Search for new markers for preeclampsia


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Abstract

Objective. To def ine the possible role of presepsin (PSP), a new highly sensitive and highly specific marker for systemic inflammatory response and sepsis, in predicting preeclampsia (PE). Subjects and methods. The investigation enrolled 48 women. A study group included patients with hypertensive disorders: preeclampsia (early and late), preeclampsia in the presence of chronic hypertension (CH), and CH. Results. Comparison of PSP levels revealed no significant differences between the groups. What was more, the level of PSP did not correlate with the laboratory parameters of inflammation, which apparently points to the fact that the inflammatory process is inadequately pronounced in the study women. Conclusion. In patients with PE, the systemic inflammatory response has probably other developmental mechanisms unassociated with PSP. There is a need for further investigations searching for the molecular determinants with PE.

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About the authors

Kamilla T. Muminova

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: kamika91@mail.ru
clinical intern

Olga V. Vavina

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: olchik0788@mail.ru
a graduate student

Eugeniya S. Polushkina

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: epolushkina@mail.ru
Researcher

Tatiana Yu. Ivanets

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

PhD, Head of Research and Diagnostic Laboratory

Julia V. Bezzubenko

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: kamika91@mail.ru
doctor of scientific and diagnostic laboratories

Svetlana O. Strokova

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: kamika91@mail.ru
physician of clinical and laboratory diagnostics, laboratory for collection and storage of biomaterials

Roman G. Shmakov

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

MD, chief medical officer

Zulfiya S. Khodzhaeva

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: zkhodjaeva@mail.ru
MD, Professor, Chief Scientific Officer of 1st obstetric department of pathology of pregnancy

