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1.
J Electr Bioimpedance ; 11(1): 49-56, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33584903

RESUMO

Designing proper frontend electronics is critical in the development of highly sophisticated electrode systems. Multielectrode arrays for measuring electrical signals or impedance require multichannel readout systems. Even more challenging is the differential or ratiometric configuration with simultaneous assessment of measurement and reference channels. In this work, an eight-channel frontend was developed for contacting a 2×8 electrode array (8 measurement and 8 reference electrodes) with a large common electrode to the impedance gain-phase analyzer Solartron 1260 (S-1260). Using the three independent and truly parallel monitor channels of the S-1260, impedance of trapped cells and reference material was measured at the same time, thereby considerably increasing the performance of the device. The frontend electronics buffers the generator output and applies a potentiostatic signal to the common electrode of the chip. The applied voltage is monitored using the current monitor of the S-1260 via voltage/current conversion. The frontend monitors the current through the electrodes and converts it to a voltage fed into the voltage monitors of the S-1260. For assessment of the 8 electrode pairs featured by the chip, a relay-based multiplexer was implemented. Extensive characterization and calibration of the frontend were carried out in a frequency range between 100 Hz and 1 MHz. Investigating the influence of the multiplexer and the frontend electronics, direct measurement with and without frontend was compared. Although differences were evident, they have been negligible below one per cent. The significance of measurement using the complex S-1260-frontend-electrode was tested using Kohlrausch's law. The impedance of an electrolytic dilution series was measured and compared to the theoretical values. The coincidence of measured values and theoretical prediction serves as an indicator for electrode sensitivity to cell behavior. Monitoring of cell behavior on the microelectrode surface will be shown as an example.

2.
Annu Int Conf IEEE Eng Med Biol Soc ; 2019: 3762-3765, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31946693

RESUMO

Only thin-film technology can satisfy the requirements of high spatial selectivity at high-channel-count electrode array designs by simultaneously good conformability to the targeted tissue through mechanical flexibility enriching future applications of functional neural stimulation. However, caused by the high impact of the microstructure on the mechanical and electrochemical film properties, varying fabrication processes of the same thin-film makes the difference between acute and chronic long-term stable electrodes. The influence of standard clinical electrical pulsing on flexible polyimide-based thin-film platinum electrodes for neuroprostheses, either sputter deposited or evaporated, and different diameters was assessed and compared. The electrochemical and morphological analysis showed a higher corrosion susceptibility and electrochemical degradation for the sputter deposited platinum electrodes with even total failures of smaller diameters. In contrast, the evaporated thin-films provided itself as more stable and reliable metallization with also smaller electrodes keeping their film integrity intact over the experimental period, -appearing to be the preferable material for improving thin-film electrodes' longevity.


Assuntos
Eletrodos , Neurônios , Platina , Estimulação Elétrica
3.
RSC Adv ; 8(36): 20124-20130, 2018 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-35541671

RESUMO

To improve detection sensitivity, molecular diagnostics require preconcentration of low concentrated samples followed by rapid nucleic acid extraction. This is usually achieved by multiple centrifugation, lysis and purification steps, for instance, using chemical reagents, spin columns or magnetic beads. These require extensive infrastructure as well as time consuming manual handling steps and are thus not suitable for point of care testing (POCT). To overcome these challenges, we developed a microfluidic chip combining free-flow electrophoretic (FFE) preconcentration (1 ml down to 5 µl) and thermoelectric lysis of bacteria as well as purification of nucleic acids by gel-electrophoresis. The integration of these techniques in a single chip is unique and enables fast, easy and space-saving sample pretreatment without the need for laboratory facilities, making it ideal for the integration into small POCT devices. A preconcentration efficiency of nearly 100% and a lysis/gel-electrophoresis efficiency of about 65% were achieved for the detection of E. coli. The genetic material was analyzed by RT-qPCR targeting the superfolder Green Fluorescent Protein (sfGFP) transcripts to quantify mRNA recovery and qPCR to determine DNA background.

4.
RSC Adv ; 8(47): 26817, 2018 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-35544022

RESUMO

[This corrects the article DOI: 10.1039/C8RA02177E.].

