Nikolakopoulos Panagiotis, Tzimagiorgis Georgios, Goulis Dimitrios G, Chatzopoulou Fani, Zepiridis Leonidas, Vavilis Dimitrios
a First Department of Obstetrics and Gynecology , Medical School, Aristotle University of Thessaloniki , Thessaloniki, Greece.
b Department of Gynecology , 424 Military General Hospital , Thessaloniki , Greece.
J Matern Fetal Neonatal Med. 2018 Feb;31(3):305-311. doi: 10.1080/14767058.2017.1285885. Epub 2017 Feb 9.
To compare serum humanin concentrations in pregnant women with and without pre-eclampsia (PE).
A case-control study where pregnant women (PE group, n = 37; control group, n = 34) studied through history parameters (gynecological, obstetrical, personal, and family), physical and sonographic examination parameters [body mass index (BMI), blood pressure obstetrical ultrasound], and biochemical/hormonal assays [creatinine, urea, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), uric acid, platelets, urinary protein, and humanin].
There was no difference in basic characteristics between women with PE and control, except in parity and gravidity. Humanin concentrations were higher in women with PE compared to controls (422.2 ± 33.5 vs. 319.1 ± 28.1 pg/ml, p = 0.023). In a binary logistic analysis, humanin was associated with the presence of PE [odds ratio 1.003, 95% confidence interval (CI); 1.000-1.006]. The ability of humanin to discriminate between women with PE and controls was evaluated by receiver operation characteristics (ROC) analysis [area under the curve (AUC) 0.639, 95% CI; 0.510-0.768, p = 0.045].
Serum humanin concentrations are increased in women with PE, compared to women with uncomplicated pregnancies, suggesting a potential protective role of humanin against the oxidative stress and endothelial dysfunction occurring in PE.
比较患与未患先兆子痫(PE)孕妇的血清人胰岛素原浓度。
一项病例对照研究,通过病史参数(妇科、产科、个人及家族史)、体格检查和超声检查参数[体重指数(BMI)、产科血压、超声检查]以及生化/激素检测[肌酐、尿素、血清谷草转氨酶(SGOT)、血清谷丙转氨酶(SGPT)、尿酸、血小板、尿蛋白和人胰岛素原]对孕妇进行研究(PE组,n = 37;对照组,n = 34)。
除产次和妊娠次数外,PE患者与对照组女性的基本特征无差异。与对照组相比,PE患者的人胰岛素原浓度更高(422.2 ± 33.5 vs. 319.1 ± 28.1 pg/ml,p = 0.023)。在二元逻辑回归分析中,人胰岛素原与PE的发生相关[比值比1.003,95%置信区间(CI):1.000 - 1.006]。通过受试者工作特征(ROC)分析评估人胰岛素原区分PE患者与对照组的能力[曲线下面积(AUC)0.639,95% CI:0.510 - 0.768,p = 0.045]。
与未患并发症的孕妇相比,PE患者的血清人胰岛素原浓度升高,提示人胰岛素原对PE中发生的氧化应激和内皮功能障碍具有潜在保护作用。