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PHILADELPHIA -- Testing for a pair of cytokines gave better diagnostic accuracy than the standard fetal fibronectin test for premature delivery, based on a study with 115 deliveries.
Elevated levels of interleukin (IL)-6 and tumor necrosis factor (TNF)-[alpha] in cervicovaginal specimens had a better positive predictive value compared with fetal fibronectin (fFN) in a series that included 105 term pregnancies and 10 preterm deliveries, Dr. Ann M. Gronowski said while presenting a poster at the annual meeting of the American Association for Clinical Chemistry.
"These cytokines had performance characteristics that were similar to fFN, and they may serve as cost-effective markers," said Dr. Gronowski, a pathologist at Washington University in St. Louis. Tests for IL-6 and TNF-[alpha] cost about $10 each, compared with a price tag of $119 for the standard fFN assay.
Further study is needed to determine which cytokines have the best predictive value, she added.
The study included women with singleton pregnancies who had symptoms of preterm delivery between 24 and 34 weeks' ...
Source: HighBeam Research, Elevated cytokine levels predicted preterm delivery in study; better...