ASSESSMENT OF BIOCHEMICAL PARAMETERS IN PREGNANT WOMEN WITH METABOLIC DISORDERS: A COMPARATIVE STUDY
https://doi.org/10.17749/2313-7347.2017.11.2.012-017
Abstract
Objective: еvaluation of lipid metabolism, lipid peroxidation (LPO) and antioxidant system (AOS) in pregnant women with various metabolic disorders. Materials and methods. This study was conducted in pregnant women with no known metabolic disorder, in those with the symptoms of metabolic syndrome and in women with gestational diabetes mellitus. Results. We found evidence for activation of LPO in pregnant women with impaired glucose metabolism; the LPO developed on the background of decreased activity of AOS enzymes. As proposed, the active oxygen species and the LPO products caused a reduction in the level of nitric oxide (NO) - a major vasodilating substance. The resulting vasoconstriction might lead to hypoxia with its negative impact on fetus development. Conclusion. Based on the obtained data we recommend using the parameters of LPO-AOS and the markers of endothelial NO-production as additional laboratory tests in pregnant women with gestational diabetes mellitus and metabolic syndrome.
About the Authors
S. G. DzugkoevRussian Federation
Dzugkoev Sergey Gavrilovich - MD, Head of Pathobiochemistry Department
Address: ul. Pushkinskaya, 47, Vladikavkaz, Russia, 362025
A. I. Tedtoeva
Russian Federation
Tedtoeva Angelika Iraklievna - PhD, Head physician
Address: ul. Dzerzhinsky, 32, Vladikavkaz, Russia, 362003.
F. S. Dzugkoeva
Russian Federation
Dzugkoeva Fira Solomonovna - MD, Professor, leading researcher of Pathobiochemistry Department
Address: ul. Pushkinskaya, 47, Vladikavkaz, Russia, 362025
I. V. Mozhaeva
Russian Federation
Mozhaeva Irina Victorovna - junior researcher of Pathobiochemistry Department
Address: ul. Pushkinskaya, 47, Vladikavkaz, Russia, 362025
O. I. Margieva
Russian Federation
Margieva Olga Ivanovna - junior researcher of Pathobiochemistry Department
Address: ul. Pushkinskaya, 47, Vladikavkaz, Russia, 362025
References
1. Chanchaev E.A., Aizman R.I., Gerasev A.D. Modern concept about antioxidant system of human body. [Sovremennoe predstavlenie ob antioksidantnoj sisteme organizma cheloveka]. Ekologiya cheloveka. 2013; 7: 50-8 (in Russian).
2. Kazimirko V.K. Free radical oxidation and antioxidant therapy. [Svobodnoradikal'noe okislenie i antioksidantnaya terapiya]. Kiev: Morion. 2004: 160 s (in Russian).
3. Prokopenko V.M., Pavlova N.G. The importance of glutathione-dependent antioxidant defense enzymes in functional activity of human placenta. [Znachenie glutation-zavisimyh fermentov antioksidantnoj zashchity v funkcional'noj aktivnosti placenty cheloveka]. Akusherstvo iginekologiya. 2014; 11: 62-7 (in Russian).
4. Zefirova T.P. Gestational diabetes mellitus. [Gestacionnyj saharnyj diabet]. Prakticheskaya meditsina. 2008; 27: 64-5 (in Russian).
5. Sukhikh G.T., Krasnopolskii V.I., Runikhina N.K., Tkacheva O.N., Khodzhaeva Z.S. Transition to a new level of competence for hypertensive and metabolic complications in pregnancy: modern diagnostic criteria. [Perekhod na novyj uroven' vedeniya gipertenzivnyh i metabolicheskih oslozhnenij pri beremennosti: sovremennye kriterii diagnostiki]. Akusherstvo i ginekologiya. 2013; 3: 4-8 (in Russian).
6. Makhmud T. Obesity as a reproductive barrier. Are we ready for this problem? [Ozhirenie kak reproduktivnyj bar'er. Gotovy li my k ehtoj probleme?]. Akusherstvo i ginekologiya. 2015; 7: 21-3 (in Russian).
7. Davis S.R. Differing effects of low-dose estrogen progestin therapy and pravastatin in postmenopausal hypercholesterolemic women. Climacteric. 2002; 5: 341-50.
8. Narasimhan A. Estradiol favors glucose oxidation in gastrocnemius muscle through modulation of insulin signaling molecules in adult female rats. Endocrinol. Res. 2013; 38: 251-63.
