Correlation Between Hyperhomocysteinemia and Preeclampsia
DOI:
https://doi.org/10.53555/hsn.v2i8.267Keywords:
- Pregnancy, ,preeclampsia,homocysteine, ,hypertension,, folic acidAbstract
INTRODUCTION -Preeclampsia represents one of the most frequent complications of pregnancy.Homocysteine is an essential amino acid required for the growth of cells and tissues in the human body. Maternal hyperhomocysteinemia is associated with a number of placentamediated diseases such as preeclampsia. The aim of this study was to evaluate the plasma level of homocysteine and its association with severity of preeclampsia. METHODS- A total of 180 women were recruited in our study, which were divided into control and study groups.control group consist of 60 normotensive nonpregnant women and study group consists of two groups,group 1 having 60 normotensive pregnant women and group 2 which were further divided into two subgroups,group 2a having 40 Preeclamptic Pregnant Women with B.P. > 140/90mmHg to <160/100mmHg and group 2b having 20 Preelamptic Pregnant women with B.P. > 160/100mmHg out of which 5 had convulsion (Eclampsia). Serum homocystine levels estimation was done in study and control group by homocystine enzyme cycling method on fully automated Erba XL-300, Biochemistry analyser. RESULTS- In our study,maternal serum levels of total homocysteine were significantly higher in preeclamptic group than in normal pregnant women. Women with severe preeclampsia had higher serum levels of total homocysteine than mild preeclamptic patients. Levels of total homocysteine correlated positively with systolic blood pressure values in preeclamptic women. CONCLUSION-Preeclampsia / Eclampsia is a common medical disorder of human pregnancy complicating about 5-7% of all pregnancies. Elevated circulating homocysteine is a risk factor for endothelial dysfunction and vascular disease.
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Hogg BB, Tamura T, Kelley E, et al. second-trimester plasma homocysteinelevels and pregnancy-induced hypertension, preeclampsia, and intrauterine growth restriction. Am J Obstet Gynecol 2000;183:805-9.
Singh U, Gupta HP, Singh Rk, Shukla M, Mehrotra S, Prasad S, Homocyteine : Association with preeclampsia and Normotensive pregnancy. J Obstet Gynecol India Vol. 59, No.3: May / June 2009 pg 235-238.
Walker J: Pre-eclampsia. Lancet 356:1260. 2000.
Tug N , Celik H , Cikim G , Ozcelik O, Ayar A (2003) The correlation between plasma homocysteine and malodialdehyde levels in preeclampsia. Neuroendocrinology Letters No.6 December Vol.24,2003.
GurbazA, Karateke A, Mengulluoglu M. Elevated plasma homocysteine levels in preeclampsia and eclampsia. Int. J. Gynecol. Obstet (2004) 87, 165-166
Kale A, Kale E, Akdeniz N, Erdemoglu M, Yalinkaya A, Yayla M (2006) Investigation of folic acid, vitamin B 12, vitamin B6, and homocysteine levels in preeclamptic pregnancies. Perinatal Journal 2006; 14(1): 31-36.
Ingen M, Borekei B, Kadanali S. Elevated plasma homocysteinc concentration in serve preeclampsia and eclampsia. The Tohoku Journal of Experimental Medicine:Vol.206(2005), No.3 pp.225-231.
Powers RW, EvansRW, Ness RB, Cromblehome WR, Roberts JM (2001) Homocysteine and cellular fibronectin are increased in preeclampsia, not transient hypertension of pregnancy. Hypertens pregnancy 20: 69-77.
Makedos G, Papanicolaou A, Hitoglou A, Kalogiannidis I, Makedos A, Vrazioti V, Goutzioulis M. Homocysteine, Folic acid and B12 serum levels in pregnancy complicated with preeclampsia. Arch Gynecol Obstet (2007)275: 121-124.
Brakke K, Ueland PM, Harsem NK, Karlsen A, Blomhoff R, Staff AC. Homocysteine, Cysteine , and related metabolites in maternal and fetal plasma in preeclampsia. Pediatr Res 2007 Jul 6.
Ueland PM, Refsum H, Stabler SP et al. Total homocysteine in plasma or serum: method and clinical applications. Clin Chem 1993; 39:1764-79.
Raijkovic A, Catalano PM, Mailnow MR. Elevated homocyst(e)ine levels with preeclampsia. Obstet Gynecol 1997; 90:489-93.
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