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Tissarinen P, Tiensuu H, Haapalainen AM, Ronkainen E, Laatio L, Vääräsmäki M, Öhman H, Hallman M, Rämet M. Maternal serum alpha-1 antitrypsin levels in spontaneous preterm and term pregnancies. Sci Rep 2024; 14:10819. [PMID: 38734716 PMCID: PMC11088650 DOI: 10.1038/s41598-024-61206-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 05/02/2024] [Indexed: 05/13/2024] Open
Abstract
Currently, there are no accurate means to predict spontaneous preterm birth (SPTB). Recently, we observed low expression of alpha-1 antitrypsin (AAT) in SPTB placentas. Present aim was to compare the concentrations of maternal serum AAT in pregnancies with preterm and term deliveries. Serum C-reactive protein (CRP) was used as a reference inflammatory marker. Two populations were studied. The first population comprised women who eventually gave birth spontaneously preterm (SPTB group) or term (control group). The second population included pregnant women shortly before delivery and nonpregnant women. We observed that serum AAT levels were higher in the SPTB group than in the controls, and a similar difference was observed when serum CRP was considered in multivariable analysis. However, the overlap in the AAT concentrations was considerable. No statistical significance was observed in serum AAT levels between preterm and term pregnancies at delivery. However, AAT levels were higher at delivery compared to nonpregnant controls. We did not observe a strong correlation between serum AAT and CRP in early pregnancy samples and at labor. We propose that during early pregnancy, complicated by subsequent SPTB, modest elevation of serum AAT associates with SPTB.
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Affiliation(s)
- Pinja Tissarinen
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland
| | - Heli Tiensuu
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland
| | - Antti M Haapalainen
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland
| | - Eveliina Ronkainen
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland
| | - Liisa Laatio
- Research Unit of Clinical Medicine, Department of Obstetrics and Gynecology, Oulu University Hospital, University of Oulu, Oulu, Finland
| | - Marja Vääräsmäki
- Research Unit of Clinical Medicine and Medical Research Center, Department of Obstetrics and Gynecology, Oulu University Hospital, University of Oulu, Oulu, Finland
| | - Hanna Öhman
- Faculty of Medicine, Biobank Borealis of Northern Finland, Oulu University Hospital, University of Oulu, Oulu, Finland
| | - Mikko Hallman
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland.
| | - Mika Rämet
- Research Unit of Clinical Medicine and Medical Research Center, Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, University of Oulu, PO Box 5000, 90014, Oulu, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
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Orimoloye HT, He D, Li T, Janzen C, Barjaktarevic I, Wang X, Hansen J, Heck JE. Alpha-1 antitrypsin deficiency and pregnancy complications and birth outcomes: A population-based cohort study in Denmark. PLoS One 2024; 19:e0296434. [PMID: 38166066 PMCID: PMC10760838 DOI: 10.1371/journal.pone.0296434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 12/13/2023] [Indexed: 01/04/2024] Open
Abstract
BACKGROUND Alpha-1 antitrypsin deficiency (AATD) is related to developing lung and liver disease, but no large-scale studies examine its association with birth outcomes. OBJECTIVE We investigated the risk of pregnancy complications and adverse birth outcomes in mothers and children with AATD. METHODS Using a large cohort data of Danish mothers and children with AATD from 1973 to 2013 (n = 2,027,229), with 559 cases (305 mothers and 254 children). We conducted Poisson regression to examine associations between alpha-1 antitrypsin deficiency, adverse birth outcomes, and pregnancy complications in mothers and children. RESULTS AATD was related to term low birth weight [<2500g; Risk Ratio(RR) = 2.04, 95% confidence interval (CI): 1.50-2.79], lowest quartile of abdominal circumference at birth in children of non-smoking mothers (RR = 1.55, 95% CI: 1.14-2.11), delivery via Cesarean-section (RR = 1.59, 95% CI: 1.05-2.40), preterm birth (RR = 1.54, 95% CI: 1.19-2.00) and preeclampsia (RR = 2.64, 95% CI: 1.76-3.94). CONCLUSIONS This emphasizes the need for mothers with AATD to be monitored closely during pregnancy to reduce the risk of adverse birth outcomes. Routine screening for alpha-1 antitrypsin in pregnancy may be considered among mothers with a pulmonary and liver disease history.