References

  1. Pauli J.M., Repke J.T. Pre-eclampsia: short-term and long-term implications. Obstet. Gynecol. Clin. North Am. 2015; (42(2): 299-313.
  2. Mol B.W., Roberts C.T., Thangaratinam S., Magee L.A., de Groot C.J., Hofmeyr G.J. Pre-eclampsia. Lancet. 2015; 387(10022): 999-1011.
  3. Redman C. Pre-eclampsia: a complex and variable disease. Pregnancy Hypertens. 2014; 4(3): 241-2.
  4. Valensise H., Vasapollo B., Gagliardi G., Novelli G.P Early and late preeclampsia. Two different maternal hemodynamic states in the latent phase of the disease. Hypertension. 2008; 52(5): 873-80.
  5. Lisonkova S., Sabr Y., Mayer C., Young C., Skoll A., Joseph K.S. Maternal morbidity associated with early-onset and late-onset preeclampsia. Obstet. Gynecol. 2014; 124(4): 771-81.
  6. Raymond D., Peterson E. A critical review of early-onset and late-onset preeclampsia. Obstet. Gynecol. Surv. 2011; 66(8): 497-506.
  7. Tranquilli A.L. Early and late-onset pre-eclampsia. Pregnancy Hypertens. 2014; 4(3): 241.
  8. Turpin C.A., Sakyi S.A., Owiredu W.K., Ephraim R.K., Anto E.O. Association between adverse pregnancy outcome and imbalance in angiogenic regulators and oxidative stress biomarkers in gestational hypertension and preeclampsia. BMC Pregnancy Childbirth. 2015; 15: 189.
  9. Mihu D., Razvan C., Malutan A., Mihaela C. Evaluation of maternal systemic inflammatory response in preeclampsia. Taiwan J. Obstet. Gynecol. 2015; 54(2): 160-6.
  10. Southcombe J.H., Redman C.W., Sargent I.L., Granne I. Interleukin-1 family cytokines and their regulatory proteins in normal pregnancy and pre-eclampsia. Clin. Exp. Immunol. 2015; 181(3): 480-90.
  11. Moreno-Eutimio M.A., Tovar-Rodríguez J.M., Vargas-Avila K., Nieto-Velázquez N.G., Frías-De-León M.G., Sierra-Martinez M., Acosta-Altamirano G. Increased serum levels of inflammatory mediators and low frequency of regulatory T cells in the peripheral blood of preeclamptic Mexican women. Biomed. Res. Int. 2014; 2014: 413249.
  12. Estensen M.E., Grindheim G., Remme E.W., Godang K., Henriksen T., Aukrust P. Elevated inflammatory markers in preeclamptic pregnancies, but no relation to systemic arterial stiffness. Pregnancy Hypertens. 2015; 5(4): 325-9.
  13. Molvarec A., Czegle I., Szijártó J., Rigó J. Jr. Increased circulating interleukin-17 levels in preeclampsia. J. Reprod. Immunol. 2015; 112(1): 53-7.
  14. Cemgil Arikan D., Aral M., Coskun A., Ozer A. Plasma IL-4, IL-8, IL-12, interferon-у and CRP levels in pregnant women with preeclampsia, and their relation with severity of disease and fetal birth weight. J. Matern. Fetal Neonatal Med. 2012; 25(9): 1569-73.
  15. Guven M.A., Coskun A., Ertas I.E., Aral M., Zencirci B., Oksuz H. Association of maternal serum CRP, IL-6, TNF-alpha, homocysteine, folic acid and vitamin B12 levels with the severity of preeclampsia and fetal birth weight. Hypertens. Pregnancy. 2009; 28(2): 190-200.
  16. Tosun M., Celik H., Avci B., Yavuz E., Alper T., Malatyalioglu E. Maternal and umbilical serum levels of interleukin-6, interleukin-8, and tumor necrosis factoralpha in normal pregnancies and in pregnancies complicated by preeclampsia. J. Matern. Fetal Neonatal Med. 2010; 23(8): 880-6.
  17. Mihălceanu E., Nemescu D., Gavrilut M., Dimitriu D.C., Pangal A., Onofriescu M. The correlation between markers of systemic inflammation and angiogenic markers in pre-eclampsia. Rev. Med. Chir. Soc. Med. Nat. Iasi. 2015; 119(2): 473-83.
  18. Udenze I., Amadi C., Awolola N., Makwe C.C. The role of cytokines as inflammatory mediators in preeclampsia. Pan Afr. Med. J. 2015; 20: 219.
  19. Andraweera P.H., Dekker G.A., Jayasekara R.W., Dissanayake V.H., Roberts C.T. Polymorphisms in the inflammatory pathway genes and the risk of preeclampsia in Sinhalese women J. Matern. Fetal Neonatal Med. 2016; 29(7): 1072-6.
  20. Mastrolia S.A., Mazor M., Holcberg G., Leron E., Beharier O., Loverro G., Erez O. The physiologic anticoagulant and anti-inflammatory role of heparins and their utility in the prevention of pregnancy complications. Thromb. Haemost. 2015; 113(6): 1236-46.
  21. Guerby P., Vidal F., Garoby-Salom S., Vayssiere C., Salvayre R., Parant O., Negre-Salvayre A. Oxidative stress and preeclampsia: a review. Gynecol. Obstet. Fertil. 2015; 43(11): 751-6.
  22. Walsh S.W. Maternal-placental interactions of oxidative stress and antioxidants in preeclampsia. Semin. Reprod. Endocrinol. 1998; 16(1): 93-104.
  23. Hubel C.A. Oxidative stress in the pathogenesis of preeclampsia. Proc. Soc. Exp. Biol. Med. 1999; 222(3): 222-35.
  24. Prucha M., Bellingan G., Zazula R. Sepsis biomarkers. Clin. Chim. Acta. 2015; 440: 97-103.
  25. Sandquist M., Wong H.R. Biomarkers of sepsis and their potential value in diagnosis, prognosis and treatment. Expert Rev. Clin. Immunol. 2014; 10(10): 1349-56.
  26. Akaishi R., Yamada T., Nakabayashi K., Nishihara H., Furuta I., Kojima T. et al. Autophagy in the placenta of women with hypertensive disorders in pregnancy. Placenta. 2014; 35(12): 974-80.
  27. Lampé R., Kövér Á., Szűcs S., Pál L., Árnyas E., Ádány R., Póka R. Phagocytic index of neutrophil granulocytes and monocytes in healthy and preeclamptic pregnancy. J. Reprod. Immunol. 2015; 107(1): 26-30.
  28. Tsukimori K1., Fukushima K., Tsushima A., Nakano H. Generation of reactive oxygen species by neutrophils and endothelial cell injury in normal and preeclamptic pregnancies. Hypertension. 2005; 46(4): 696-700.
  29. Lampé R. Superoxide-anion production by neutrophil granulocytes in healthy and preeclamptic pregnant women. Orv. Hetil. 2012; 153(11): 425-34.
  30. Wu J., Hu L., Zhang G., Wu F., He T. Accuracy of presepsin in sepsis diagnosis: a systematic review and meta-analysis. PLoS One. 2015; 10(7): e0133057.
  31. Duhig K.E., Shennan A.H. Recent advances in the diagnosis and management of pre-eclampsia. F1000prime rep. 2015; 7: 24.

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