5.
Sci Rep ; 7(1): 3127, 2017 06 09.
Artigo em Inglês | MEDLINE | ID: mdl-28600499

RESUMO

An appropriate antibiotherapy is crucial for the safety and recovery of patients. Depending on the clinical conditions of patients, the required dose to effectively eradicate an infection may vary. An inadequate dosing not only reduces the efficacy of the antibiotic, but also promotes the emergence of antimicrobial resistances. Therefore, a personalized therapy is of great interest for improved patients' outcome and will reduce in long-term the prevalence of multidrug-resistances. In this context, on-site monitoring of the antibiotic blood concentration is fundamental to facilitate an individual adjustment of the antibiotherapy. Herein, we present a bioinspired approach for the bedside monitoring of free accessible ß-lactam antibiotics, including penicillins (piperacillin) and cephalosporins (cefuroxime and cefazolin) in untreated plasma samples. The introduced system combines a disposable microfluidic chip with a naturally occurring penicillin-binding protein, resulting in a high-performance platform, capable of gauging very low antibiotic concentrations (less than 6 ng ml-1) from only 1 µl of serum. The system's applicability to a personalized antibiotherapy was successfully demonstrated by monitoring the pharmacokinetics of patients, treated with ß-lactam antibiotics, undergoing surgery.


Assuntos
Antibacterianos/sangue , Monitoramento de Medicamentos/instrumentação , beta-Lactamas/sangue , Antibacterianos/administração & dosagem , Antibacterianos/farmacocinética , Cefazolina/administração & dosagem , Cefazolina/sangue , Cefazolina/farmacocinética , Cefuroxima/administração & dosagem , Cefuroxima/sangue , Cefuroxima/farmacocinética , Monitoramento de Medicamentos/métodos , Feminino , Humanos , Masculino , Técnicas Analíticas Microfluídicas , Piperacilina/administração & dosagem , Piperacilina/sangue , Piperacilina/farmacocinética , Testes Imediatos , Medicina de Precisão , beta-Lactamas/administração & dosagem , beta-Lactamas/farmacocinética
6.
Nanoscale ; 9(19): 6436-6447, 2017 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-28463371

RESUMO

The limited performance of platinum-based electrocatalysts for glucose electrooxidation is a major concern for glucose fuel cells, since glucose electrooxidation is characterized by slow reaction kinetics and low diffusion coefficient. Here, the presented graphene-supported platinum-based hierarchical nanostructures attain highly enhanced electrocatalytic activity towards glucose oxidation. Platinum nanoparticles electrodeposited on graphene support retain mechanical stability and act as junctions allowing a reliable, smooth and dense growth of platinum nanowires with extremely small diameters (>10 nm) on graphene. The electrode's surface roughness was increased by factors up to 4000 to the geometrical surface area enabling maximized exploitation of the electrocatalytic activity of platinum and efficient electron transfer between nanowires and the substrate. The unique three-dimensional geometry of these hierarchical nanostructures has a significant impact on their catalytic performance offering short diffusional paths for slow glucose species, thus, mass transport limitations are optimized leading to lower polarization losses. This was examined by galvanostatic measurements of the operation as anodes in glucose half-cells under conditions corresponding to implantable glucose fuel cells. The presented hierarchical nanostructures show remarkably enhanced catalytic performance for glucose electrooxidation, i.e. a negatively shifted open circuit potential of -580 mV vs. Ag/AgCl, hence, representing appropriate electrocatalysts for use as anodes in glucose fuel cells. In combination with a non-metal N-doped graphene cathode, a cell potential of 0.65 V was achieved at a galvanostatic load of 17.5 µA cm-2 which noticeably surpasses the performance of state of the art catalysts for the aforementioned operation conditions.

7.
Analyst ; 141(21): 6073-6079, 2016 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-27747319

RESUMO

Here, we present a novel approach to increase the degree of miniaturization as well as the sensitivity of biosensor platforms by the optimization of microfluidic stop-flow techniques independent of the applied detection technique (e.g. electrochemical or optical). The readout of the labeled bioassays, immobilized in a microfluidic channel, under stop-flow conditions leads to a rectangular shaped peak signal. Data evaluation using the peak height allows for a high level miniaturization of the channel geometries. To study the main advantages and limitations of this method by numerical simulations, a universally applicable model system is introduced for the first time. Consequently, proof-of-principle experiments were successfully performed with standard and miniaturized versions of an electrochemical biosensor platform utilizing a repressor protein-based assay for tetracycline antibiotics. Herein, the measured current peak heights are the same despite the sextuple reduction of the channel dimensions. Thus, this results in a 22-fold signal amplification compared to the constant flow measurements in the case of the miniaturized version.


