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[妊娠早期高级氧化蛋白产物(AOPP)水平]

[Levels of advanced oxidation protein products (AOPP) in the first trimester of pregnancy].

作者信息

Fialová L, Kalousová M, Soukupová J, Malbohan I, Krofta L, Mikulíková L, Horejsová H, Stípek S, Zima T

机构信息

Ustav lékarské biochemie, Katerinská 32, 121 08 Praha 2, Czech Republic.

出版信息

Sb Lek. 2003;104(1):95-102.

Abstract

Advanced oxidation protein products (AOPP) may be sensitive biomarkers for protein damage mediated by reactive oxygen species. AOPP were measured in the serum of 41 pregnant women in the 8th-12th week of pregnancy. Parameters of prenatal screening in the first trimester (pregnancy-associated plasma protein A--PAPP-A and free beta human chorionic gonadotrophin--free beta HCG) and anticardiolipin antibodies (ACA) IgG and IgM were determined as well. A group of healthy blood donors--women and men was used for comparison. AOPP were determined spectrophotometrically according to Witko-Sarsat [24] (absorbance at 340 nm) and were expressed in chloramine units (mumol/l). Other analytes were determined by immunoanalytic methods. AOPP levels in pregnant women in the first trimester are significantly higher in comparison with blood donors--women (89.46 +/- 33.38 mumol/l vs 57.34 +/- 16.31 mumol/l, p < 0.0001) but there is no statistically significant difference between pregnant women and blood donors--men (89.46 +/- 33.38 mumol/l vs 78.60 +/- 44.01 mumol/l). AOPP level does not correlate either with the age of pregnant women or with the parameters of prenatal screening and ACA IgG and IgM. Higher levels of AOPP in the serum of pregnant women in comparison with women--blood donors may reflect an increase of oxidative stress in pregnancy.

摘要

高级氧化蛋白产物(AOPP)可能是由活性氧介导的蛋白质损伤的敏感生物标志物。对41名怀孕8至12周的孕妇血清进行了AOPP检测。同时还测定了孕早期的产前筛查参数(妊娠相关血浆蛋白A——PAPP-A和游离β人绒毛膜促性腺激素——游离β-HCG)以及抗心磷脂抗体(ACA)IgG和IgM。选取一组健康献血者(包括女性和男性)作为对照。根据Witko-Sarsat [24]的方法,采用分光光度法测定AOPP(在340nm处的吸光度),并以氯胺单位(μmol/l)表示。其他分析物通过免疫分析方法测定。孕早期孕妇的AOPP水平与女性献血者相比显著更高(89.46±33.38μmol/l对57.34±16.31μmol/l,p<0.0001),但孕妇与男性献血者之间无统计学显著差异(89.46±33.38μmol/l对78.60±44.01μmol/l)。AOPP水平与孕妇年龄以及产前筛查参数和ACA IgG及IgM均无相关性。与女性献血者相比,孕妇血清中较高的AOPP水平可能反映了孕期氧化应激的增加。

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