Department of Obstetrics and Gynecology, Ankara Dr Zekai Tahir Burak Women Health Teaching and Research Hospital, 7.Cadde 70 A/14, 06490, Bahcelievler, Ankara, Turkey.
Arch Gynecol Obstet. 2010 Jun;281(6):995-8. doi: 10.1007/s00404-009-1192-z. Epub 2009 Jul 29.
Increasing evidences support the participation of adipokines in the pathogenesis of preeclampsia (PE). Visfatin is a novel adipokine secreted by fat tissue and macrophages and is involved in the regulation of glucose homeostasis. Our aim is to investigate visfatin levels in women with PE, women with the third trimester of normal pregnancy and healthy non-pregnant women.
We included 32 preeclamptic patients who received antenatal and obstetric care at Perinatology Clinic. A total of 32 pregnant women with normal ongoing pregnancies and 32 non-pregnant women were taken as the control groups. Plasma levels of visfatin were quantified by ELISA.
Plasma levels of visfatin were 63.8 +/- 4.9 ng/ml in women with PE, 43.6 +/- 7.8 ng/ml in pregnant control and 31.6 +/- 4.2 ng/ml in the non-pregnant control, respectively (P < 0.001). Visfatin level was significantly higher in PE compared with non-pregnant control (P < 0.001) and pregnant control (P < 0.001); also, plasma level of visfatin was significantly higher in severe PE (75.3 +/- 4.6 ng/ml) than mild PE (41.8 +/- 5.2 ng/ml) (P < 0.001).
The results of the present study indicate that women with PE had significantly increased visfatin concentrations in the third trimester. Furthermore, visfatin levels were significantly higher in severe PE group.
越来越多的证据支持脂肪因子参与子痫前期(PE)的发病机制。内脂素是一种由脂肪组织和巨噬细胞分泌的新型脂肪因子,参与葡萄糖稳态的调节。我们的目的是研究子痫前期患者、正常妊娠晚期孕妇和健康未孕妇女的内脂素水平。
我们纳入了 32 名在围产医学诊所接受产前和产科护理的子痫前期患者。共纳入 32 名正常妊娠且继续妊娠的孕妇和 32 名未孕妇女作为对照组。通过 ELISA 定量检测血浆内脂素水平。
PE 组患者的血浆内脂素水平为 63.8±4.9ng/ml,妊娠对照组为 43.6±7.8ng/ml,未孕对照组为 31.6±4.2ng/ml(P<0.001)。PE 组患者的内脂素水平明显高于未孕对照组(P<0.001)和妊娠对照组(P<0.001);重度 PE 组(75.3±4.6ng/ml)的血浆内脂素水平也明显高于轻度 PE 组(41.8±5.2ng/ml)(P<0.001)。
本研究结果表明,PE 患者在妊娠晚期的内脂素浓度显著升高。此外,重度 PE 组的内脂素水平明显更高。