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轻度和重度子痫前期孕妇血清中AMP激活的蛋白激酶水平

Maternal serum AMP-activated protein kinase levels in mild and severe preeclampsia.

作者信息

Koroglu Nadiye, Tola Esra, Temel Yuksel Ilkbal, Aslan Cetin Berna, Turhan Ugur, Topcu Goknur, Dag Ismail

机构信息

a Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital , Istanbul , Turkey.

b Obstetrics and Gynecology Department , Suleyman Demirel University, Faculty of Medicine , Istanbul , Turkey.

出版信息

J Matern Fetal Neonatal Med. 2019 Aug;32(16):2735-2740. doi: 10.1080/14767058.2018.1448774. Epub 2018 Mar 21.

Abstract

OBJECTIVE

To investigate Phosphorylated adenosine monophosphate activated protein kinase (AMPK) levels in healthy pregnant women and pregnant women with preeclampsia (PE).

METHODS

Twenty-eight women with mild-PE, 22 with severe-PE, and 30 normotensive controls were included in this cross-sectional study. The serum AMPK levels of these patients were analyzed. The patients were followed up to delivery.

RESULTS

No statistically significant difference was found between the groups for age, gravida, parity, and gestational age at the time the blood samples were obtained (p > .05). No significant difference between the group with mild-PE and the control group was found, while in the severe-PE group, serum AMPK levels were significantly higher relative to both the mild-PE and control groups (p < .001 and p < .001, respectively). No correlation was detected between serum AMPK levels and age, body mass index (BMI), and gestational age at the time the blood samples were collected. A negative correlation was found between AMPK levels and gestational week and birthweight at delivery, while a positive correlation was detected between systolic and diastolic blood pressures and AMPK levels.

CONCLUSIONS

Serum AMPK was higher in patients with severe-PE compared with healthy pregnant women and patients with PE without severe features so it might be a new biomarker for the prediction of disease and its severity.

摘要

目的

研究健康孕妇和子痫前期(PE)孕妇中磷酸化腺苷单磷酸激活蛋白激酶(AMPK)的水平。

方法

本横断面研究纳入了28例轻度PE孕妇、22例重度PE孕妇和30例血压正常的对照者。分析这些患者的血清AMPK水平。对患者进行随访直至分娩。

结果

在采集血样时,各组之间在年龄、孕次、产次和孕周方面未发现统计学上的显著差异(p>0.05)。轻度PE组与对照组之间未发现显著差异,而在重度PE组中,血清AMPK水平相对于轻度PE组和对照组均显著升高(分别为p<0.001和p<0.001)。在采集血样时,未检测到血清AMPK水平与年龄、体重指数(BMI)和孕周之间的相关性。发现AMPK水平与分娩时的孕周和出生体重呈负相关,而收缩压和舒张压与AMPK水平呈正相关。

结论

与健康孕妇和无严重特征的PE患者相比,重度PE患者的血清AMPK水平较高,因此它可能是预测疾病及其严重程度的一种新的生物标志物。

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