Serum levels of growth factors (PlGF, PDGF-BB, VEGF-A) in women with infertility and miscarriage associated with chronic endometritis


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Abstract

Objective. To justify the diagnostic and prognostic value of the serum levels of placental growth factor (PIGF), platelet-derived growth factor (PDGF-BB), and vascular endothelial growth factor (VEGF-A) in women with infertility and/or miscarriage due to chronic endometritis. Subjects and methods. A comprehensive examination was made in 88 women who were divided into the following clinical groups: 1) 28 women with recurrent pregnancy loss and morphologically and immunohistochemically confirmed chronic endometritis; 2) 36 infertile patients with chronic endometritis; 3) 24 women with male factor infertility and unchanged endometrial structure (a control group). The investigators performed clinical (history data collection, general and gynecological examinations) and ultrasound studies on days 15-22 of the menstrual cycle, aspiration and Pipelle biopsies of the endometrium on days 7-11 of the menstrual cycle, and enzyme immunoassay of serum PlGF, PDGF-BB, and VEGF-A levels. Results. PlGF and VEGF were increased and PDGF-BB was decreased in the serum of the women in Groups 1 and 2. Conclusion. The above results can be used in clinical practice. The determination of PIGF and VEGF-A levels is one of the promising methods for evaluating the endometrium.

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About the authors

Vlada Vladimirovna Kometova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: vladastasiatema@mail.ru
PhD, senior researcher

Elena Vladimirovna Kozyreva

Ulyanovsk Regional Clinical Hospital

Email: miss_smile_777@mail.ru
PhD, obstetrician-gynecologist

Liana Yuryevna Davidyan

Ulyanovsk State University

Email: a.bogdasarov@mail.ru
MD, professor of the Faculty of postgraduate medical and pharmaceutical education

Ekaterina Nikolaevna Malanina

Ulyanovsk Regional Clinical Hospital

Email: malaninaekaterina@mail.ru
PhD, doctor of ultrasonic diagnostics

Azat Urievich Bogdasarov

Ulyanovsk State University

Email: a.bogdasarov@mail.ru
MD, professor, chief physician of the medical center „My doctor”

Nadezhda Vadimovna Voznesenskaya

Ulyanovsk State University

Email: vnadezda@list.ru
PhD, assistant professor, Department of Obstetrics and Gynecology

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