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产前筛查测试的风险结果是否表明存在氧化应激?

Does a risky outcome of antenatal screening test indicate oxidative stress?

作者信息

Aksin Mahmut, Incebiyik Adnan, Vural Mehmet, Gul Hilali Nese, Camuzcuoglu Aysun, Camuzcuoglu Hakan, Aksoy Nurten

机构信息

Gynecology and Obstetrics Clinic and.

出版信息

J Matern Fetal Neonatal Med. 2014 Jul;27(10):1033-7. doi: 10.3109/14767058.2013.847421. Epub 2013 Oct 17.

Abstract

OBJECTIVE

The study aimed to investigate a possible relationship between second trimester aneuploidiy screening results and oxidative stress in foetal amnion and maternal serum.

METHODS

Concerning the outcome of the second-trimester screening test, 50 pregnant women of high risk were included in the experimental group, whereas 50 pregnant women with normal scores who wished to proceed with the amniocentesis procedure due to advanced maternal age and counselling were included in the control group. The biochemical parameters of total antioxidant status (TAS), total oxidant status (TOS) and oxidative stress index (OSI) were measured in the amniotic fluid samples and maternal serum samples.

RESULTS

OSI in the maternal serum samples, as well as TAS and TOS in the amniotic fluid, was significantly higher in the control group compared to the experimental group (p < 0.001, p = 0.047, p = 0.005, respectively). There was no significant difference in the TAS and TOS in the maternal serum samples or the OSI in the amniotic fluid between the groups.

CONCLUSIONS

The results indicate that the positivity of the screening test is not significantly correlated with oxidative stress, a factor regarded as a pathological mechanism in various diseases. Potential maternal anxiety could underlie the elevated oxidative stress in the control group.

摘要

目的

本研究旨在探讨孕中期非整倍体筛查结果与胎儿羊膜和母体血清中氧化应激之间的可能关系。

方法

根据孕中期筛查试验结果,将50例高危孕妇纳入实验组,而将50例因母亲年龄较大且接受咨询而希望进行羊膜穿刺术的评分正常的孕妇纳入对照组。在羊水样本和母体血清样本中测量总抗氧化状态(TAS)、总氧化状态(TOS)和氧化应激指数(OSI)的生化参数。

结果

与实验组相比,对照组母体血清样本中的OSI以及羊水中的TAS和TOS显著更高(分别为p < 0.001、p = 0.047、p = 0.005)。两组之间母体血清样本中的TAS和TOS或羊水中的OSI没有显著差异。

结论

结果表明,筛查试验的阳性结果与氧化应激没有显著相关性,氧化应激是各种疾病中被视为病理机制的一个因素。对照组中氧化应激升高的潜在原因可能是孕妇的焦虑情绪。

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