Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia
Objectives: Lipocalin-2 (LCN-2) is an immune modulator. It is highly associated with inflammation, ischemia, neoplastic invasion, and transformation. Preeclampsia (PE) is a pregnancy-related disease resulting from the incomplete invasion of trophoblasts. Endothelial cytokines and inflammation have c...
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| Format: | Article |
| Language: | English |
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IMR Press
2020-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5359 |
| _version_ | 1811247783115489280 |
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| author | H. Yolli M.E. Demir R. Yildizhan |
| author_facet | H. Yolli M.E. Demir R. Yildizhan |
| author_sort | H. Yolli |
| collection | DOAJ |
| description | Objectives: Lipocalin-2 (LCN-2) is an immune modulator. It is highly associated with inflammation, ischemia, neoplastic invasion, and transformation. Preeclampsia (PE) is a pregnancy-related disease resulting from the incomplete invasion of trophoblasts. Endothelial cytokines and inflammation have crucial roles in the pathogenesis of PE. We aimed to investigate serum LCN-2 levels in pregnant women with either no PE, mild PE or severe PE. Furthermore, we determined how LCN-2 levels relate to findings of Doppler ultrasound of the arteries in these patients. Material and Methods: Pregnant women with severe PE (n = 51), mild PE (n = 27), or no PE (n = 42) were involved in the study. Serum LCN-2 levels and Doppler ultrasonography (USG) evaluation were performed at the time of diagnosis of PE or in the cases of uncomplicated pregnancy, just prior to delivery. Women with non-complicated pregnancies were followed up for an additional 8 weeks after delivery. Intrauterine growth restriction (IUGR) was evaluated according to Alexander curve references. Results: Serum LCN-2 levels were significantly higher in pregnant women with PE. Higher LCN-2 levels were found in association with abnormal uterine blood flow and IUGR. Mean gestational age was lower in preeclamptic pregnancies and associated with high serum levels of LCN-2. Conclusion: PE is one of the most prevalent causes of pregnancy-associated complications. Early diagnosis and management of the disease are crucial. The level of serum LCN-2 may provide additional prognostic value along with other clinical and laboratory features of the disease. |
| first_indexed | 2024-04-12T15:15:31Z |
| format | Article |
| id | doaj.art-be23a01754014cd29891ee795458e520 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-04-12T15:15:31Z |
| publishDate | 2020-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-be23a01754014cd29891ee795458e5202022-12-22T03:27:37ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-08-0147451952310.31083/j.ceog.2020.04.5359S0390-6663(20)00302-4Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsiaH. Yolli0M.E. Demir1R. Yildizhan2Private Levent Hospital, Department of Obstetric and Gynecology, Istanbul, TurkeyYeni Yuzyil University Faculty of Medicine, Department of Nephrology, Istanbul, TurkeyFlorence Nightingale Hospital, Department of Obstetric and Gynecology, Istanbul, TurkeyObjectives: Lipocalin-2 (LCN-2) is an immune modulator. It is highly associated with inflammation, ischemia, neoplastic invasion, and transformation. Preeclampsia (PE) is a pregnancy-related disease resulting from the incomplete invasion of trophoblasts. Endothelial cytokines and inflammation have crucial roles in the pathogenesis of PE. We aimed to investigate serum LCN-2 levels in pregnant women with either no PE, mild PE or severe PE. Furthermore, we determined how LCN-2 levels relate to findings of Doppler ultrasound of the arteries in these patients. Material and Methods: Pregnant women with severe PE (n = 51), mild PE (n = 27), or no PE (n = 42) were involved in the study. Serum LCN-2 levels and Doppler ultrasonography (USG) evaluation were performed at the time of diagnosis of PE or in the cases of uncomplicated pregnancy, just prior to delivery. Women with non-complicated pregnancies were followed up for an additional 8 weeks after delivery. Intrauterine growth restriction (IUGR) was evaluated according to Alexander curve references. Results: Serum LCN-2 levels were significantly higher in pregnant women with PE. Higher LCN-2 levels were found in association with abnormal uterine blood flow and IUGR. Mean gestational age was lower in preeclamptic pregnancies and associated with high serum levels of LCN-2. Conclusion: PE is one of the most prevalent causes of pregnancy-associated complications. Early diagnosis and management of the disease are crucial. The level of serum LCN-2 may provide additional prognostic value along with other clinical and laboratory features of the disease.https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5359lipocalin-2preeclampsiapregnancy |
| spellingShingle | H. Yolli M.E. Demir R. Yildizhan Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia Clinical and Experimental Obstetrics & Gynecology lipocalin-2 preeclampsia pregnancy |
| title | Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia |
| title_full | Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia |
| title_fullStr | Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia |
| title_full_unstemmed | Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia |
| title_short | Neutrophil gelatinase associated lipocalin-2 (Ngal) levels in preeclampsia |
| title_sort | neutrophil gelatinase associated lipocalin 2 ngal levels in preeclampsia |
| topic | lipocalin-2 preeclampsia pregnancy |
| url | https://www.imrpress.com/journal/CEOG/47/4/10.31083/j.ceog.2020.04.5359 |
| work_keys_str_mv | AT hyolli neutrophilgelatinaseassociatedlipocalin2ngallevelsinpreeclampsia AT medemir neutrophilgelatinaseassociatedlipocalin2ngallevelsinpreeclampsia AT ryildizhan neutrophilgelatinaseassociatedlipocalin2ngallevelsinpreeclampsia |