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Updated: Nov 10, 2025

Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
Compromised Renal and Hepatic Functions and Unsteady Cellular Redox State during Preeclampsia and Gestational
Jigeesha Mishra1, Shailendra Kumar Srivastava1, Kanti Bhooshan Pandey2
1Sam Higginbottom University of Agriculture, Technology and Sciences, Prayagraj, India.
Insights
Preeclampsia (PE) significantly impacts renal and hepatic functions, while gestational diabetes mellitus (GDM) also shows liver and kidney dysfunction. Both conditions exhibit impaired redox states, suggesting a role for antioxidant therapy.
Area of Science:
- Obstetrics and Gynecology
- Biochemistry
- Pathophysiology
Background:
- Preeclampsia (PE) and gestational diabetes mellitus (GDM) are significant pregnancy complications.
- Assessing renal, hepatic, and redox status is crucial for understanding these conditions.
Purpose of the Study:
- To evaluate renal and hepatic functions in pregnancies with PE and GDM.
- To investigate the redox state in PE and GDM pregnancies.
Main Methods:
- Serum biomarkers of renal function (urea, BUN, creatinine, uric acid) and hepatic function (AST, ALT, ALP, bilirubin) were measured.
- Redox status was assessed using lipid peroxidation (MDA), total thiols (TSH), and antioxidant potentials.
- A cohort of 33 PE, 33 GDM, and 25 normal pregnancies (NP) was studied.
Main Results:
- PE pregnancies showed significantly elevated urea, BUN, uric acid, creatinine, AST, ALT, and ALP compared to NP.
- GDM pregnancies exhibited significant elevations in creatinine and ALT compared to NP.
- Both PE and GDM groups displayed diminished antioxidant capacity, lower TSH, and increased MDA compared to NP.
Conclusions:
- PE severely affects renal and hepatic functions, while GDM is associated with impaired liver and kidney performance.
- An impaired redox state is implicated in the altered physiological processes observed in PE and GDM.
- These findings support monitoring antioxidant status and may guide antioxidant supplementation in PE and GDM management.
Introduction:
To assess renal and hepatic functions along with the redox state in preeclampsia (PE) and gestational diabetes mellitus (GDM) pregnancies.
Design And Method:
The study was conducted on 33 PE (mean age = 30 ± 5 years), 33 GDM (mean age = 30 ± 6 years) and age, gravida, parity, and ethnicity matched 25 normal pregnancies (NP). Biomarkers of redox status, renal and hepatic functions; aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), bilirubin, urea, blood urea nitrogen (BUN), creatinine, uric acid, lipid peroxidation (MDA), total thiols (TSH), radical scavenging activities and ferric reducing antioxidant potentials of serum were measured.
Results:
Higher urea, BUN, uric acid, creatinine and overexpressed AST, ALT, ALP was observed in PE (p <0.03-p<0.001), whereas in GDM elevation in creatinine and ALT activity were only statistically significant (p <0.01) in comparison to NP. Diminished antioxidant/radical scavenging potentials, TSH content and increased MDA were noted in both the diseased pregnancies when compared with NP with statistically significant variables ranged from p <0.04-p <0.0001.
Conclusion:
Our data suggest that PE has detrimental effects on renal and hepatic functions while GDM are prone to malfunctioned liver and kidney performances. Impaired redox state may be one of the reasons of altered physiological process in PE and GDM pregnancies. Results may be used to monitor the efficiency and efficacy of antioxidant supplementation, recently suggested for PE and GDM patients.
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