Assuntos
Técnicas Biossensoriais , Técnicas Analíticas Microfluídicas , Miniaturização , Humanos , Microfluídica , Tetraciclinas/análise , Tetraciclinas/sangue
8.
Mater Sci Eng C Mater Biol Appl ; 69: 122-7, 2016 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-27612696

RESUMO

This work describes the development of a new biosensor for methylparaben determination using electrocatalytic properties of hemoglobin in the presence of hydrogen peroxide. The voltammetric oxidation of methylparaben by the proposed biosensor in phosphate buffer (pH=7.0), a physiological pH, was studied and it was confirmed that methylparaben undergoes a one electron-one proton reaction in a diffusion-controlled process. The biosensor was fabricated by carbon paste electrode modified with hemoglobin and multiwalled carbon nanotube. Based on the excellent electrochemical properties of the modified electrode, a sensitive voltammetric method was used for determination of methylparaben within a linear range from 0.1 to 13µmolL(-1) and detection limit of 25nmolL(-1). The developed biosensor possessed accurate and rapid response to methylparaben and showed good sensitivity, stability, and repeatability. Finally, the applicability of the proposed biosensor was verified by methylparaben evaluation in various real samples.


Assuntos
Técnicas Biossensoriais/métodos , Hemoglobinas/química , Parabenos/análise , Técnicas Biossensoriais/economia , Técnicas Eletroquímicas , Eletrodos , Humanos , Peróxido de Hidrogênio/química , Concentração de Íons de Hidrogênio , Limite de Detecção , Microscopia Eletrônica de Varredura , Nanotubos de Carbono/química , Oxirredução , Propriedades de Superfície
9.
Lab Chip ; 15(22): 4314-21, 2015 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-26394820

RESUMO

In this paper, we present a novel approach to enhance the sensitivity of microfluidic biosensor platforms with self-assembled magnetic bead chains. An adjustable, more than 5-fold sensitivity enhancement is achieved by introducing a magnetic field gradient along a microfluidic channel by means of a soft-magnetic lattice with a 350 µm spacing. The alternating magnetic field induces the self-assembly of the magnetic beads in chains or clusters and thus improves the perfusion and active contact between the analyte and the beads. The soft-magnetic lattices can be applied independent of the channel geometry or chip material to any microfluidic biosensing platform. At the same time, the bead-based approach achieves chip reusability and shortened measurement times. The bead chain properties and the maximum flow velocity for bead retention were validated by optical microscopy in a glass capillary. The magnetic actuation system was successfully validated with a biotin-streptavidin model assay on a low-cost electrochemical microfluidic chip, fabricated by dry-film photoresist technology (DFR). Labelling with glucose oxidase (GOx) permits rapid electrochemical detection of enzymatically produced H2O2.


Assuntos
Técnicas Biossensoriais/instrumentação , Técnicas Eletroquímicas/instrumentação , Campos Magnéticos , Técnicas Analíticas Microfluídicas/instrumentação , Microesferas , Glucose Oxidase/análise , Glucose Oxidase/metabolismo , Peróxido de Hidrogênio/química , Peróxido de Hidrogênio/metabolismo , Estreptavidina/química
10.
Biosens Bioelectron ; 67: 49-52, 2015 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-24970713

RESUMO

With a rapid and simple actuation protocol electrophoretic nucleic acid extraction is easy automatable, requires no moving parts, is easy to miniaturize and furthermore possesses a size dependent cut-off filter adjustable by the pore size of the hydrogel. However electrophoretic nucleic acid extraction from bacteria has so far been applied mainly for short RNA targets. One of the reasons is that electrophoretic processing of unfragmented genomic DNA strands is time-consuming, because of the length. Here DNA fragmentation would accelerate extraction and isolation. We introduce on-chip lysis and non-enzymatic DNA cleavage directly followed by a purifying step for receiving amplifiable DNA fragments from bacteria in less than 25 min. In contrast to restriction enzymes the Fenton reaction is known to cleave DNA without nucleotide specificity. The reaction mix contains iron(II) EDTA, sodium ascorbate, hydrogen peroxide and lysozyme. The degree of fragmentation can be adjusted by the concentration of reagents. The results enable electrophoretic extraction methods to unspecifically process long genomic DNA in a short time frame, e.g. for pathogen detection in a lab-on-a-chip format.


