Correlation of Blood Lipid and Serum Inflammatory Factor Levels With Hypertensive Disorder Complicating Pregnancy
Wangxiang Chen1, Yan Guo2, Xia Yao1
1Department of obstetrics, Heji Hospital Affiliated to Changzhi Medical College, Changzhi, China.
Insights
Hypertensive disorder complicating pregnancy (HDP) is linked to altered blood lipid and inflammatory markers. These factors, including total cholesterol and C-reactive protein, show predictive value for HDP development and progression.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Health
- Immunology
Background:
- Hypertensive disorder complicating pregnancy (HDP) poses significant risks to maternal and fetal health.
- Understanding the biochemical markers associated with HDP is crucial for early detection and management.
Purpose of the Study:
- To investigate the relationship between blood lipid profiles and serum inflammatory factors in pregnant women with HDP.
- To assess the predictive value of these markers for the development and progression of HDP.
Main Methods:
- A cohort of 107 pregnant women with HDP and 30 healthy pregnant women were analyzed.
- Serum levels of total cholesterol (TC), triglyceride (TG), HDL-C, LDL-C, Lp-PLA2, CRP, IL-6, and TNF-α were measured.
- Receiver operating characteristic (ROC) curve analysis was employed to evaluate predictive values.
Main Results:
- Serum TC, TG, and LDL-C levels increased, while HDL-C levels decreased with HDP severity.
- Serum Lp-PLA2, CRP, IL-6, and TNF-α levels were elevated in HDP patients and increased with disease progression.
- High area under the curve (AUC) values were observed for inflammatory markers (e.g., CRP, TNF-α) and lipid profiles in predicting HDP.
Conclusions:
- Blood lipid profiles and serum inflammatory factors are significantly altered in HDP.
- These markers demonstrate considerable potential for predicting the occurrence and progression of HDP.
Purpose:
To explore the changes of blood lipid and serum inflammatory factors in pregnant women with hypertensive disorder complicating pregnancy (HDP) and the relationship with disease development.
Methods:
107 pregnant women with HDP who had regular prenatal examination in our hospital from July 2018 to July 2021 were selected as the research objects. According to the severity of the disease, they were divided into gestational hypertension group, mild preeclampsia group and severe preeclampsia group. 30 healthy pregnant women who underwent prenatal examination in the same period were selected as the healthy group. Serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), lipoprotein-associated phospholipaseA2 (Lp-PLA2), C- reactive protein (CRP), interleukin -6 (IL-6), tumor necrosis factor-α (TNF-α) were measured. Receiver operating characteristic curve (ROC) was used to analyze the predictive value of blood lipid and serum inflammatory factors in pregnant women with HDP.
Results:
The levels of serum TC, TG and LDL-C increased with the progression of HDP, the level of serum HDL-C decreased with the progression of HDP (P < 0.05). The levels of serum Lp-PLA2, CRP, IL-6 and TNF-α increased with the progression of HDP (P < 0.05). The AUC of serum TC, TG, HDL-C and LDL-C levels for predicting HDP were 0.759, 0.854, 0.770 and 0.785, respectively. The AUC of serum Lp-PLA2, CRP, IL-6 and TNF-α levels for predicting HDP were 0.873, 0.991, 0.966 and 0.999, respectively.
Conclusion:
The levels of blood lipid and serum inflammatory factor are closely related to HDP, which has certain value in predicting the occurrence and development of HDP.
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