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Affiliation(s)
- Helen T. Orimoloye
- Department of Rehabilitation and Health Services, University of North Texas, Denton, Texas, United States of America
| | - Di He
- Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, United States of America
| | - Tong Li
- Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, United States of America
| | - Carla Janzen
- Department of Obstetrics and Gynecology, University of California, Los Angeles, Los Angeles, California, United States of America
| | - Igor Barjaktarevic
- Division of Pulmonary and Critical Care, University of California, Los Angeles, Los Angeles, California, United States of America
| | - Xuexia Wang
- Department of Biostatistics, Florida International University, Miami, Florida, United States of America
| | | | - Julia E. Heck
- Department of Rehabilitation and Health Services, University of North Texas, Denton, Texas, United States of America
- Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, United States of America
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Can Fetal Heart Lie? Intrapartum CTG Changes in COVID-19 Mothers. J Obstet Gynaecol India 2022; 72:479-484. [PMID: 35634476 PMCID: PMC9128777 DOI: 10.1007/s13224-022-01663-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Accepted: 05/01/2022] [Indexed: 02/08/2023] Open
Abstract
Background COVID-19 infection has raised multiple concerns in pregnant mothers; many questioned the risk of vertical transmission and the implication on the feto-maternal outcome. Cardiotocogrm (CTG) is the principal method to observe intrapartum fetal well-being. This paper aims to verify intrapartum CTG changes seen in seropositive COVID-19 mothers versus healthy controls and looks into their relation to subsequent delivery mode and neonatal outcome. Methods A case-control study recruited 90 pregnant women at the labor word of AL Yarmouk Teaching Hospital. All were term pregnancy admitted for delivery. They were grouped into 2: seropositive COVID-19 confirmed by real-time RT-PCR test (30/90) and healthy controls (60/90). We recorded their demographic criteria, laboratory results, CTG changes, delivery mode, and indication. Results COVID-19 cases showed significantly higher pulse rate, temperature, and leukocyte counts. Cesarian deliveries (CS) were higher in cases versus healthy controls (70 % vs. 53.3 %) and P = 0.45. Analysis of the CS indications showed that abnormal fetal heart tracing accounts for 33.3 % versus 15.6 % (P-value = 0.015) for cases versus healthy controls. 60 % of COVID-19 cases exhibited abnormal CTG changes versus 19.4 % in healthy controls. These changes were primarily fetal tachycardia and reduced variabilities. Conclusions The higher incidence of abnormal CTG in COVID-19 cases, alongside infection signs and symptoms, underlies the exaggerated inflammatory reactions inside the pregnant mother. These inflammatory reactions are the main causes of CTG changes and higher CS rates. Therefore, obstetricians are advised to optimize the maternal condition to rectify reactive CTG changes rather than proceeding into urgent CS. Supplementary Information The online version contains supplementary material available at 10.1007/s13224-022-01663-6.
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Ali AI, Hassan WNM, Alrawi S. A Copeptin as a Predictor Marker for Insulin Resistance Among Women
with Polycystic Ovary Syndrome. CURRENT WOMEN S HEALTH REVIEWS 2022. [DOI: 10.2174/1573404817666211208152049] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Background:
A polycystic ovarian syndrome (PCOS) is a common endocrine syndrome
in which women have a wide range of clinical presentations; insulin resistance was linked to its
pathogenesis.
Objective:
We aimed to investigate the copeptin role as a predictive marker of insulin resistance
among PCOS women.
Material and Methods:
In University Hospital, we included 280 women, with 140 of them being
healthy controls. 140 out of 280 cases of PCOS subdivided into two groups depending on the insulin
resistance; group 1 with homeostasis model assessment for the insulin resistance < 2.5. Group
2 with homeostasis model assessment for the insulin resistance >2.5. The evaluation of body mass
index and blood pressure for all besides the blood sampling for estimation of a follicular stimulating
hormone, luteinizing hormone, prolactin, estradiol, sex hormone-binding globulin, total testosterone,
fasting insulin dehydroepiandrosterone sulfate, C-reactive protein, plasma glucose, free androgen
index, and plasma copeptin using the Copeptin-Human EIA Kit besides the transvaginal ultrasound
for ovarian assessment.
Results:
When compared to other groups, PCOS women with positive insulin resistance >2.5 had a
significantly higher plasma copeptin level. The ROC curve calculated a 1.94 pmol/L; plasma
copeptin cutoff value for detecting the insulin resistance in PCOS with 88 % sensitivity value and
36 % specificity, AUC was 0.88.
Conclusion:
The significant positive relationship between serum copeptin and insulin resistance
with high sensitivity implies its usefulness as a marker of insulin resistance among PCOS patients
with a high prediction of its complication.
