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Published on: October 12, 2017
Lipid peroxidation and antioxidant activity in complicated pregnancies
S B Patil1, M V Kodliwadmath, M Kodliwadmath
1Department of Biochemistry, J.N. Medical College Nehru, Karnataka, India. sanrum03@yahoo.co.in
Insights
Preeclampsia and eclampsia show increased lipid peroxidation and decreased antioxidant levels. This suggests oxidative stress contributes to these severe pregnancy complications.
Area of Science:
- Obstetrics and Gynecology
- Biochemistry
- Pathophysiology
Background:
- Preeclampsia and eclampsia are severe pregnancy complications.
- Lipid peroxidation may cause vascular endothelial cell dysfunction, contributing to preeclampsia/eclampsia pathophysiology.
- Antioxidants mitigate lipid peroxidation.
Purpose of the Study:
- To investigate if antioxidant protective mechanisms are diminished in women with preeclampsia and eclampsia.
- To explore the role of lipid peroxidation in preeclampsia and eclampsia.
Main Methods:
- Assayed lipid peroxidation and antioxidant markers in four groups: non-pregnant women, normal pregnant women, preeclamptic patients, and eclamptic patients.
- Utilized standard spectrophotometer methods for analysis.
- Included 25 participants in each group.
Main Results:
- Malondialdehyde, a lipid peroxidation product, was significantly increased in preeclampsia and eclampsia.
- Enzymatic antioxidants (superoxide dismutase, glutathione peroxidase, glutathione reductase, catalase) were significantly reduced in preeclampsia and eclampsia compared to controls.
- These findings were observed in the third trimester of pregnancy.
Conclusions:
- Lipid peroxidation plays a significant role in the pathogenesis of preeclampsia and eclampsia.
- Reduced antioxidant levels in preeclampsia and eclampsia may be a compensatory response to increased lipid peroxide load.
- The observed changes may indicate disease severity.
Aims And Objectives:
Preeclampsia and eclampsia are pregnancy complications with serious consequences for mother and infant. Uncontrolled lipid peroxidation may play an important role in the pathophysiology of preeclampsia and eclampsia by causing vascular endothelial cell dysfunction. Antioxidants serve to control lipid peroxidation. We attempted to ascertain whether antioxidant protective mechanisms are diminished in women with preeclampsia and eclampsia.
Materials And Methods:
Lipid peroxidation and antioxidant markers were assayed in 25 healthy non-pregnant women as a control group, 25 third trimester normal pregnant women, 25 preeclamptic and 25 eclamptic patients of the same trimester by standard spectrophotometer methods.
Results:
In preeclampsia and eclampsia malondialdehyde, a product of lipid peroxidation, was significantly increased while enzymatic antioxidants like superoxide dismutase, glutathione peroxidase, glutathione reductase and catalase were significantly reduced as compared to normal pregnant women and non-pregnant controls.
Conclusion:
Lipid peroxidation is an important factor in the pathogenesis of preeclampsia and eclampsia. The decrease in antioxidants is probably due to a compensatory nature responding to the increased lipid peroxide load in preeclamptic and eclamptic patients and may indicate the severity of the disease.
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