The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders

Background. Spontaneous miscarriage is the most common complication of pregnancy. Obesity increases the risk of adverse pregnancy outcomes. Aim of the study. To assess the cytokine profile as a marker of spontaneous miscarriage in women with metabolic disorders in the past medical history. Materials...

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Main Authors: I. V. Zhukоvets, O. Y. Leshchenko, I. A. Andrievskaya, K. K. Petrova
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2020-09-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/2386
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author I. V. Zhukоvets
O. Y. Leshchenko
I. A. Andrievskaya
K. K. Petrova
author_facet I. V. Zhukоvets
O. Y. Leshchenko
I. A. Andrievskaya
K. K. Petrova
author_sort I. V. Zhukоvets
collection DOAJ
description Background. Spontaneous miscarriage is the most common complication of pregnancy. Obesity increases the risk of adverse pregnancy outcomes. Aim of the study. To assess the cytokine profile as a marker of spontaneous miscarriage in women with metabolic disorders in the past medical history. Materials and methods. A prospective study of 170 adolescent girls with metabolic disorders was conducted between 2000 and 2013. Assessment of menstrual and reproductive function was carried out in 86, pregnancy outcomes – in 72 women. The average age of women in reproductive age was 21.95 ± 0.2 years, BMI – 24.7 ± 3.9 kg/m2. Results. In women with early pregnancy losses and metabolic disorders in past medical history, the predictor of an early pregnancy loss is an increase in the ratio of pro- and anti-inflammatory cytokines TNF-a/IL-10 in serum at 7–8 weeks of gestation (OR = 2.29). It was determined a significant correlation between the levels of pro- and anti-inflammatory cytokines of the same name in serum and chorion (IL-10 (p = 0.000) and TNF-α/IL-10 (p = 0.001), which indicates similar changes in chorion. The activity of NF-kB in chorion was 5.75 ± 0.51 pg/ml. Conclusions. The findings suggest that the cytokine balance of pro- and anti-inflammatory cytokines in women with metabolic disorders in past medical history is an important component in the development of early pregnancy losses.
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spelling doaj.art-11b26bd8af4343ebb42307e9d11196412024-03-28T07:49:23ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962020-09-015481310.29413/ABS.2020-5.4.12038The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic DisordersI. V. Zhukоvets0O. Y. Leshchenko1I. A. Andrievskaya2K. K. Petrova3Amur State Medical Academy» of the Ministry of Health of the Russian FederationScientific Centre for Family Health and Human Reproduction ProblemsFar Eastern Scientific Centre of Physiology and Pathology of RespirationFar Eastern Scientific Centre of Physiology and Pathology of RespirationBackground. Spontaneous miscarriage is the most common complication of pregnancy. Obesity increases the risk of adverse pregnancy outcomes. Aim of the study. To assess the cytokine profile as a marker of spontaneous miscarriage in women with metabolic disorders in the past medical history. Materials and methods. A prospective study of 170 adolescent girls with metabolic disorders was conducted between 2000 and 2013. Assessment of menstrual and reproductive function was carried out in 86, pregnancy outcomes – in 72 women. The average age of women in reproductive age was 21.95 ± 0.2 years, BMI – 24.7 ± 3.9 kg/m2. Results. In women with early pregnancy losses and metabolic disorders in past medical history, the predictor of an early pregnancy loss is an increase in the ratio of pro- and anti-inflammatory cytokines TNF-a/IL-10 in serum at 7–8 weeks of gestation (OR = 2.29). It was determined a significant correlation between the levels of pro- and anti-inflammatory cytokines of the same name in serum and chorion (IL-10 (p = 0.000) and TNF-α/IL-10 (p = 0.001), which indicates similar changes in chorion. The activity of NF-kB in chorion was 5.75 ± 0.51 pg/ml. Conclusions. The findings suggest that the cytokine balance of pro- and anti-inflammatory cytokines in women with metabolic disorders in past medical history is an important component in the development of early pregnancy losses.https://www.actabiomedica.ru/jour/article/view/2386metabolic disordersinterleukinsspontaneous miscarriage
spellingShingle I. V. Zhukоvets
O. Y. Leshchenko
I. A. Andrievskaya
K. K. Petrova
The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
Acta Biomedica Scientifica
metabolic disorders
interleukins
spontaneous miscarriage
title The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
title_full The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
title_fullStr The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
title_full_unstemmed The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
title_short The Role of Cytokines in the Development of Early Pregnancy Loss in Women with a History of Metabolic Disorders
title_sort role of cytokines in the development of early pregnancy loss in women with a history of metabolic disorders
topic metabolic disorders
interleukins
spontaneous miscarriage
url https://www.actabiomedica.ru/jour/article/view/2386
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