Journal article

Circulating Activin A is elevated at 36 weeks' gestation preceding a diagnosis of preeclampsia

Georgia P Wong, Faith Andres, Susan P Walker, Teresa M MacDonald, Ping Cannon, Tuong-Vi Nguyen, Emerson Keenan, Natalie J Hannan, Stephen Tong, Tu'uhevaha J Kaitu'u-Lino

Pregnancy Hypertension | Elsevier | Published : 2022

Abstract

Activin A is aberrantly expressed by the preeclamptic placenta and circulating levels have been investigated as a potential biomarker for the disease. In a nested case-control study we measured Activin A levels in maternal plasma at 28- and 36-weeks’ gestation preceding term preeclampsia diagnosis. At 28 weeks Activin A was not significantly altered (n = 73 destined to develop preeclampsia vs n = 191 controls). At 36 weeks’ gestation Activin A was significantly increased in 40 women destined to develop preeclampsia relative to 201 controls (p < 0.0001). These findings provide further validation of Activin A as a potential biomarker for subsequent term preeclampsia.