Taşkin Salih, Taşkin Elif Aylin, Seval Mehmet Murat, Atabekoğlu Cem Somer, Berker Bulent, Söylemez Feride
Department of Obstetrics and Gynecology, Ankara University Faculty of Medicine, Ankara, Turkey.
J Perinat Med. 2009;37(1):32-5. doi: 10.1515/JPM.2009.013.
We investigated the correlation between pregnancy-related hormones and serum adenosine deaminase (indicator of cellular immunity) level in women with hyperemesis gravidarum.
Twenty patients with hyperemesis gravidarum and 20 normal pregnancies were included in this prospective, case-control study. Serum adenosine deaminase levels, hematological parameters (white blood cells, neutrophil, monocyte and lymphocyte counts) and hormone levels (prolactin, progesterone, thyroid stimulating hormone, human chorionic gonadotropin beta subunit, estradiol (E2)) were measured in all women. Interrelations of blood cell counts and hormone levels with serum adenosine deaminase levels were also investigated.
Serum adenosine deaminase, human chorionic gonadotropin beta subunit, thyroid stimulating hormone, E2, progesterone and prolactin levels, and lymphocyte and monocyte counts in women with hyperemesis gravidarum were significantly higher than in controls but white blood cells, neutrophil, T3 and T4 levels were not different. Serum adenosine deaminase level correlated with E2, progesterone, lymphocyte, and monocyte levels for all patients.
Elevated serum adenosine deaminase in patients with hyperemesis gravidarum may relate to high levels of E2 and progesterone.
我们研究了妊娠剧吐女性体内妊娠相关激素与血清腺苷脱氨酶(细胞免疫指标)水平之间的相关性。
这项前瞻性病例对照研究纳入了20例妊娠剧吐患者和20例正常妊娠女性。检测了所有女性的血清腺苷脱氨酶水平、血液学参数(白细胞、中性粒细胞、单核细胞和淋巴细胞计数)以及激素水平(催乳素、孕酮、促甲状腺激素、人绒毛膜促性腺激素β亚基、雌二醇(E2))。还研究了血细胞计数和激素水平与血清腺苷脱氨酶水平之间的相互关系。
妊娠剧吐女性的血清腺苷脱氨酶、人绒毛膜促性腺激素β亚基、促甲状腺激素、E2、孕酮和催乳素水平,以及淋巴细胞和单核细胞计数均显著高于对照组,但白细胞、中性粒细胞、T3和T4水平无差异。所有患者的血清腺苷脱氨酶水平与E2、孕酮、淋巴细胞和单核细胞水平相关。
妊娠剧吐患者血清腺苷脱氨酶升高可能与高水平的E2和孕酮有关。