The development of computational models for assessing the transfer of chemicals across the placental membrane would be of the utmost importance in drug discovery campaigns, in order to develop safe therapeutic options. We have developed a low-dimensional machine learning model capable of classifying compounds according to whether they can cross or not the placental barrier. To this aim, we compiled a database of 248 compounds with experimental information about their placental transfer, characterizing each compound with a set of similar to 5.4 thousand descriptors, including physicochemical properties and structural features. We evaluated different machine learning classifiers and implemented a genetic algorithm, in a five cross validation scheme, to perform feature selection. The optimization was guided towards models displaying a low number of false positives (molecules that actually cross the placental barrier, but are predicted as not crossing it). A Linear Discriminant Analysis model trained with only four structural features resulted to be robust for this task, exhibiting only one false positive case across all testing folds. This model is expected to be useful in predicting placental drug transfer during pregnancy, and thus could be used as a filter for chemical libraries in virtual screening campaigns.
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Carpenter, Kristy A.
Cohen, David S.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Cohen, David S.
Jarrell, Juliet T.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Jarrell, Juliet T.
Huang, Xudong
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
机构:
Univ Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ingn, Pilar, Buenos Aires, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Cavasotto, Claudio N.
Di Filippo, Juan I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ingn, Pilar, Buenos Aires, Argentina
Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
Cavasotto, Claudio N.
Di Filippo, Juan I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Argentina
Univ Austral, Fac Ingn, Pilar, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
Cavasotto, Claudio N.
Aucar, M. Gabriela
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
机构:
Chinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
AlphaMol Sci Ltd, CH-4123 Allschwil, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Chan, H. C. Stephen
Shan, Hanbin
论文数: 0引用数: 0
h-index: 0
机构:
Shanghai Inst Pharmaceut Ind, Shanghai 200040, Peoples R ChinaChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Shan, Hanbin
Dahoun, Thamani
论文数: 0引用数: 0
h-index: 0
机构:
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Dahoun, Thamani
Vogel, Horst
论文数: 0引用数: 0
h-index: 0
机构:
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Vogel, Horst
Yuan, Shuguang
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Chen, Hongming
Engkvist, Ola
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Engkvist, Ola
Wang, Yinhai
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca, Innovat Med & Early Dev Biotech Unit, Discovery Sci, Quantitat Biol, Unit 310,Cambridge Sci Pk,Milton Rd, Cambridge CB4 0WG, EnglandAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Wang, Yinhai
Olivecrona, Marcus
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Olivecrona, Marcus
Blaschke, Thomas
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
机构:
Univ Calif San Diego, Skaggs Sch Pharm & Pharmaceut Sci, La Jolla, CA 92093 USA
Univ Calif San Diego, Dept Pediat, Sch Med, Rady Childrens Hosp San Diego, San Diego, CA 92103 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Best, Brookie M.
Mirochnick, Mark
论文数: 0引用数: 0
h-index: 0
机构:
Boston Univ, Sch Med, Boston, MA 02118 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Mirochnick, Mark
Momper, Jeremiah D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Diego, Skaggs Sch Pharm & Pharmaceut Sci, La Jolla, CA 92093 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Momper, Jeremiah D.
Abrams, Elaine
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Mailman Sch Publ Hlth, New York, NY USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Abrams, Elaine
Penazzato, Martina
论文数: 0引用数: 0
h-index: 0
机构:
World Hlth Org, HIV Hepatitis & STI Dept, Geneva, SwitzerlandJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Penazzato, Martina
Cressey, Tim R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Liverpool, Dept Mol & Clin Pharmacol, Liverpool, Merseyside, England
Chiang Mai Univ, Fac Associated Med Sci, PHPT IRD 174, Chiang Mai, Thailand
Harvard TH Chan Sch Publ Hlth, Dept Immunol & Infect Dis, Boston, MA USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Cressey, Tim R.
Colbers, Angela
论文数: 0引用数: 0
h-index: 0
机构:
Radboud Univ Nijmegen, Radboud Inst Hlth Sci, Dept Pharm, Med Ctr, Geert Grootepl Zuid 10, NL-6525 GA Nijmegen, NetherlandsJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Carpenter, Kristy A.
Cohen, David S.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Cohen, David S.
Jarrell, Juliet T.
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Jarrell, Juliet T.
Huang, Xudong
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
Harvard Med Sch, Charlestown, MA 02129 USAMassachusetts Gen Hosp, Dept Psychiat, Neurochem Lab, Charlestown, MA 02129 USA
机构:
Univ Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ingn, Pilar, Buenos Aires, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Cavasotto, Claudio N.