Assuntos
Técnicas Biossensoriais , DNA Bacteriano/isolamento & purificação , Técnicas de Amplificação de Ácido Nucleico , Fragmentação do DNA , DNA Bacteriano/química , DNA Bacteriano/genética , Eletroforese , Genoma Bacteriano/genética , Peróxido de Hidrogênio/química , Ferro/química , Dispositivos Lab-On-A-Chip
11.
Biosens Bioelectron ; 65: 354-9, 2015 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-25461181

RESUMO

A new electrochemical sensor system for reliable and continuous detection of superoxide radical release from cell culture was developed utilizing direct oxidation of superoxide on polymer covered gold microelectrodes. Direct superoxide oxidation was demonstrated to provide robust measurement principle for sensitive and selective reactive oxygen species (ROS) quantification without the need for biocomponent supported conversion. Sensor performance was investigated by using artificial enzymatic superoxide production revealing a sensitivity of 2235AM(-1)m(-2). An electrode protection layer with molecular weight cut-off property from adsorbed linear branched polyethylenimine was successfully introduced for long term and selectivity improvement. Thin-film based sensor chip fabrication with implemented three-electrode setup and full integration into the technological platform Sensing Cell Culture Flask was described. Cell culturing directly on-chip and free radical release by phorbol-12-myristate-13-acetate (PMA) stimulation was demonstrated using T-47D human breast cancer carcinoma cell model. Transient extracellular superoxide production upon stimulation was successfully observed from amperometric monitoring. Signal inhibition from scavenging of extracellular superoxide by specific superoxide dismutase (SOD) showed the applicability for selective in vitro ROS determination. The results confirm the possibility of direct superoxide oxidation, with exclusion of the main interfering substances uric acid and hydrogen peroxide. This offers new insights into the development of reliable and robust ROS sensors.


Assuntos
Técnicas Biossensoriais/instrumentação , Neoplasias da Mama/metabolismo , Técnicas de Cultura de Células/instrumentação , Técnicas Eletroquímicas/instrumentação , Superóxidos/análise , Mama/metabolismo , Linhagem Celular Tumoral , Feminino , Ouro/química , Humanos , Dispositivos Lab-On-A-Chip , Microeletrodos , Oxirredução , Polímeros/química , Superóxidos/metabolismo
12.
Phys Chem Chem Phys ; 16(18): 8392-9, 2014 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-24664444

RESUMO

Platinum surfaces play a decisive role in catalysis in sensors, fuel cells, solar cells and other applications like neuronal stimulation and recording. Technical advances in nanotechnology contributed tremendously to the progress in these fields. A fundamental understanding of the chemical and physical interactions between the nanostructured surfaces and electrolytes is essential, but was barely investigated up to now. In this article, we present a wet-chemical process for the deposition of nanostructures on polycrystalline platinum surfaces. The electrochemically active surface area was increased by a factor of over 1000 times with respect to the geometrical surface. The influence of the nanostructures was examined in different acidic, alkaline, and neutral electrolytes. Comparing cyclic voltammograms of nanostructured and planar polycrystalline platinum revealed new insights into the microenvironment at the electrode-electrolyte interface. The characteristic features of the cyclic voltammograms were altered in their shape and strongly shifted with respect to the applied potential. In neutral buffered and unbuffered electrolytes the water window was expanded from 1.4 V to more than 2 V. The shifts were interpreted as local pH-changes and exhausted buffer capacity in direct proximity of the electrode surface due to the strong release and binding of protons, respectively. These polarized electrodes induce significant changes in the electrochemical potential of the electrolyte due to the high roughness of their surface. The electrochemical phenomena and the observed voltage shifts are crucial for the understanding of the basic mechanism at nanostructured electrodes and mandatory for designing fuel cells, sensors and many other devices.


