/14767058.2012.733760. Epub 2012 Oct 18.

Reference Type BACKGROUND
PMID: 23039092 (View on PubMed)

Other Identifiers

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BeniSuef 15

Identifier Type: -

Identifier Source: org_study_id

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