Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk

未产妇早产：未充分研究的高危人群

基本信息

批准号：
7790992
负责人：
SAMUEL I. PARRY
金额：
$ 20.74万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-01-10 至 2012-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7790992
关键词：
Affect Angiogenic Factor Arteries Biological Assay Biological Markers Cells Cervical Clinical Clinical Research Cohort Studies Collaborations Consultations Data Data Quality Discipline of obstetrics Enrollment Environmental Exposure Functional disorder Genetic Genomics Gynecology Health system Histology Hospitals Label Laboratory Study Length Neonatal Mortality Outcome Participant Patient Recruitments Pennsylvania Physicians Population Population Study Pregnancy Premature Birth Principal Investigator Proteins Proteomics Protocols documentation Publications Research Research Design Research Personnel Risk Risk Factors Sample Size Sampling Studies Services Site Techniques Testing Translational Research Ultrasonography Universities University Hospitals Woman design fetal medicine high throughput screening interest novel therapeutics prenatal prevent prospective public health relevance sample collection transcriptomics

项目摘要

DESCRIPTION (provided by applicant): The University of Pennsylvania Health System's Department of Obstetrics and Gynecology reflects a long tradition of excellence in clinical and translational research. Investigators within the Division of Maternal-Fetal Medicine have been key participants in this tradition, particularly in their studies of genetic factors and environmental exposures that are associated with preterm birth. In this application, we provide information on the two hospitals that comprise the obstetric services at the University of Pennsylvania - the Hospital of the University of Pennsylvania (HUP) and Pennsylvania Hospital (PAH) - both of which are proposed sites of patient recruitment for the network. The specific aims of this application are: 1) to provide consultation on the design of network studies, which includes assisting the Steering Committee in study design, sample size calculations, and statistical analyses, and selecting optimal data and sample collection protocols; 2) to enroll subjects into network studies and to provide quality data for network studies; 3) to perform ultrasound studies, laboratory assays, and high-throughput genomics and proteomics assays required to complete proposed studies; and 4) to be involved in the analysis and publication of network studies. The combined delivery volume of HUP and PAH is over 9,000 per year. The MFM physicians at the two hospitals share clinical responsibilities and have a substantial track record for collaboration in various clinical studies. Importantly, the principal investigator for this application is the principal investigator of the Analytical Core for the Genomics and Proteomics Network for Preterm Birth Research and will bring significant expertise regarding study design, sample collection, and assay techniques (including high-throughput studies), to the proposed preterm birth network. The investigators propose a prospective cohort study in which prenatal ultrasound findings (cervical length, uterine artery Doppler flow), protein biomarkers (circulating angiogenic factors, proteomics techniques using labeled proteins from cells of interest), and transcriptomics assays will be correlated with clinical outcomes and placental histology findings. The hypothesis to be tested is that markers of placental dysfunction early in pregnancy will identify nulliparous women at risk of preterm birth. PUBLIC HEALTH RELEVANCE: Preterm birth affects 12 percent of all pregnancies in the U.S., and complications from preterm delivery are the second leading cause of neonatal mortality. Nulliparous women are an under-studied population, particularly concerning their risk of preterm birth. The proposed network to study preterm birth in nulliparous women has the opportunity to identify risk factors for preterm birth among these women and develop novel therapeutic strategies to prevent preterm deliveries.

描述（由申请人提供）：宾夕法尼亚大学卫生系统的妇产科体现了临床和转化研究的悠久卓越传统。母胎医学部门的研究人员一直是这一传统的主要参与者，特别是在与早产相关的遗传因素和环境暴露的研究中。在此应用程序中，我们提供了宾夕法尼亚大学提供产科服务的两家医院的信息 - 宾夕法尼亚大学医院 (HUP) 和宾夕法尼亚医院 (PAH) - 这两所医院都是拟议的患者招募地点网络。本申请的具体目的是： 1）为网络研究的设计提供咨询，包括协助指导委员会进行研究设计、样本量计算和统计分析，以及选择最佳数据和样本收集方案； 2) 招募受试者参加网络研究，并为网络研究提供优质数据； 3) 进行完成拟议研究所需的超声研究、实验室测定以及高通量基因组学和蛋白质组学测定； 4）参与网络研究的分析和发表。 HUP 和 PAH 的总交付量每年超过 9,000 辆。两家医院的 MFM 医生分担临床责任，并在各种临床研究中拥有丰富的合作记录。重要的是，本申请的主要研究人员是早产研究基因组学和蛋白质组学网络分析核心的主要研究人员，并将带来有关研究设计、样本收集和测定技术（包括高通量研究）的重要专业知识，拟议的早产网络。研究人员提出了一项前瞻性队列研究，其中产前超声检查结果（宫颈长度、子宫动脉多普勒血流）、蛋白质生物标志物（循环血管生成因子、使用来自感兴趣细胞的标记蛋白质的蛋白质组学技术）和转录组学检测将与临床结果相关联，胎盘组织学结果。待检验的假设是，妊娠早期胎盘功能障碍的标志物将识别出有早产风险的未产妇。公共卫生相关性：在美国，早产影响了所有妊娠的 12%，早产并发症是新生儿死亡的第二大原因。未生育妇女是一个尚未得到充分研究的人群，特别是关于她们早产的风险。拟议的研究未产妇早产的网络有机会识别这些妇女早产的危险因素，并制定新的治疗策略来预防早产。