Instituto de Salud Pública, Universidad Veracruzana, Avenida Luís Castelazo Ayala S/N, Col. Industrial Ánimas, Xalapa, Veracruz, México.
Biol Trace Elem Res. 2014 Mar;157(3):211-7. doi: 10.1007/s12011-014-9898-6. Epub 2014 Jan 25.
Iodine is an essential element trace for the synthesis of maternal thyroid hormones needed to support normal fetal development; it also acts as an antioxidant directly or induce antioxidant enzymes indirectly. Iodine deficiency and oxidative stress are associated with pregnancy complications. This study aimed to assess the urinary iodine concentration and its relationship with the antioxidant and oxidative stress status during gestation. Pregnant women were consecutively recruited from an obstetric clinic during all gestation trimesters, and urinary iodine concentration, antioxidant, and oxidative stress were determined. Results showed that 70 % of pregnant women have optimal iodine levels (150-200 μg/L), while approximately 30 % showed mild iodine deficiency (50-99 μg/L). Oxidative stress was significantly higher, and the antioxidant status was also compromised as evidenced by decreased total antioxidant status and superoxide dismutase (SOD) activity in pregnant women with mild iodine deficiency than pregnant women with optimal iodine levels. Significant positive correlations were noted between optimal iodine levels and total antioxidant status. Oxidative stress was significantly correlated with mild iodine deficiency. However, no significant correlation was found between iodine levels and SOD and catalase activities. In conclusion, for the first time, these data suggest a correlation between iodine levels and the antioxidant status during pregnancy.
碘是合成母体甲状腺激素所必需的微量元素,甲状腺激素对支持正常胎儿发育至关重要;此外,碘还可以直接作为抗氧化剂,或间接诱导抗氧化酶。碘缺乏和氧化应激与妊娠并发症有关。本研究旨在评估妊娠期间尿碘浓度及其与抗氧化和氧化应激状态的关系。研究人员连续招募了来自产科门诊的所有妊娠阶段的孕妇,并测定了尿碘浓度、抗氧化和氧化应激相关指标。结果表明,70%的孕妇碘水平处于正常范围(150-200μg/L),约 30%的孕妇有轻度碘缺乏(50-99μg/L)。与碘水平正常的孕妇相比,轻度碘缺乏的孕妇氧化应激明显升高,且抗氧化状态受损,表现为总抗氧化状态和超氧化物歧化酶(SOD)活性降低。碘水平与总抗氧化状态呈显著正相关。氧化应激与轻度碘缺乏显著相关。然而,碘水平与 SOD 和过氧化氢酶活性之间无显著相关性。总之,这些数据首次表明,妊娠期间碘水平与抗氧化状态之间存在相关性。