Di Filippo, Juan I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, Computat Drug Design & Biomed Informat Lab, Translat Med Res Inst IIMT, CONICET, Pilar, Buenos Aires, Argentina
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Buenos Aires, Argentina
Univ Austral, Fac Ingn, Pilar, Buenos Aires, Argentina
Austral Inst Appl Artificial Intelligence, Pilar, Buenos Aires, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
Cavasotto, Claudio N.
Di Filippo, Juan I.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Buenos Aires, Argentina
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
Univ Austral, Fac Ciencias Biomed, Pilar, Argentina
Univ Austral, Fac Ingn, Pilar, Argentina
Univ Austral, Austral Inst Appl Artificial Intelligence, Pilar, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
Cavasotto, Claudio N.
Aucar, M. Gabriela
论文数: 0引用数: 0
h-index: 0
机构:
Univ Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, ArgentinaUniv Austral, CONICET, Translat Med Res Inst IIMT, Computat Drug Design & Biomed Informat Lab, Pilar, Argentina
机构:
Chinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
AlphaMol Sci Ltd, CH-4123 Allschwil, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Chan, H. C. Stephen
Shan, Hanbin
论文数: 0引用数: 0
h-index: 0
机构:
Shanghai Inst Pharmaceut Ind, Shanghai 200040, Peoples R ChinaChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Shan, Hanbin
Dahoun, Thamani
论文数: 0引用数: 0
h-index: 0
机构:
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Dahoun, Thamani
Vogel, Horst
论文数: 0引用数: 0
h-index: 0
机构:
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
Vogel, Horst
Yuan, Shuguang
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
AlphaMol Sci Ltd, CH-4123 Allschwil, Switzerland
Ecole Polytech Fed Lausanne, Inst Chem Sci & Engn ISIC, CH-1015 Lausanne, SwitzerlandChinese Acad Sci, Res Ctr Comp Aided Drug Discovery, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Chen, Hongming
Engkvist, Ola
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Engkvist, Ola
Wang, Yinhai
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca, Innovat Med & Early Dev Biotech Unit, Discovery Sci, Quantitat Biol, Unit 310,Cambridge Sci Pk,Milton Rd, Cambridge CB4 0WG, EnglandAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Wang, Yinhai
Olivecrona, Marcus
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
Olivecrona, Marcus
Blaschke, Thomas
论文数: 0引用数: 0
h-index: 0
机构:
AstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, SwedenAstraZeneca R&D Gothenburg, Innovat Med & Early Dev Biotech Unit, Hit Discovery, Discovery Sci, S-43183 Molndal, Sweden
机构:
Univ Calif San Diego, Skaggs Sch Pharm & Pharmaceut Sci, La Jolla, CA 92093 USA
Univ Calif San Diego, Dept Pediat, Sch Med, Rady Childrens Hosp San Diego, San Diego, CA 92103 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Best, Brookie M.
Mirochnick, Mark
论文数: 0引用数: 0
h-index: 0
机构:
Boston Univ, Sch Med, Boston, MA 02118 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Mirochnick, Mark
Momper, Jeremiah D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Diego, Skaggs Sch Pharm & Pharmaceut Sci, La Jolla, CA 92093 USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Momper, Jeremiah D.
Abrams, Elaine
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Mailman Sch Publ Hlth, New York, NY USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Abrams, Elaine
Penazzato, Martina
论文数: 0引用数: 0
h-index: 0
机构:
World Hlth Org, HIV Hepatitis & STI Dept, Geneva, SwitzerlandJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Penazzato, Martina
Cressey, Tim R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Liverpool, Dept Mol & Clin Pharmacol, Liverpool, Merseyside, England
Chiang Mai Univ, Fac Associated Med Sci, PHPT IRD 174, Chiang Mai, Thailand
Harvard TH Chan Sch Publ Hlth, Dept Immunol & Infect Dis, Boston, MA USAJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA
Cressey, Tim R.
Colbers, Angela
论文数: 0引用数: 0
h-index: 0
机构:
Radboud Univ Nijmegen, Radboud Inst Hlth Sci, Dept Pharm, Med Ctr, Geert Grootepl Zuid 10, NL-6525 GA Nijmegen, NetherlandsJohns Hopkins Univ, Dept Gynecol & Obstet, Div Maternal Fetal Med, Sch Med, 600N Wolfe St,Phipps 215, Baltimore, MD 21287 USA