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The objective of this study was to identify differentially expressed proteins in the cervicovaginal fluid of asymptomatic women before the clinical manifestation of preterm PROM. The preterm PROM group comprised of women with samples collected 6\u201323 days before PROM, who subsequently delivered preterm (n=5). Women who spontaneously delivered at term served as gestation-matched controls (n=10). Two-dimensional difference in-gel electrophoresis was used to distinguish differential expression between the pooled groups and fold changes were subsequently confirmed by two-dimensional PAGE of individual samples. Spots of interest were identified by mass spectrometry. Proteins that were significantly reduced with impending preterm PROM included the following: thioredoxin (2.7-fold), interleukin 1 receptor antagonist (1.7-fold), fatty acid-binding protein 5 (2.1-fold), cystatin A (dimer; 1.9-fold), monocyte\/neutrophil elastase inhibitor (1.6-fold), squamous cell carcinoma antigen-1 (2.1-fold) and \u03b3-glutamyl cyclotransferase (3.0-fold). By contrast, annexin A3 (3.7-fold) and vitamin D binding protein (3.9-fold) were significantly increased with impending preterm PROM. Western blot analysis was also performed on an independent cohort of preterm PROM and control samples to validate these candidate biomarkers. These proteins have known biological functions in oxidative balance, anti-inflammatory activity, metabolism or protease inhibition that may facilitate membrane rupture.<\/jats:p>","DOI":"10.1530\/rep-12-0264","type":"journal-article","created":{"date-parts":[[2012,11,23]],"date-time":"2012-11-23T20:26:15Z","timestamp":1353702375000},"page":"137-147","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-1","source":"Crossref","is-referenced-by-count":23,"title":["Proteomic analysis of human cervicovaginal fluid collected before preterm premature rupture of the fetal membranes"],"prefix":"10.1093","volume":"145","author":[{"given":"Stella","family":"Liong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Royal Brisbane and Women's Hospital Campus \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan K W","family":"Di Quinzio","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Royal Brisbane and Women's Hospital Campus \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujing J","family":"Heng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Royal Brisbane and Women's Hospital Campus \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle","family":"Fleming","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Royal Brisbane and Women's Hospital Campus \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Permezel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Royal Brisbane and Women's Hospital Campus \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory E","family":"Rice","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Mercy Perinatal Research Centre \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 \u00a0 Research Centre for Women's and Infants Health, Mount Sinai Hospital, Toronto, Ontario, Canada and 4 \u00a0 University of Queensland Centre for Clinical Research, Herston, Queensland, Australia"},{"name":"Samuel Lunenfeld Research Institute \u00a0 University of Melbourne, Parkville, Victoria, Australia 2 \u00a0 Mercy Hospital for Women, Heidelberg, Victoria, Australia 3 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