Cell adhesion molecule expression by phagocytes as a criterion for the differential diagnosis of hypertensive disorders in pregnant women


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To propose new differential diagnostic criteria for arterial hypertension (AH) on the basis of an investigation of cell adhesion molecule expression by venous blood neutrophils and monocytes in pregnant women with different forms of this condition. Subjects and methods. Fifty women with preeclampsia (PE), 36 with chronic AH (CAH), 33 with CAH added by PE, and 45 control women were examined. Flow cytofluometry was used to determine the levels of CD11b +, CD49b +, CD99 + monocytes and neutrophils. Results. As compared to the control group, the patients with PE were found to have elevated CD49b + neutrophil levels; those with CAH had higher CH99 + neutrophils and lower CD11b + monocytes; those with CAH and PE had increased CD99 + and CD49 + neutrophil concentrations. The examined indicators are of informative value in the differential diagnosis of hypertensive disorders in pregnant women. Conclusion. The determination of the levels of CD11b +, CD49b +, CD99 + monocytes and neutrophils may be used as an additional diagnostic criterion in identifying the type of AH in pregnant women.

Full Text

Restricted Access

About the authors

Irina Aleksandrovna Panova

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: ia_panova@mail.ru
doctor of medical sciences, head of Department of obstetrics and gynecology

Anna Vladimirovna Kudryashova

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: niimid.immune@mail.ru
doctor of biological sciences, senior researcher of the laboratory of clinical immunology

Anna Ivanovna Malyshkina

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: niimid@ivnet.ru
doctor of medical sciences, Director

Darya Alexandrovna Khlipunova

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: da_shutka_xa@mail.ru
postgraduate student in obstetrics and gynecology

Elena Arkadyevna Rokotyanskaya

V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health of Russia

Email: rokotyanskaya.ea@mail.ru
candidate of medical Sciences, scientific co-employees of the Department of obstetrics and gynecology

References

  1. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.: Министерство здравоохранения Российской Федерации, Департамент анализа, прогноза, развития здравоохранения и медицинской науки, ФГБУ «Центральный научно-исследовательский институт организации и информатизации здравоохранения Минздравсоцразвития Российской Федерации»; 2012. [Key indicators of maternal and child health, child welfare service activities and obstetrics in the Russian Federation. M.: The Ministry of Health of the Russian Federation, Department of analysis, forecasting, development of health and medical science, the State Organization „Central Research Institute of organization and informatization of Health Ministry of Health of the Russian Federation”; 2012. (in Russian)]
  2. Макаров О.В., Волкова Е.В., Джохадзе Л.С. Клинические аспекты преэклампсии. Российский вестник акушера-гинеколога. 2011; 11(4): 29-35. [Makarov O.V., Volkova E.V., Dzhohadze L.S. Clinical aspects of pre-eclampsia. Rossiyskiy vestnik akushera-ginekologa. 2011; 11(4): 29-35. (in Russian)]
  3. Сухих Г.Т., Ходжаева З.С., Филиппов О.С., Адамян Л.В., Краснопольский В.И., Серов В.Н., Сидорова И.С. Федеральные клинические рекоменда-ции.Гипертензивныерасстройствавовремябеременности,вродахипос-леродовом периоде. Преэклампсия. Эклампсия. М.: Российское общество акушеров-гинекологов; 2013. 85с. [Sukhikh G.T., Khodzhaeva Z.S., Filippov O.S., Adamyan L.V., Krasnopolskiy V.I., Serov V.N., Sidorova I.S.Federal clinical guidelines. Hypertensive disorders in pregnancy, childbirth and the postpartum period. Preeclampsia. Eclampsia. Moscow: Russian Society of Obstetricians and Gynecologists; 2013. 85 p. (in Russian)]
  4. Посисеева Л.В., Сотникова Н.Ю., Панова И.А., Кудряшова А.В., Анциферова Ю.С., Кулида Л.В. Иммунные механизмы развития гес-тоза. Иваново: «Издательство «Иваново»; 2008. 240с. [Posiseeva L.V., Sotnikova N.Yu., Panova I.A., Kudryashova A.V., Antsiferova Yu.S., Kulida L.V. Immune mechanisms of preeclampsia. Ivanovo: «Izdatelstvo «Ivanovo»; 2008. 240 p. (in Russian)]
  5. Кудряшова А.В., Сотникова Н.Ю., Панова И.А., Кадырова Л.В. Дифференцировка клеток памяти в популяции Т-хелперов при неосложненной беременности и преэклампсии. Журнал акушерства и женских болезней. 2013; 62(2): 110-6. Kudryashova A.V., Sotnikova N.Yu., Panova I.A., Kadyirova L.V. Differentiation of memory cells in a population of T-helper cells in uncomplicated pregnancy and preeclampsia. Zhurnal akusherstva i zhenskih bolezney. 2013; 62(2): 110-6. (in Russian)]
  6. De Ciuceis C., Rossini C., La Boria E., Porteri E., Petroboni B., Gavazzi A. et al. Immune mechanisms in hypertension. High Blood Press. Cardiovasc. Prev. 2014; 21(4): 227-34.
  7. Davila R.D., Julian C.G., Browne V.A., Toledo-Jaldin L., Wilson M.J., Rodriguez A. et al. Role of cytokines in altitude-associated preeclampsia. Pregnancy Hypertens. 2012; 2(1): 65-70.
  8. Lee S.M., Romero R., Lee Y.J., Park I.S., Park C.W., Yoon B.H. Systemic inflammatory stimulation by microparticles derived from hypoxic trophoblast as a model for inflammatory response in preeclampsia. Am. J. Obstet. Gynecol. 2012; 207(4): 337-45. e1-8.
  9. Filip M., Maciag J., Nosalski R., Korbut R., Guzik T. Endothelial dysfunction related to oxidative stress and inflammation in perivascular adipose tissue. Postepy Biochem. 2012; 58(2): 186-94.
  10. Harrison D.G., Marvar P.J., Titze J.M. Vascular inflammatory cells in hypertension. Front. Physiol. 2012; 3: 128.
  11. van der Post J.A., Lok C.A., Boer K., Sturk A., Sargent I.L., Nieuwland R. The functions of microparticles in pre-eclampsia. Semin. Thromb. Hemost. 2011; 37(2): 146-52.
  12. Conde-Agudelo A., Villar J., Lindheimer M. Maternal infection and risk of preeclampsia: systematic review and meta-analysis. Am. J. Obstet. Gynecol. 2008; 198(1): 7-22.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies