ENDOCRINE DISFUNCTION IN WOMEN WITH PRE-ECLAMPSIA AND ALIMENTARY OBESITY
https://doi.org/10.17749/2313-7347.2017.11.1.014-018
Abstract
The aim was to study the renin-angiotensin-aldosterone system (RAAS), the level of leptin and kidney function in women with pre-eclampsia (PE) and alimentary obesity (AO).
Materials and methods. The levels of renin, angiotensin II, aldoste-rone, leptin, insulin, cortisol, β2-microglobulin, glomerular filtration rate were measured.
Results. We show that RAAS, along with a systemic inflammatory response, is a key factor in the development of pre-eclampsia and its progression. The increasing level of leptin has a direct damaging effect on the tubular system of the kidneys.
Conclusions. Stimulating the RAAS aggravates the inflammatory response and endothelial dysfunction in women with PE and AO. Elevated concen-trations of leptin in these women have a direct damaging impact on the kidney tubules.
About the Authors
A. N. RymashevskiiRussian Federation
MD, professor, Head of the Department of Obstetrics and Gynaecology №1 Rostov State Medical University, the Ministry of Health, Address: per. Nakhichevanskii, 29, Rostov-na-Donu, Russia, 344022
S. S. Tumanyan
Russian Federation
graduate student of obstetrics and gynecology №1 Rostov State Medical University, Ministry of Health of the Russian Federation. Address: per. Nakhichevanskii, 29, Rostov-na-Donu, Russia, 344022
E. M. Frantsiyants
Russian Federation
MD, professor, Head hormonal laboratory FGBU Rostov Cancer Research Institute of the Ministry of Health. Address: ul. 14th line, 63, Rostov-on-Don, Russia, 344037
S. V. Tumanyan
Russian Federation
MD Professor, Department of Anesthesiology and Intensive Care, Rostov State Medical University, the Ministry of Health. Address: per. Nakhichevanskii, 29, Rostov-na-Donu, Russia, 344022
References
1. Okhapkin M.B., Serov V.N., Lopukhin V.O. Meditsina neotlozhnykh sostoyanii. 2007; 3 (10): 79-83.
2. Krapivina N.A., Artymuk N.V., Tachkova O.A., Kostin V.I., Likstanov M.I. Fundamental'nye issledovaniya. 2004; 4: 70-71.
3. Petunina N.A., Kuzina I.A. Ozhirenie i metabolizm. 2013; 1: 3-8.
4. Shestakova M.V. Sakharnyi diabet. 2010; 3: 14-19.
5. Linnй Y, Neovius M. Identification of women at risk of adverse weight development following pregnancy. Int J Obes (Lond). 2006; 30 (8):1234-9.
6. Misra V.K, Trudeau S. The Influence of Overweight and Obesity on Longitudinal Trends in Maternal Serum Leptin Levels During Pregnancy. Obesity. 2011; 192: 416-421.
7. Lau T., Carlsson P.O., Leung P.S. Evidence for a local angiotensin-generating system and dose-dependent inhibition of glucose-stimulated insulin release by angiotensin II in isolated pancreatic islets. Diabetologia. 2004; 47: 240-248.
8. Ingelsson E., Pencina M.J., Tofler G.H., et al. Multimarker approach to evaluate
9. the incidence of the metabolic syndrome and longitudinal changes in metabolic risk factors: the Framingham offspring study. Circulation. 2007; 116: 984-992.
10. Kraus D., Jдger J., Meier B. et al. Aldosterone Inhibits Uncoupling Protein-1, Induces Insulin Resistance, and Stimulates Proinflammatory Adipokinesin Adipocytes. Horm. Metab. Res. 2005; 37: 455-459.
11. Kryachkova A.A., Savel'eva S.A., Gallyamov M.G., Shestakova M.V., Kutyrina I.M. Rol' ozhireniya v porazhenii pochek pri metabolicheskom sindrome. Nefrologiya i dializ. 2010; 1 (12): 34-38.
12. Papafragkaki D.K., George T. Obesity and renal disease: A possible role of leptin. Hormones. 2005; 4 (2): 90-95.
13. Chdek J., Adamczak M., Nieszporek T. et al. Adipose Tissue as an Endocrine Organ-A Nephrologistists Perspective. Obesity and kidney. 2006; 151: 70-90.
Review
For citations:
Rymashevskii A.N., Tumanyan S.S., Frantsiyants E.M., Tumanyan S.V. ENDOCRINE DISFUNCTION IN WOMEN WITH PRE-ECLAMPSIA AND ALIMENTARY OBESITY. Obstetrics, Gynecology and Reproduction. 2017;11(1):14-18. (In Russ.) https://doi.org/10.17749/2313-7347.2017.11.1.014-018

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.