Sex-specific differences in the concentration of tubular parameters in the amniotic fluid of second trimester fetuses

ABSTRACT Objective Renal dysplasia and obstructive uropathy are more common in males and are associated with an increased tubular loss of electrolytes. We aimed to compare the midtrimester concentration of tubular parameters in the prenatal period between healthy male and female fetuses. Methods Amn...

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Veröffentlicht in:Prenatal diagnosis 2012-05, Vol.32 (5), p.476-479
Hauptverfasser: Tzschoppe, Anja, Rauh, Manfred, Goecke, Tamme W., Yazdi, Britta, Hart, Nicola, Siemer, Jörn, Schild, Ralf L., Dötsch, Jörg
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container_end_page 479
container_issue 5
container_start_page 476
container_title Prenatal diagnosis
container_volume 32
creator Tzschoppe, Anja
Rauh, Manfred
Goecke, Tamme W.
Yazdi, Britta
Hart, Nicola
Siemer, Jörn
Schild, Ralf L.
Dötsch, Jörg
description ABSTRACT Objective Renal dysplasia and obstructive uropathy are more common in males and are associated with an increased tubular loss of electrolytes. We aimed to compare the midtrimester concentration of tubular parameters in the prenatal period between healthy male and female fetuses. Methods Amniotic fluid was collected at 16 weeks of gestation at the time of genetic amniocentesis. The concentration of sodium, chloride, potassium, calcium, phosphate, magnesium, α1‐microglobulin, creatinine and urea was determined in the amniotic fluid of 92 male and 108 female fetuses. Results The concentration of sodium, chloride and calcium was not significantly higher in male than in female fetuses. In contrast, the concentration of potassium (p = 0.01), phosphate (p = 0.04), magnesium (p = 0.04) and α1‐microglobulin (p = 0.04) was significantly increased in the amniotic fluid of male fetuses. The concentration of electrolytes correlated to the concentration of creatinine, urea and α1‐microglobulin. Conclusion The concentration of specific tubular parameters in the amniotic fluid was higher in male compared with female fetuses. Whether this might point to sex‐specific differences in tubular function in second trimester fetuses or reflect glomerular filtration or other interfering factors remains speculative. © 2012 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/pd.3846
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We aimed to compare the midtrimester concentration of tubular parameters in the prenatal period between healthy male and female fetuses. Methods Amniotic fluid was collected at 16 weeks of gestation at the time of genetic amniocentesis. The concentration of sodium, chloride, potassium, calcium, phosphate, magnesium, α1‐microglobulin, creatinine and urea was determined in the amniotic fluid of 92 male and 108 female fetuses. Results The concentration of sodium, chloride and calcium was not significantly higher in male than in female fetuses. In contrast, the concentration of potassium (p = 0.01), phosphate (p = 0.04), magnesium (p = 0.04) and α1‐microglobulin (p = 0.04) was significantly increased in the amniotic fluid of male fetuses. The concentration of electrolytes correlated to the concentration of creatinine, urea and α1‐microglobulin. Conclusion The concentration of specific tubular parameters in the amniotic fluid was higher in male compared with female fetuses. Whether this might point to sex‐specific differences in tubular function in second trimester fetuses or reflect glomerular filtration or other interfering factors remains speculative. © 2012 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.3846</identifier><identifier>PMID: 22511119</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Amniotic Fluid - metabolism ; Biomarkers - metabolism ; Female ; Fetal Diseases - diagnosis ; Humans ; Infant, Newborn ; Kidney Tubules - metabolism ; Male ; Pregnancy ; Pregnancy Trimester, Second ; Reference Values ; Sex Characteristics ; Urologic Diseases - diagnosis</subject><ispartof>Prenatal diagnosis, 2012-05, Vol.32 (5), p.476-479</ispartof><rights>2012 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3556-cf347fa933856cd56ad109770c3b8ae7bb2e654b3bac5718f5f177f5e7d2da843</citedby><cites>FETCH-LOGICAL-c3556-cf347fa933856cd56ad109770c3b8ae7bb2e654b3bac5718f5f177f5e7d2da843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.3846$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.3846$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22511119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tzschoppe, Anja</creatorcontrib><creatorcontrib>Rauh, Manfred</creatorcontrib><creatorcontrib>Goecke, Tamme W.</creatorcontrib><creatorcontrib>Yazdi, Britta</creatorcontrib><creatorcontrib>Hart, Nicola</creatorcontrib><creatorcontrib>Siemer, Jörn</creatorcontrib><creatorcontrib>Schild, Ralf L.</creatorcontrib><creatorcontrib>Dötsch, Jörg</creatorcontrib><title>Sex-specific differences in the concentration of tubular parameters in the amniotic fluid of second trimester fetuses</title><title>Prenatal diagnosis</title><addtitle>Prenat Diagn</addtitle><description>ABSTRACT Objective Renal dysplasia and obstructive uropathy are more common in males and are associated with an increased tubular loss of electrolytes. We aimed to compare the midtrimester concentration of tubular parameters in the prenatal period between healthy male and female fetuses. Methods Amniotic fluid was collected at 16 weeks of gestation at the time of genetic amniocentesis. The concentration of sodium, chloride, potassium, calcium, phosphate, magnesium, α1‐microglobulin, creatinine and urea was determined in the amniotic fluid of 92 male and 108 female fetuses. Results The concentration of sodium, chloride and calcium was not significantly higher in male than in female fetuses. In contrast, the concentration of potassium (p = 0.01), phosphate (p = 0.04), magnesium (p = 0.04) and α1‐microglobulin (p = 0.04) was significantly increased in the amniotic fluid of male fetuses. The concentration of electrolytes correlated to the concentration of creatinine, urea and α1‐microglobulin. Conclusion The concentration of specific tubular parameters in the amniotic fluid was higher in male compared with female fetuses. 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We aimed to compare the midtrimester concentration of tubular parameters in the prenatal period between healthy male and female fetuses. Methods Amniotic fluid was collected at 16 weeks of gestation at the time of genetic amniocentesis. The concentration of sodium, chloride, potassium, calcium, phosphate, magnesium, α1‐microglobulin, creatinine and urea was determined in the amniotic fluid of 92 male and 108 female fetuses. Results The concentration of sodium, chloride and calcium was not significantly higher in male than in female fetuses. In contrast, the concentration of potassium (p = 0.01), phosphate (p = 0.04), magnesium (p = 0.04) and α1‐microglobulin (p = 0.04) was significantly increased in the amniotic fluid of male fetuses. The concentration of electrolytes correlated to the concentration of creatinine, urea and α1‐microglobulin. Conclusion The concentration of specific tubular parameters in the amniotic fluid was higher in male compared with female fetuses. Whether this might point to sex‐specific differences in tubular function in second trimester fetuses or reflect glomerular filtration or other interfering factors remains speculative. © 2012 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>22511119</pmid><doi>10.1002/pd.3846</doi><tpages>4</tpages></addata></record>
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subjects Amniotic Fluid - metabolism
Biomarkers - metabolism
Female
Fetal Diseases - diagnosis
Humans
Infant, Newborn
Kidney Tubules - metabolism
Male
Pregnancy
Pregnancy Trimester, Second
Reference Values
Sex Characteristics
Urologic Diseases - diagnosis
title Sex-specific differences in the concentration of tubular parameters in the amniotic fluid of second trimester fetuses
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