9. Asakawa T., Matsushita S. Coloring conditions of thiobarbituricacid test, for detecting lipid hydroperoxides. Lipids. 1980; 15: 137-40.
10. Korolyuk M.A., Ivanova L.I., Maiorova V.E., Tokarev V.E. Method for catalase determination. [Metod opredeleniya katalazy]. Laboratornoe delo. 1988; 1: 16-9 (in Russian).
11. Sirota T.V. A new approach in study of adrenaline autooxidation and its usage to measure superoxide dismutase activity. [Novyj podhod v issledovanii autookisleniya adrenalina i ispol'zovanie ego dlya izmereniya aktivnosti superoksiddismutazy]. Voprosy meditsinskoi khimii. 1999; 3: 263-72 (in Russian).
12. Kamyshnikov V.S. Determination of serum ceruloplasmin level by Ravin method. [Opredelenie urovnya ceruloplazmina v syvorotke krovi metodom Ravina]. Spravochnik po kliniko-biohimicheskoj laboratornoj diagnostike. Minsk, 2003; 2: 71-79 (in Russian).
13. Metelskaya V.A. Nitric oxide: role in regulation of biological functions, methods of determination in human blood. [Oksid azota: rol v regulyacii biologicheskih funkcij, metody opredeleniya v krovi cheloveka]. Laboratornaya meditsina. 2005; 7: 19-24 (in Russian).
14. Bardymova T.P., Kolesnikova L.I. Oxidative stress in patients with diabetes mellitus. [Okislitel'nyj stress u bol'nyh saharnym diabetom]. Byulleten VSNTs SO RAMN. 2005; 5 (43): 183-85 (in Russian).
15. Bardymova T.P., Kolesnikova L.I., Dolgikh M.I. Lipids peroxidation, antioxidant system in patients with diabetes mellitus and environmental factors. [Perekisnoe okislenie lipidov, antioksidantnaya sistema u bol'nyh saharnym diabetom i faktory vneshnej sredy]. Byulleten VSNTs SO RAMN. 2006; 1 (47): 116-9 (in Russian).
16. Dzugkoev S.G., Mozhaeva I.V., Gigolaeva L.V., Tedtoyeva A.I., Takova E.A., Dzugkoyeva F.S. Systemic oxidative stress and biochemical damage markers of internal organs. [Sistemnyj okislitel'nyj stress i biohimicheskie markery povrezhdeniya vnutrennih organov]. Fundamental'nye issledovaniya. 2014; 7-3: 478-81 (in Russian).
17. Dzugkoev S.G., Metelskaya V.A., Mozhaeva I.V., Dzugkoeva F.S. Effect of complex homeopathic preparation containing coenzyme Q10 on oxidative stress parameters and hemodynamics in experimental diabetes mellitus. [Vliyanie kompleksnogo gomeopaticheskogo preparata, soderzhashchego koehnzim Q10 na pokazateli okislitel'nogo stressa i gemodinamiki pri
18. ehksperimental'nom saharnom diabete]. Ratsional'naya farmakoterapiya v kardiologii.
19. ; 3: 376-80 (in Russian).
20. Grigoryan O.R., Andreeva E.N. Obesity and reproductive function. [Ozhirenie i reproduktivnaya funkciya]. Akusherstvo iginekologiya. 2015; 9: 14-8 (in Russian).
21. Cicero A.F. Metabolic syndrome, adipokines and hormonal factors in pharmacologically
22. untreated adult elderly subjects from the Brisighella Heart Study historical cohort. Obes. Facts. 2012; 5: 319-26.
23. Kostenko I.V., Rogozhina I.V., Sukhankina G.V., Ryzhina S.A. Structure of risk factors development, prevalence, diagnosis and treatment of gestational diabetes mellitus (review). [Struktura razvitiya faktorov riska, rasprostranyonnost', diagnostika i metody lecheniya gestacionnogo saharnogo diabeta (obzor)]. Saratovskii nauchno-meditsinskii zhurnal. 2011; 2: 534-41 (in Russian).
Review
For citations:
Dzugkoev S.G., Tedtoeva A.I., Dzugkoeva F.S., Mozhaeva I.V., Margieva O.I. ASSESSMENT OF BIOCHEMICAL PARAMETERS IN PREGNANT WOMEN WITH METABOLIC DISORDERS: A COMPARATIVE STUDY. Obstetrics, Gynecology and Reproduction. 2017;11(2):12-17. (In Russ.) https://doi.org/10.17749/2313-7347.2017.11.2.012-017

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