Prooxidant and antioxidant content in capillary blood in preterm birth


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Abstract

Objective: To determine the content of prooxidants and antioxidants in the capillary blood obtained at the same gestation stage from pregnant women who had preterm birth and normal pregnancy. Materials and methods: The study included 47 pregnant women. The main group consisted of 31 patients who had preterm birth and control group included 16 women with a normal pregnancy. The peripheral blood samples were obtained from the patients of both groups at the same gestation stage. The level of reactive oxygen species and antioxidant protection was determined by means of a FORM 3000 device using FORT and FORT kits (Callegari, Italy). The capillary blood was obtained and heparin was used as an anticoagulant. Statistical analysis and plotting were performed using Attestat (Russia), Statistica 10, and OriginPro 8.5 (USA) software. Results: There was an increase in the level of reactive oxygen species (ROS) in the main group in comparison with the control group. Their content in patients with preterm birth and normal pregnancy was 2.51 (2.06; 3.03) mmol/L and 1.22 (1.22; 1.66) mmol/L (p=0.01), respectively. The area under the ROC-curve was 0.90. The content of antioxidants in capillary blood was increased in the control group, namely 1.5 (1.03;2.31) mmol/L; their content was 0.97 (0.35;1.195) mmol/L in women with preterm birth. The area under the ROC-curve was 0.77. The combined measurement of both parameters (reactive oxygen species and antioxidants) showed the greatest significance. The area under the ROC-curve was 0.93. Conclusion: Preterm birth is associated with a systemic inflammatory response syndrome which is known to be accompanied by the development of oxidative stress leading to increased processes of apoptosis and disorders both at the cellular and subcellular levels. It is possible to determine the level of proinflammatory response and predict the development of complications, as well as to evaluate the effectiveness of therapy aimed at prolonging pregnancy by studying the indicators of oxidative stress and antioxidants.

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About the authors

Natalia E. Kan

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of the Russian Federation

Email: kan-med@mailru
Professor, MD, PhD, Deputy Director for Science 117997, Russia, Moscow, Ac. Oparina str., 4

Zalina Kh. Salpagarova

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of the Russian Federation

Email: z.salpagarova1990@yandex.ru
postgraduate student 117997, Russia, Moscow, Ac. Oparina str., 4

Victor L. Tyutyunnik

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of the Russian Federation

Email: tioutiounnik@mail.ru
Professor, MD, PhD; Leading Researcher of Research and Development Service 117997, Russia, Moscow, Ac. Oparina str., 4

Valeriya S. Shchipitsyna

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of the Russian Federation

Email: alexred@list.ru
Junior Researcher of the Cytology Laboratory 117997, Russia, Moscow, Ac. Oparina str., 4

Aleksey M. Krasnyi

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of the Russian Federation

Email: alexred@list.ru
PhD, Head of the Cytology Laboratory 117997, Russia, Moscow, Ac. Oparina str., 4

