Department of Obstetrics and Female Health, Chair of Gynaecology, Obstetrics and Gynaecological Oncology, Poznan University of Medical Sciences, 60-535 Poznan, Poland.
Ultrasound and Prenatal Diagnostic Laboratory, Gynaecology and Obstetrics Hospital, Poznan University of Medical Sciences, 60-535 Poznan, Poland.
Oxid Med Cell Longev. 2020 Sep 15;2020:6398520. doi: 10.1155/2020/6398520. eCollection 2020.
The pathophysiological mechanism underlying pregnancy complications such as congenital malformations, miscarriage, preeclampsia, or fetal growth restriction is not entirely known. However, the negative impact of the mother's body oxidative imbalance on the fetus and the course of gestation is increasingly discussed. This article is an integrative review of some original studies and review papers on the effects of oxidative stress on the adverse pregnancy outcomes mainly birth defects in fetuses. A systematic search for English language articles published from 2010 until 2020 was made, using MEDLINE data. Additionally, we analyzed the Cochrane and Scopus databases, discussions with experts, and a review of bibliography of articles from scientifically relevant and valuable sources. The main purposes are to assess the contribution of the existing literature of associations of oxidative stress on the etiology of the abovementioned conditions and to identify relevant information and outline existing knowledge. Furthermore, the authors aim to find any gaps in the research, thereby providing grounds for our own research. The key search terms were "oxidative stress in pregnancy," "oxidative stress and congenital malformations," and "oxidative stress and adverse pregnancy outcomes." Studies have confirmed that oxidative stress has a significant impact on pregnancy and is involved in the pathomechanism of adverse pregnancy outcomes.
导致妊娠并发症(如先天畸形、流产、先兆子痫或胎儿生长受限)的病理生理学机制尚未完全明确。然而,母体氧化失衡对胎儿和妊娠过程的负面影响正日益受到关注。本文是对一些关于氧化应激对不良妊娠结局(主要是胎儿先天畸形)影响的原始研究和综述论文的综合评价。我们使用 MEDLINE 数据对 2010 年至 2020 年期间发表的英文文章进行了系统性检索。此外,我们还分析了 Cochrane 和 Scopus 数据库、与专家的讨论以及对科学相关和有价值的来源的文章的参考文献综述。主要目的是评估现有文献中氧化应激与上述疾病病因之间关联的贡献,并确定相关信息和概述现有知识。此外,作者还旨在发现研究中的空白,从而为我们自己的研究提供依据。关键搜索词为“妊娠中的氧化应激”、“氧化应激与先天畸形”和“氧化应激与不良妊娠结局”。研究证实,氧化应激对妊娠有重大影响,并参与了不良妊娠结局的发病机制。