Assuntos
Nanoestruturas/química , Platina/química , Técnicas Eletroquímicas , Eletrodos , Eletrólitos/química , Concentração de Íons de Hidrogênio , Cloreto de Potássio/química , Ácidos Sulfúricos/química , Propriedades de Superfície , Água/química
13.
Cell Prolif ; 47(2): 180-8, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24460744

RESUMO

OBJECTIVES: Here we present an application, in two tumour cell lines, based on the Sensing Cell Culture Flask system as a cell culture monitoring tool for pericellular oxygen sensing. MATERIALS AND METHODS: T-47D (human breast cancer) and T98G (human brain cancer) cells were cultured either in atmospheric air or in a glove-box set at 4% oxygen, in both cases with 5% CO2 in the gas phase. Pericellular oxygen tension was measured with the help of an integrated sensor chip comprising oxygen sensor arrays. RESULTS: Obtained results illustrate variation of pericellular oxygen tension in attached cells covered by stagnant medium. Independent of incubation conditions, low pericellular oxygen concentration levels, usually associated with hypoxia, were found in dense cell cultures. CONCLUSIONS: Respiration alone brought pericellular oxygen concentration down to levels which could activate hypoxia-sensing regulatory processes in cultures believed to be aerobic. Cells in culture believed to experience conditions of mild hypoxia may, in reality, experience severe hypoxia. This would lead to incorrect assumptions and suggests that pericellular oxygen concentration readings are of great importance to obtain reproducible results when dealing with hypoxic and normoxic (aerobic) incubation conditions. The Sensing Cell Culture Flask system allows continuous monitoring of pericellular oxygen concentration with outstanding long-term stability and no need for recalibration during cell culture experiments. The sensor is integrated into the flask bottom, thus in direct contact with attached cells. No additional equipment needs to be inserted into the flask during culturing. Transparency of the electrochemical sensor chip allows optical inspection of cells attached on top of the sensor.


Assuntos
Técnicas Biossensoriais/instrumentação , Consumo de Oxigênio , Oxigênio/análise , Neoplasias Encefálicas/metabolismo , Neoplasias da Mama/metabolismo , Técnicas de Cultura de Células/instrumentação , Hipóxia Celular , Linhagem Celular Tumoral , Respiração Celular , Desenho de Equipamento , Feminino , Humanos , Células MCF-7 , Teste de Materiais , Reprodutibilidade dos Testes
16.
Analyst ; 138(20): 6154-62, 2013 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-23971072

RESUMO

This article describes a novel bioluminescence assay for detecting the proteolytic activity of Botulinum NeuroToxins (BoNT) in complex matrices. The assay is capable of detecting traces of BoNT in blood samples as well as in food drinks. The assay was responsive to BoNT/A subtypes 1 to 5, and serotype E3 in buffered solutions. It was responsive to filtered Clostridium botulinum supernatants and BoNT/A1 in complex with neurotoxin associated proteins in bouillon and milk (3.8% fat) down to 400 fM after 4 h RT incubation and in bouillon at concentrations down to 120 fM after 21 h RT incubation. In combination with an immunocapture/enrichment step it could detect BoNT/A1 in citrated plasma at concentrations down to 30 fM (1.2 mouse LD50 per mL). The simplicity of the assay, combined with a demonstrated ability to lyophilize the reagents, demonstrates its usefulness for detection of BoNT in non-specialised analytical laboratories.


Assuntos
Toxinas Botulínicas Tipo A/análise , Toxinas Botulínicas Tipo A/química , Medições Luminescentes/métodos , Animais , Clostridium botulinum/química , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Estrutura Secundária de Proteína
17.
Appl Microbiol Biotechnol ; 96(3): 841-9, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22968354

RESUMO

Enzymatically catalyzed biofuel cells show unique specificity and promise high power densities, but suffer from a limited lifetime due to enzyme deactivation. In the present work, we demonstrate a novel concept to extend the lifetime of a laccase-catalyzed oxygen reduction cathode in which we decouple the electrode lifetime from the limited enzyme lifetime by a regular resupply of fresh enzymes. Thereto, the adsorption behavior of laccase from Trametes versicolor to buckypaper electrode material, as well as its time-dependent deactivation characteristics, has been investigated. Laccase shows a Langmuir-type adsorption to the carbon nanotube-based buckypaper electrodes, with a mean residence time of 2 days per molecule. In a citrate buffer of pH 5, laccase does not show any deactivation at room temperature for 2 days and exhibits a half-life of 9 days. In a long-term experiment, the laccase electrodes were operated at a constant galvanostatic load. The laccase-containing catholyte was periodically exchanged against a freshly prepared one every second day to provide sufficient active enzymes in the catholyte for the replacement of desorbed inactive enzymes. Compared to a corresponding control experiment without catholyte exchange, this procedure resulted in a 2.5 times longer cathode lifetime of 19 ± 9 days in which the electrode showed a potential above 0.744 V vs. normal hydrogen electrode at 110 µA cm(-2). This clearly indicates the successful exchange of molecules by desorption and re-adsorption and is a first step toward the realization of a self-regenerating enzymatic biofuel cell in which enzyme-producing microorganisms are integrated into the electrode to continuously resupply fresh enzymes.


