Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis

Background: Preeclampsia, a severe complication of human pregnancy is one of the main causes of maternal, fetal, and neonatal morbidity and mortality with unclear pathogenesis. Heat shock protein 70 (HSP70) is one of the factors that can mediate cytoprotective, antiapoptotic, and immune regulatory e...

Full description

Bibliographic Details
Main Authors: Nafiseh Saghafi, Leila Pourali, Vahid Ghavami Ghanbarabadi, Fatemeh Mirzamarjani, Masoumeh Mirteimouri
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2018-02-01
Series:International Journal of Reproductive BioMedicine
Subjects:
Online Access:http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-399&slc_lang=en&sid=1
_version_ 1818428402781126656
author Nafiseh Saghafi
Leila Pourali
Vahid Ghavami Ghanbarabadi
Fatemeh Mirzamarjani
Masoumeh Mirteimouri
author_facet Nafiseh Saghafi
Leila Pourali
Vahid Ghavami Ghanbarabadi
Fatemeh Mirzamarjani
Masoumeh Mirteimouri
author_sort Nafiseh Saghafi
collection DOAJ
description Background: Preeclampsia, a severe complication of human pregnancy is one of the main causes of maternal, fetal, and neonatal morbidity and mortality with unclear pathogenesis. Heat shock protein 70 (HSP70) is one of the factors that can mediate cytoprotective, antiapoptotic, and immune regulatory effects. Objective: This meta-analysis was performed with aim to evaluate HSP70 in preeclampsia and normal pregnancy. Materials and Methods: The original publications reporting the serum HSP70 levels in preeclampsia and normal pregnancies published before November 2015 were identified by searching PubMed Central, Scopus, and ISI Web of Knowledge databases by two researchers, separately. The keywords were&rdquo; preeclampsia&rdquo; and &ldquo;HSP70&rdquo; or &ldquo;Heat shock protein 70&rdquo; Statistical analyses were performed using STATA software (version 11). Results: Out of 127 studies, seven eligible case-control studies were identified which consists of 350 preeclampsia and 429 normal pregnancies. Our pooled analysis of data from 7 studies which met the inclusion criteria, provides evidence that there is a significant association between HSP70 and preeclampsia. Cochran's test results showed the heterogeneity of the studies (p<0.001) and the I2 index was 91%. The standardized mean differences (SMD) based on a random effect model with trim and fill method was 0.92 (95% CI: 0.33-1.51); also there was a significant association between HSP70 and preeclampsia (Z=3.07, p=0.002). Conclusion: The results showed that serum HSP70 concentration was significantly higher in preeclamptic patients than the control group. Therefore HSP70 may be identified as a diagnostic factor.
first_indexed 2024-12-14T15:01:03Z
format Article
id doaj.art-70c7bc52923d4a498103040ee834389a
institution Directory Open Access Journal
issn 2476-4108
2476-3772
language English
last_indexed 2024-12-14T15:01:03Z
publishDate 2018-02-01
publisher Shahid Sadoughi University of Medical Sciences
record_format Article
series International Journal of Reproductive BioMedicine
spelling doaj.art-70c7bc52923d4a498103040ee834389a2022-12-21T22:56:50ZengShahid Sadoughi University of Medical SciencesInternational Journal of Reproductive BioMedicine2476-41082476-37722018-02-0116118Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysisNafiseh Saghafi0Leila Pourali1Vahid Ghavami Ghanbarabadi2Fatemeh Mirzamarjani3Masoumeh Mirteimouri4 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Background: Preeclampsia, a severe complication of human pregnancy is one of the main causes of maternal, fetal, and neonatal morbidity and mortality with unclear pathogenesis. Heat shock protein 70 (HSP70) is one of the factors that can mediate cytoprotective, antiapoptotic, and immune regulatory effects. Objective: This meta-analysis was performed with aim to evaluate HSP70 in preeclampsia and normal pregnancy. Materials and Methods: The original publications reporting the serum HSP70 levels in preeclampsia and normal pregnancies published before November 2015 were identified by searching PubMed Central, Scopus, and ISI Web of Knowledge databases by two researchers, separately. The keywords were&rdquo; preeclampsia&rdquo; and &ldquo;HSP70&rdquo; or &ldquo;Heat shock protein 70&rdquo; Statistical analyses were performed using STATA software (version 11). Results: Out of 127 studies, seven eligible case-control studies were identified which consists of 350 preeclampsia and 429 normal pregnancies. Our pooled analysis of data from 7 studies which met the inclusion criteria, provides evidence that there is a significant association between HSP70 and preeclampsia. Cochran's test results showed the heterogeneity of the studies (p<0.001) and the I2 index was 91%. The standardized mean differences (SMD) based on a random effect model with trim and fill method was 0.92 (95% CI: 0.33-1.51); also there was a significant association between HSP70 and preeclampsia (Z=3.07, p=0.002). Conclusion: The results showed that serum HSP70 concentration was significantly higher in preeclamptic patients than the control group. Therefore HSP70 may be identified as a diagnostic factor.http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-399&slc_lang=en&sid=1Heat shock protein 70 (HSP70) Preeclampsia Pregnancy Meta-analysis
spellingShingle Nafiseh Saghafi
Leila Pourali
Vahid Ghavami Ghanbarabadi
Fatemeh Mirzamarjani
Masoumeh Mirteimouri
Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
International Journal of Reproductive BioMedicine
Heat shock protein 70 (HSP70)
Preeclampsia
Pregnancy
Meta-analysis
title Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
title_full Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
title_fullStr Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
title_full_unstemmed Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
title_short Serum heat shock protein 70 in preeclampsia and normal pregnancy: A systematic review and meta-analysis
title_sort serum heat shock protein 70 in preeclampsia and normal pregnancy a systematic review and meta analysis
topic Heat shock protein 70 (HSP70)
Preeclampsia
Pregnancy
Meta-analysis
url http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-399&slc_lang=en&sid=1
work_keys_str_mv AT nafisehsaghafi serumheatshockprotein70inpreeclampsiaandnormalpregnancyasystematicreviewandmetaanalysis
AT leilapourali serumheatshockprotein70inpreeclampsiaandnormalpregnancyasystematicreviewandmetaanalysis
AT vahidghavamighanbarabadi serumheatshockprotein70inpreeclampsiaandnormalpregnancyasystematicreviewandmetaanalysis
AT fatemehmirzamarjani serumheatshockprotein70inpreeclampsiaandnormalpregnancyasystematicreviewandmetaanalysis
AT masoumehmirteimouri serumheatshockprotein70inpreeclampsiaandnormalpregnancyasystematicreviewandmetaanalysis