The relation of anti-phosphatidylserine/prothrombin antibodies and premature rupture of membranes: A retrospective cohort study

Jie Zhang; Ge Zheng; Liqiong Chen; Xueke Guo; Xia Fang; Wenmei Zhang; Yan Tu; Kexin Sun; Zhuhua Cai

doi:10.1016/j.jri.2024.104421

The relation of anti-phosphatidylserine/prothrombin antibodies and premature rupture of membranes: A retrospective cohort study

J Reprod Immunol. 2024 Dec 24:167:104421. doi: 10.1016/j.jri.2024.104421. Online ahead of print.

Authors

Jie Zhang¹, Ge Zheng², Liqiong Chen¹, Xueke Guo¹, Xia Fang¹, Wenmei Zhang¹, Yan Tu¹, Kexin Sun², Zhuhua Cai³

Affiliations

¹ Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
² Neonate Department, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
³ Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China. Electronic address: caizhuhua12@163.com.

PMID: 39732056
DOI: 10.1016/j.jri.2024.104421

Abstract

Background: Existing literature supports the association between atypical phospholipid antibodies - anti-phosphatidylserine/prothrombin antibodies (aPS/PT) and adverse pregnancy outcomes. This study aimed to investigate the relationship between aPS/PT and premature rupture of membranes (PROM).

Methods: A retrospective cohort study analysis was conducted on 408 pregnant women who had experienced at least one unexplained miscarriage. They were tested for aPS/PT IgM and IgG, and clinical data, test results, and follow-up pregnancy outcomes were collected.

Results: A positive correlation was observed between aPS/PT IgM or IgG and PROM in both single-factor and multi-factor regression analysis. After adjusting for potential confounders, the odds ratio (OR) values for aPS/PT IgM and aPS/PT IgG were 1.03 (95 % CI: 1-1.05, P = 0.025) and 1.03 (95 % CI: 1.01-1.06, P = 0.016) respectively. When aPS/PT was divided in three groups, djusted OR values for aPS/PT IgG of the third tertiles compared to the first tertiles (were 2.11(95 % CI: 1.11-4, P = 0.022). Subgroup analysis supported these findings. Curve fitting revealed a linear relationship between aPS/PT IgM and aPS/PT IgG with PROM.

Conclusion: This study suggests that aPS/PT IgG and aPS/PT IgM are independent risk factors for premature rupture of membranes, with aPS/PT IgG showing a higher significance compared to aPS/PT IgM.

Keywords: Anti-phosphatidylserine/prothrombin antibodies; Pregnancy Outcomes; Premature rupture of membranes.