Tastekin Ayhan, Ors Rahmi, Demircan Berna, Saricam Zeki, Ingec Metin, Akcay Fatih
Division of Neonatology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Pediatr Int. 2005 Dec;47(6):658-62. doi: 10.1111/j.1442-200x.2005.02146.x.
Oxidative stress may play an important role in the pathophysiology of preeclampsia. An increase in lipid peroxidation products and a decrease in antioxidant activity in preeclamptic women have been reported in many papers. The objective of this study was to evaluate oxidative stress in infants born to preeclamptic mothers.
Malondialdehyde (MDA) and glutathione (GSH) levels and glutathione peroxidase (GPx) and superoxide dismutase (SOD) activities were measured in cord plasma of infants born to preeclamptic (n = 18) or normotensive (n = 9) mothers.
Gestational age was similar in both groups. The mean birth weight was significantly lower in the preeclamptic group (P = 0.007). Maternal age, primigravidity, antenatal steroid use, premature rupture of the membranes, clinical chorioamnionitis and adverse neonatal outcomes including sepsis, respiratory distress syndrome and neonatal mortality did not differ between groups. Cesarean delivery was significantly higher in the preeclamptic group. There was no significant difference in cord plasma levels of MDA and GSH, and activity of GPx between the preeclamptic and control groups. SOD was found to be increased in preeclamptic group (P = 0.03).
We concluded that although cord plasma MDA levels were similar in both the preeclamptic and control groups, increased SOD activity might be an indicator of increased oxidative stress in infants born to preeclamptic mothers.
氧化应激可能在子痫前期的病理生理过程中起重要作用。许多论文报道了子痫前期女性脂质过氧化产物增加和抗氧化活性降低。本研究的目的是评估子痫前期母亲所生婴儿的氧化应激情况。
测定子痫前期母亲(n = 18)或血压正常母亲(n = 9)所生婴儿脐带血中丙二醛(MDA)和谷胱甘肽(GSH)水平以及谷胱甘肽过氧化物酶(GPx)和超氧化物歧化酶(SOD)活性。
两组的孕周相似。子痫前期组的平均出生体重显著较低(P = 0.007)。两组间母亲年龄、初孕情况、产前使用类固醇、胎膜早破、临床绒毛膜羊膜炎以及包括败血症、呼吸窘迫综合征和新生儿死亡在内的不良新生儿结局无差异。子痫前期组剖宫产率显著更高。子痫前期组和对照组脐带血中MDA水平、GSH水平以及GPx活性无显著差异。发现子痫前期组SOD升高(P = 0.03)。
我们得出结论,尽管子痫前期组和对照组脐带血MDA水平相似,但SOD活性增加可能是子痫前期母亲所生婴儿氧化应激增加的一个指标。