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血清白细胞介素-37 水平、炎症和血压在子痫前期患者中的作用。

The role of serum interleukin-37 levels, inflammation and blood pressure in patients with preeclampsia.

机构信息

Cardiology, Recep Tayyip Erdogan University , Rize, Turkey.

Gynecology and Obstetrics, Recep Tayyip Erdogan University , Rize, Turkey.

出版信息

Clin Exp Hypertens. 2020 Oct 2;42(7):669-674. doi: 10.1080/10641963.2020.1772813. Epub 2020 Jun 1.

Abstract

AIM

Preeclampsia is one of the major causes of perinatal, fetal, and maternal mortality and morbidity. The aim of this study was to investigate the association of serum interleukin 37 (IL 37) with preeclampsia.

METHODS

39 women with preeclampsia were included as the study group. 38 healthy, and normotensive pregnant women, at similar gestational week with similar gravidity volunteered as the control group. Clinical findings, biochemical parameters, maternal and perinatal outcomes, and the serum concentrations of IL37 were compared between the groups. The relationship of IL 37 concentrations with clinical findings and blood pressure outcomes were also investigated.

RESULTS

Maternal serum IL 37 concentrations were significantly higher in patients with preeclampsia compared to the healthy pregnant women in the control group ( = .005). IL 37 positively correlated systolic blood pressure (BP) (r = 0.344, = .002), and diastolic BP (r = 0.332, = .003). IL 37 was identified as an independent predictor of preeclampsia.

CONCLUSIONS

Serum IL 37 concentrations were higher in preeclamptic patients compared to healthy pregnant women. Furthermore, IL 37 concentrations achieved success in identifying preeclampsia with hypertension. Increased IL 37 activity may have a role in the pathophysiology of preeclampsia.

摘要

目的

子痫前期是围产期、胎儿和产妇发病率和死亡率的主要原因之一。本研究旨在探讨血清白细胞介素 37(IL-37)与子痫前期的关系。

方法

将 39 例子痫前期患者纳入研究组,38 例健康、血压正常、妊娠周数相似、孕次相似的孕妇作为对照组。比较两组的临床特征、生化参数、母婴结局和血清 IL-37 浓度。还研究了 IL-37 浓度与临床特征和血压结果的关系。

结果

与对照组健康孕妇相比,子痫前期患者的血清 IL-37 浓度明显升高(P<.005)。IL-37 与收缩压(BP)呈正相关(r=0.344,P=.002),与舒张压(BP)呈正相关(r=0.332,P=.003)。IL-37 是子痫前期的独立预测因子。

结论

与健康孕妇相比,子痫前期患者的血清 IL-37 浓度升高。此外,IL-37 浓度成功识别了伴有高血压的子痫前期。IL-37 活性增加可能在子痫前期的病理生理中起作用。

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