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Affiliation(s)
- Alaa Ibrahim Ali
- Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Baghdad, Iraq
| | | | - Sumaya Alrawi
- Senior Radiologist
/AL Yarmuk Teaching Hospital, Baghdad, Iraq
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Mukheef MA, Ali RA, Alheidery HHA. Follicular fluid 8-Hydroxy-2-Deoxyguanosine (8-OHdG) as biomarker for oxidative stress in intracytoplasmic sperm injection. THE JOURNAL OF MEDICAL INVESTIGATION 2022; 69:112-116. [PMID: 35466131 DOI: 10.2152/jmi.69.112] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Oxidative stress (OS) is a situation that occurs as a result of un-equilibrium between reactive oxygen species (ROS) formation and the antioxidant defence system. 8-hydroxy-2-deoxyguanosine (8-OHdG), an oxidized form of deoxyguanosine, is found in higher levels in aging oocytes. In this cross-sectional study, we aimed to evaluate the effect of 8-OHdG on the intracytoplasmic sperm injection (ICSI). Follicular fluid (FF) samples were taken after removing the oocyte for later analysis of 8-OHdG. The couples participants were categorized according to the cause of subfertility into three groups (female factor, malefactor, and unexplained infertility). Further division according to pregnancy state was done to evaluate the precise role of 8-OHdG on pregnancy state and ICSI outcome. Result : This study showed that the 8-OHdG levels significantly higher in non-pregnant women (p<0.05). Correlation study showed that 8-OHdG level in follicular fluid is negatively correlating with the number of retrieved oocytes, metaphase two oocytes (MII), fertilized oocytes (2PN = two pronuclei), cleaved zygotes, good quality embryos, and the difference was statistically significant (p<0.05). Conclusion: The study revealed that the 8-OHdG level in follicular fluid negatively influences ICSI outcome and it is higher in non-pregnant women. J. Med. Invest. 69 : 112-116, February, 2022.
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Affiliation(s)
- Maher Abbood Mukheef
- University of Kerbala / College of medicine / Department of biochemistry, Kerbala, Iraq. ORCID Number : 0000-0002-8787-4522.,University of Warith Al-Anbiyaa / College of medicine / Department of biochemistry, Kerbala, Iraq
| | - Rihab Abbas Ali
- University of Kerbala / College of medicine / Department of anatomy, histology and embryology, Kerbala, Iraq. ORCID Number : 0000-0003-1614-9144.,University of Warith Al-Anbiyaa / College of medicine / Department of anatomy, Kerbala, Iraq
| | - Hanaa Hameed Abbas Alheidery
- Jabir ibn hayyan medical university / College of medicine / Department of Obstetrics and G ynecology, Al-Najaf, Iraq
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Majeed HH, Mukheef MA, Jabbar HS. Comparing the ICSI outcome between different causes of subfertility and estimate the role of IL-1β in predicting ICSI outcome. THE JOURNAL OF MEDICAL INVESTIGATION 2022; 69:180-184. [DOI: 10.2152/jmi.69.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Hind Hadi Majeed
- Assistant lecturer at Jabir ibn hayyan medical university/ college of medicine/ department of human anatomy, Najaf, Iraq
| | - Maher Abbood Mukheef
- University of Warith Al-Anbiyaa/ College of Medicine/ Department of biochemistry, Kerbala, Iraq
| | - Hiba Sattar Jabbar
- Assistant lecturer at Al-Muthanna University/ college of medicine/ department of human anatomy, Al-Muthanna, Iraq
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Nori W, Harmoosh SK, Abd Al-Badri HJ. Can Red cell distribution width screen for metabolic abnormality in women with Polycystic Ovarian Syndrome? THE JOURNAL OF MEDICAL INVESTIGATION 2022; 69:191-195. [PMID: 36244769 DOI: 10.2152/jmi.69.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Polycystic ovarian syndrome (PCOS) is a prevalent endocrinopathy in reproductive-age females, accredited to a chronic low-grade inflammatory reaction. Red distribution width (RDW), a parameter of complete blood count, was tested as an inflammatory marker ; higher RDW was linked to metabolic syndrome. We aimed to examine RDW in distinguishing PCOS-related metabolic and hormonal abnormalities. Methods : A case-control study recruited 128 women, divided into PCOS cases (64 / 128) and controls (64 / 128) according to Rotterdam criteria. Body mass index (BMI), estimated complete blood count parameters, hormonal markers (serum follicle-stimulating hormone (FSH), luteinizing hormone, and serum testosterone), and metabolic markers (HOMA-IR, serum high and low-density lipoprotein) were measured. Results showed that RDW was significantly higher in PCOS. HOMA-IR, LDL, testosterone, and LH / FSH were higher in PCOS and strongly correlated with RDW with positive correlations. HDL was elevated and correlated negatively with RDW in PCOS. ROC calculated (13.55) as RDW cut-off value for insulin-resistant with an AUC of 0.95, P < 0.001. In conclusion, a strong and remarkable correlation of RDW with metabolic abnormalities in PCOS cases with 100% sensitivity and specificity, in addition to being quick and inexpensive, makes it a reliable marker for screening for insulin resistance. J. Med. Invest. 69 : 191-195, August, 2022.
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Affiliation(s)
- Wassan Nori
- Assistant professor. College of Medicine / Department of Obstetrics and Gynecology Mustansiriyah University, Baghdad, Iraq. . ORCID Number : 0000-0002-8749-2444
| | - Shaima K Harmoosh
- IVF specialist PhD. Al Yarmouk Teaching Hospital / infertility clinic / Baghdad, Iraq . ORCID Number : 0000-0001-5527-9422
| | - Hadeel J Abd Al-Badri
- lecturer. College of Medicine / Department of Obstetrics and Gynecology Mustansiriyah University, Baghdad, Iraq. . ORCID Number 0000-0001-5604-7367
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