Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy.
USL Toscana Centro, Ospedale S. Giovanni di Dio, Firenze, Italy.
Clin Ter. 2024 Jan-Feb;175(1):47-56. doi: 10.7417/CT.2024.5033.
Oxygen is essential for human life. However, it could cause damaging effects on biological systems causing oxidative stress. Oxidative stress defined as "an alteration in the pro-oxidant-antioxidant balance in favor of the former that leads to potential damage" is characterized by the release of Reactive Oxygen Species (ROS). Oxidative stress is now recognized to play a central role in the pathophysiology of many different disorders, including complications of pregnancy such as placental pathology, PreEclampsia (PE), Intrauterine Growth Restriction (IUGR), gestational diabetes, and miscarriage. This narrative review aims to summarize pieces of evidence about the role of oxidative stress in the pathophysiology of the main obstetric complications with par-ticular interest in the neglected role of alcohol abuse.
氧气是人类生命所必需的。然而,它也可能对生物系统造成损害,导致氧化应激。氧化应激被定义为“有利于前者的促氧化剂-抗氧化剂平衡的改变,导致潜在的损伤”,其特征是活性氧(ROS)的释放。氧化应激现在被认为在许多不同疾病的病理生理学中起着核心作用,包括妊娠并发症,如胎盘病理、子痫前期(PE)、宫内生长受限(IUGR)、妊娠期糖尿病和流产。本综述旨在总结关于氧化应激在主要产科并发症病理生理学中的作用的证据,特别关注被忽视的酒精滥用的作用。