Assuntos
Fontes de Energia Bioelétrica , Eletrodos , Lacase/metabolismo , Trametes/enzimologia , Eletricidade Estática , Fatores de Tempo
18.
Biosens Bioelectron ; 26(10): 4133-8, 2011 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-21543222

RESUMO

The redox enzyme laccase from Trametes versicolor efficiently catalyzes the oxygen reduction reaction (ORR) in mediatorless biofuel cell cathodes when adsorbed onto multi-walled carbon nanotubes (MWCNTs). In this work we demonstrate that the fabrication of MWCNTs in form of buckypaper (BP) results in an excellent electrode material for laccase-catalyzed cathodes. BPs are mechanically stable, self-entangling mats with high dispersion of MWCNTs resulting in easy to handle homogeneous layers with highly mesoporous structures and excellent electrical conductivities. All biocathodes have been electrochemically investigated in oxygen-saturated buffer at pH 5 by galvanostatic polarization and potentiodynamic linear sweep voltammetry. Both methods confirm an efficient direct interaction of laccase with BP with a high open circuit potential of 0.882 V vs. normal hydrogen electrode (NHE). The high oxygen reduction performance leads to high current densities of 422±71 µA cm(-2) at a typical cathode potential of 0.744 V vs. NHE. When the current density is normalized to the mass of the electrode material (mass activity), the BP-based film electrodes exhibit a 68-fold higher current density at 0.744 V vs. NHE than electrodes fabricated from the same MWCNTs in a non-dispersed agglomerated form as packed electrodes. This clearly shows that MWCNTs can act more efficiently as cathode when prepared in form of BP. This can be attributed to reduced diffusional mass transfer limitations and enhanced electrical conductivity. BP is thus a very promising material for the construction of mediatorless laccase cathodes for ORR in biofuel cells. In addition we demonstrated that these electrodes exhibit a high tolerance towards glucose, the most common bioanode fuel.


Assuntos
Fontes de Energia Bioelétrica , Lacase , Nanotubos de Carbono , Técnicas Eletroquímicas , Eletrodos , Glucose , Microscopia Eletrônica de Varredura , Nanotubos de Carbono/ultraestrutura , Potenciometria
19.
Placenta ; 32(3): 264-8, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21216005

RESUMO

OBJECTIVE: To study the expression of Annexin A5 (A5) in relation to preeclampsia using immunohistochemical Tissue Microarray (TMA) technique. STUDY DESIGN: Case-control study of 66 singleton preeclamptic (PE) patients matched for gestational age (GA) at delivery with 63 normotensive controls with normally grown fetuses. Immunohistochemical expression of A5 and other population characteristics were compared between the two groups using Chi-square, One-way ANOVA, Spearman's Correlation, and Linear Regression. RESULTS: The two groups were similar for maternal age and rate of corticosteroid administration, but differed for nulliparity, Body Mass Index (BMI), blood pressure, presence of placental histological lesions, and placental weight. Expression of A5 was similar in PE and controls (p = 0.10); however it was found to be lower in PE cases complicated by fetal growth restriction (FGR, n = 34) compared with matched controls (n = 55) (p = 0.04). An inverse correlation was found between A5 and GA in cases but not in controls (p = 0.04 vs p = 0.71). The association was even more significant in the subgroup of PE complicated by FGR (p = 0.02). A5 expression was not influenced by blood pressure, proteinuria, or placental weight. CONCLUSIONS: Annexin A5 expression seems to be related only to FGR and not to PE or its clinical severity.


Assuntos
Anexina A5/biossíntese , Placenta/metabolismo , Pré-Eclâmpsia/metabolismo , Estudos de Casos e Controles , Feminino , Retardo do Crescimento Fetal/metabolismo , Idade Gestacional , Humanos , Imuno-Histoquímica , Gravidez , Estudos Prospectivos , Análise Serial de Tecidos
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