References

  1. American College of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine. ACOG Obstetric Care Consensus No. 3: Periviable birth. Obstet. Gynecol. 2015; 126(5): e82-e94. https://dx.doi.org/10.1097/AOG.0000000000001105.
  2. Di Renzo G.C., Tosto V., Giardina I. The biological basis and prevention of preterm birth. Best Pract. Res. Clin. Obstet. Gynaecol. 2018; 52: 13-22. https://dx.doi.org/10.1016/j.bpobgyn.2018.01.022.
  3. Белоусова В.С., Стрижаков А.Н., Свитич О.А., Тимохина Е.В., Кукина П.И., Богомазова И.М., Пицхелаури Е.Г. Преждевременные роды: причины, патогенез, тактика. Акушерство и гинекология. 2020; 2: 82-7. https://dx.doi.org/10.18565/aig.2020.2.82-87.
  4. Yellon S.M., Oshiro B.T., Chhaya T.Y., Lechuga T.J., Dias R.M., Burns A.E., Force L., Apostolakis E.M. Remodeling of the cervix and parturition in mice lacking the progesterone receptor B isoform. Biol. Reprod. 2011; 85(3): 498-502. 10.1095/biolreprod.111.091983.
  5. Курчакова Т.А., Тютюнник В.Л., Кан Н.Е., Меджидова М.К., Сироткина Е.А. Про- и антиоскидантная система при преждевременных родах. Акушерство и гинекология. 2016; 5: 20-4. https://dx.doi.org/10.18565/aig.2016.5.20-24.
  6. Fogel I., Pinchuk I., Kupferminc M.J., Lichtenberg D., Fainaru O. Oxidative stress in the fetal circulation does not depend on mode of delivery. Am. J. Obstet. Gynecol. 2005; 193(1): 241-6. https://dx.doi.org/10.1016/j.ajog.2004.10.637.
  7. Sultana Z., Maiti K., Aitken J., Morris J., Dedman L., Smith R. Oxidative stress, placental ageing-related pathologies and adverse pregnancy outcomes. Am. J. Reprod. Immunol. 2017; 77(5). https://dx.doi.org/10.1111/aji.12653.
  8. Dutta E.H., Behnia F., Boldogh I., Saade G.R., Taylor B.D., Kacerovsky M., Menon R. Oxidative stress damage-associated molecular signaling pathways differentiate spontaneous preterm birth and preterm premature rupture of the membranes. Mol. Hum. Reprod. 2016; 22(2): 143-57. https://dx.doi.org/10.1093/molehr/gav074.
  9. Радзинский В.Е., Оразмурадов А.А., Савенкова И.В., Дамирова К.Ф.,Хаддад Х. Преждевременные роды - нерешенная проблема XXI века. Кубанский научный медицинский вестник. 2020; 27(4): 27-37.
  10. Mert I., Oruc A.S., Yuksel S., Cakar E.S., Buyukkagnici U., Karaer A., Danism an N. Role of oxidative stress in preeclampsia and intrauterine growth restriction. J. Obstet. Gynaecol. Res. 2012; 38(4): 658-64. https://dx.doi.org/10.1111/j.1447-0756.2011.01771.x.
  11. Chiba T., Omori A., Takahashi K., Tanaka K., Kudo K., Manabe M. et al. Correlations between the detection of stress-associated hormone/oxidative stress markers in umbilical cord blood and the physical condition of the mother and neonate. J. Obstet. Gynaecol. Res. 2010; 36(5): 958-64. https://dx.doi.org/10.1111/j.1447-0756.2010.01292.x.
  12. Simon-Szabo Z., Fogarasi E., Nemes-Nagy E., Denes L., Croitoru M., Szabo B. Oxidative stress and peripartum outcomes (Review). Exp. Ther. Med. 2021; 22(1): 771. https://dx.doi.org/10.3892/etm.2021.10203.
  13. Grzesiak M., Gaj Z., Kocykowski R., Suliburska J., Oszukowski P., Horzelski W. et al. Oxidative stress in women treated with atosiban for impending preterm birth. Oxid. Med. Cell. Longev. 2018; 2018: 3919106. https://dx.doi.org/10.1155/2018/3919106.
  14. Xu R., Meng X., Pang Y., An H., Wang B., Zhang L. et al. Associations of maternal exposure to 41 metals/metalloids during early pregnancy with the risk of spontaneous preterm birth: Does oxidative stress or DNA methylation play a crucial role? Environ.Int. 2021; 158: 106966. https://dx.doi.org/10.1016/j.envint.2021.106966.
  15. Soydinc H.E., Sak M.E., Evliyaoglu O., Evsen M.S., Turgut A., Özler A. et al. Prolidase, matrix metalloproteinases 1 and 13 activity, oxidative-antioxidative status as a marker of preterm premature rupture of membranes and chorioamnionitis in maternal vaginal washing fluids.Int. J. Med. Sci. 2013; 10(10): 1344-51. https://dx.doi.org/10.7150/ijms.4802.

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