Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth

Background: Hypertensive disorders of pregnancy are one of the leading causes of fetal and maternal mortality worldwide. Aside from the immediate risk they pose for the pregnant woman, there is significant evidence that women after such a pregnancy have a long-term risk for the development of cardio...

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Main Authors: Dolina Gencheva, Fedya Nikolov, Ekaterina Uchikova, Rosen Mihaylov, Blagovesta Pencheva, Gita Yamakova-Vladova
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2021-10-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/8829
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author Dolina Gencheva
Fedya Nikolov
Ekaterina Uchikova
Rosen Mihaylov
Blagovesta Pencheva
Gita Yamakova-Vladova
author_facet Dolina Gencheva
Fedya Nikolov
Ekaterina Uchikova
Rosen Mihaylov
Blagovesta Pencheva
Gita Yamakova-Vladova
author_sort Dolina Gencheva
collection DOAJ
description Background: Hypertensive disorders of pregnancy are one of the leading causes of fetal and maternal mortality worldwide. Aside from the immediate risk they pose for the pregnant woman, there is significant evidence that women after such a pregnancy have a long-term risk for the development of cardiovascular diseases. On the other hand Galectin-3 is a biomarker that has proven its role in cardiac remodeling, fibrosis and heart failure. Objectives: To determine the levels of Galectin-3 in women with gestational hypertension, preeclampsia and in healthy pregnant women and test for association with premature birth. Methods: A prospective single-centre clinical epidemiological study was performed and data was analyzed for 123 pregnant women – 36 with gestational hypertension, 37 with preeclampsia and 50 controls. ELISA method was used to determine the serum levels of Galectin-3. Results: Mean Galectin-3 level was 6,53 ng/ml in the controls, 7.30 ng/ml in the gestational hypertension group and 7,59 ng/ml in the preeclampsia group. There was a significant difference in the levels between the controls and each of the of the pathological groups (p<0,05), while the two pathological groups were not statistically different from each other. Conclusion: Gestational hypertension and preeclampsia are associated with significantly higher levels of Galectin-3 which could be indicative of cardiovascular dysfunction in those women. Additionally, higher Galectin-3 levels were associated with an OR ~2.5 for preterm even birth after adjustment for the presence of the two hypertensive disorders of pregnancy.
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spelling doaj.art-59eeb6b3fe5b4ed48ad8279f8e7e22f92022-12-21T21:10:12ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942021-10-01599Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birthDolina Gencheva0Fedya Nikolov1Ekaterina Uchikova2Rosen Mihaylov3Blagovesta Pencheva4Gita Yamakova-Vladova5Medical University - PlovdivMedical University - PlovdivMedical University - PlovdivIndependent Medical diagnostic laboratory “RAMUS”, Sofia, BulgariaIndependent Medical diagnostic laboratory “RAMUS”, Sofia, BulgariaMedical University - PlovdivBackground: Hypertensive disorders of pregnancy are one of the leading causes of fetal and maternal mortality worldwide. Aside from the immediate risk they pose for the pregnant woman, there is significant evidence that women after such a pregnancy have a long-term risk for the development of cardiovascular diseases. On the other hand Galectin-3 is a biomarker that has proven its role in cardiac remodeling, fibrosis and heart failure. Objectives: To determine the levels of Galectin-3 in women with gestational hypertension, preeclampsia and in healthy pregnant women and test for association with premature birth. Methods: A prospective single-centre clinical epidemiological study was performed and data was analyzed for 123 pregnant women – 36 with gestational hypertension, 37 with preeclampsia and 50 controls. ELISA method was used to determine the serum levels of Galectin-3. Results: Mean Galectin-3 level was 6,53 ng/ml in the controls, 7.30 ng/ml in the gestational hypertension group and 7,59 ng/ml in the preeclampsia group. There was a significant difference in the levels between the controls and each of the of the pathological groups (p<0,05), while the two pathological groups were not statistically different from each other. Conclusion: Gestational hypertension and preeclampsia are associated with significantly higher levels of Galectin-3 which could be indicative of cardiovascular dysfunction in those women. Additionally, higher Galectin-3 levels were associated with an OR ~2.5 for preterm even birth after adjustment for the presence of the two hypertensive disorders of pregnancy.https://acta.tums.ac.ir/index.php/acta/article/view/8829preeclampsiagestational hypertensioncardiovascular diseasespregnancyGalectin-3
spellingShingle Dolina Gencheva
Fedya Nikolov
Ekaterina Uchikova
Rosen Mihaylov
Blagovesta Pencheva
Gita Yamakova-Vladova
Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
Acta Medica Iranica
preeclampsia
gestational hypertension
cardiovascular diseases
pregnancy
Galectin-3
title Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
title_full Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
title_fullStr Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
title_full_unstemmed Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
title_short Serum Galectin-3 in women with gestational hypertension and preeclampsia and its association with preterm birth
title_sort serum galectin 3 in women with gestational hypertension and preeclampsia and its association with preterm birth
topic preeclampsia
gestational hypertension
cardiovascular diseases
pregnancy
Galectin-3
url https://acta.tums.ac.ir/index.php/acta/article/view/8829
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AT fedyanikolov serumgalectin3inwomenwithgestationalhypertensionandpreeclampsiaanditsassociationwithpretermbirth
AT ekaterinauchikova serumgalectin3inwomenwithgestationalhypertensionandpreeclampsiaanditsassociationwithpretermbirth
AT rosenmihaylov serumgalectin3inwomenwithgestationalhypertensionandpreeclampsiaanditsassociationwithpretermbirth
AT blagovestapencheva serumgalectin3inwomenwithgestationalhypertensionandpreeclampsiaanditsassociationwithpretermbirth
AT gitayamakovavladova serumgalectin3inwomenwithgestationalhypertensionandpreeclampsiaanditsassociationwithpretermbirth