Güvey Huri, Soyer Çalışkan Canan, Çelik Samettin, Yurtçu Nazan, Hatırnaz Şafak, Avcı Bahattin, Tinelli Andrea
Private Parkhayat Hospital, Clinic of Obstetrics and Gynecology, Kütahya, Turkey.
Samsun Training and Research Hospital, Clinic of Obstetrics and Gynecology, Samsun, Turkey.
Turk J Obstet Gynecol. 2022 Jun 27;19(2):104-110. doi: 10.4274/tjod.galenos.2022.25307.
Preeclampsia is a highly morbid disease of placental origin, life-threatening condition for both a pregnant woman and her fetus. Cadherin 6 and 11 are adhesion molecules that play an important role in trophoblastic development and placentation. In our study, we investigated the change in serum cadherin 6 and 11 levels in pregnant women with preeclampsia.
Pregnant women with preeclampsia were selected and compared with healthy women (as a control group) for a one-year study. The serum alanine aminotransferase, aspartate aminotransferase, and cadherin levels 6 and 11 of participants were analyzed and compared.
A total of 189 pregnant women were subdivided into 2 groups as preeclamptic (n=94) and women with healthy pregnancy (n=95). The cadherin 6 and cadherin 11 levels of the preeclamptic patients were significantly higher than those in the control group (p=0.001), and they were found to be significantly higher mainly in patients with early-onset and severe preeclampsia group (p=0.001). The cut-off cadherin 6 and 11 values for severe preeclampsia were found as 98.174 ng/mL and 1.92 ng/mL; with sensitivity of 88.3% and 84% respectively (p=0.001).
The data analysis showed elevated serum cadherin 6 and 11 levels associated with the severity and early onset of pre-eclampsia. Serum cadherin 6 and 11 levels can be a candidate marker for the prediction of preeclampsia.
子痫前期是一种起源于胎盘的高发病,对孕妇及其胎儿均构成生命威胁。钙黏蛋白6和11是在滋养层发育和胎盘形成中起重要作用的黏附分子。在我们的研究中,我们调查了子痫前期孕妇血清钙黏蛋白6和11水平的变化。
选择子痫前期孕妇并与健康女性(作为对照组)进行为期一年的研究。分析并比较参与者的血清丙氨酸氨基转移酶、天冬氨酸氨基转移酶以及钙黏蛋白6和11水平。
总共189名孕妇被分为两组,子痫前期组(n = 94)和正常妊娠组(n = 95)。子痫前期患者的钙黏蛋白6和钙黏蛋白11水平显著高于对照组(p = 0.001),并且主要在早发型和重度子痫前期组患者中显著更高(p = 0.001)。重度子痫前期的钙黏蛋白6和11临界值分别为98.174 ng/mL和1.92 ng/mL;敏感性分别为88.3%和84%(p = 0.001)。
数据分析显示血清钙黏蛋白6和11水平升高与子痫前期的严重程度和早发有关。血清钙黏蛋白6和11水平可作为预测子痫前期的候选标志物。