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Is there any association between blood glycoalkaloid levels and anencephaly in human?
Emre Ekmekci1, Alev Esercan2, Orhan Yanar3
1Private Nev Hospital, Maternal-Fetal Medicine, Obstetrics and Gynecology, Pasabagi Mah. Sani Efendi Cad. No:169 63040 Haliliye, Sanliurfa 63040, Turkey; Sanliurfa Education and Research Hospital, Obstetrics, and Gynecology, Yenice Mah.No:1 63250 Eyyubiye, Sanliurfa 63250, Turkey.
Aim:
In various experimental animal studies, it has been proven that solanine, a subtype of glycoalkaloids, is responsible for neural tube defects. However, there have not been any human studies yet in this area. Our aim is to investigate whether there are any connections between blood glycoalkaloid levels and anencephaly in humans.
Methods:
Blood and amniotic fluid samples were taken from patients diagnosed with fetal anencephaly during pregnancy. The samples from patients with normal pregnancies were taken as well and was compared to the patients with fetal anencephaly during pregnancy. We searched the levels of three glycoalkaloids: solanine, chaconine and solamargine in the collected samples.
Results:
Solanine, which is one of the glycoalkaloids, could not be detected in both serum and amniotic fluid in the anencephaly as well as the control groups. However, alpha-solamargine levels were observed to be significantly higher in the blood and amniotic fluid samples of the control group than in the study group (p = 0.04). Alpha-chaconine levels were also significantly higher in the control group (p < 0.001) as well.
Conclusion:
Based on our tests, we can conclude that no connections were found between blood solanine levels and anencephaly during pregnancy. Alpha-chaconine and alpha-solamargine levels were observed to be higher in blood and amniotic fluid in pregnancies without anencephaly. The relationship between glycoalkaloids and congenital anomalies needs to be further investigated in tissues other than blood.
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