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. Author manuscript; available in PMC: 2024 Jun 19.
Published in final edited form as: Clin Perinatol. 2024 Mar 23;51(2):391–409. doi: 10.1016/j.clp.2024.02.011

Table 1.

Overview of studies on proteomic biomarkers for prediction of preterm birth (PTB).

Study Identified Biomarkers Matrix Size When Method
Targeted studies
Massaro et al. (2009)24 - IL-6 - Amniotic fluid - 8 PTB
- 92 Term
- 16–22 wks - ELISA
- p<0.05
Manning et al. (2019)22 - IL-1β
- IL-8
- IL-6
- Cervical fluid - 44 PTB
- 90 Term
- All with history of PTB or cervical surgery
- 22–24 wks - Multiplex platform
- ELISA
- PCR
- Bonferroni corr. (p<0.01)
Goepfert et al. (2001)16 - IL-6 - Cervical fluid - 125 PTB
- 125 Term
- 22–246/7 wks - ELISA
Sorokin et al. (2010)28 - IL-6
- CRP
- Sera - 47 PTB (<32 wks)
- 423 Term
- 24–32 wks - ELISA
- p<0.05
Ghezzi et al. (2002)15 - CRP - Amniotic fluid
Wallenstein et al. (2016)30 - sVEGFR-3
- sIL-2Rα
- sTNFR1
- Sera - 34 PTB
- 34 Term
- BMI>30 kg/m2
- 15–20 wks - Random forest: classification and regression trees (CART)
Saade et al. (2016)27 - IBP4/SHBG ratio - Sera - 248 Spontaneous PTB - 19–21 wks
Markenson et al. (2020)23 - IBP4/SHBG ratio
Khanam et al. (2022)20 - IBP4/SHBG ratio - 300 Women
Untargeted studies
D’ Silva et al. (2018)13 - 30, including 9 phosphoproteins, 11 glycoproteins
- Pathways: blood coagulation, plasminogen activation, vitamin D metabolism, and angiogenesis
- Sera - 10 PTB
- 10 Term
- 11–13+6/7 wks - 2DE and MS
Gunko et al. (2016)18 - 25 including IL-6, VEGFA
- Pathways: angiogenesis, proteolysis, transcription, inflammation processes, binding, and transportation of various ligands
- Serum - 10 PTB
- 10 Term
- 16–17 wks - MS
- p<0.05
Pereira et al. (2010)25 - Pathways: complement /coagulation cascade; inflammation/immune response; fetal-placental development; extracellular matrix proteins - Serum (glycoproteome and peptidome) - 48 Spontaneous PTB ≤33 wks
- 62 PTB with GA≥34 wks
- 20–336/7 wks - p<0.05
Jehan et al.
(2020)8
- An inflammatory module - Plasma - 39 PTB
- 42 term
- Early pregnancy (median 13.6 wks) - targeted proteomics (1,002)
AUC: 0.75
95% CI: 0.64, 0.85
Tarca et al. (2021)29 - PDE11A
- ITGA2B
- IL-6
- ANGPT1
- MMP7
- ITGA2B
- Vascular wall pathways, nervous system development, developmental biology, focal adhesion, VEGFA/VEGFR-2 signaling, and membrane trafficking pathways
- Plasma - 62 Spontaneous PTB
- 4 PPROM
- 39 Term
- 17–23 wks
- 27–33 wks
- targeted plasma proteomics (1,125)
AUC: 0.76
95% CI: 0.72, 0.8
Lynch et al. (2016)21 - Complement factors B and H
- Coagulation factors IX and IX ab
- Pathways: complement cascade, the immune system, and the clotting cascade
- Plasma - 41 PTB
- 88 Term
- 10–15 wks - targeted proteomics
(1,129)
Gudicha et al. (2022)17 - SNAP25 GPI
- PTPN11
- OLR1
- ENO1
- GAPDH
- CHI3L1
- RETN
- CSF3
- LCN2
- CXCL1
- CXCL8
- PGLYRP1
- LDHB
- IL-6
- MMP8
- PRTN3
- Amniotic fluid - 90 Women with a short cervix - 1,310 proteins measured using aptamer-based multiplex platform (SOMAmer)
Romero et al. (2008)26 - 39 features identified - Amniotic fluid - 60 PTB
- 59 Term
- SELDI
Hong et al. (2020)19 - VEGFR-1
- Lipocalin-2
- Fc fragment of IgG binding protein
- Amniotic fluid - 139 - 24–326/7 wks - LC-MS
- validation using ELISA

IL, interleukin; ELISA, enzyme-linked immunosorbent assay; PCR, polymerase chain reaction; CRP, C-reactive protein; BMI, body mass index; 2DE, 2-dimensional gel electrophoresis; MS, mass spectrometry; AUC, area under the curve; CI, confidence interval; PPROM, preterm premature rupture of membranes; SELDI, surface enhanced laser desorption ionization; LC, liquid chromatography