Startseite Tumor necrosis factor-α and oxidant status are essential participating factors in unexplained recurrent spontaneous abortions
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Tumor necrosis factor-α and oxidant status are essential participating factors in unexplained recurrent spontaneous abortions

  • Mohamed El-Far , Ibrahim H. El-Sayed , Abd El-Gawad El-Motwally , Ikbal Abou Hashem und Nadia Bakry
Veröffentlicht/Copyright: 8. Juli 2007
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Clinical Chemistry and Laboratory Medicine (CCLM)
Aus der Zeitschrift Band 45 Heft 7

Abstract

Background: Many factors have been implicated in the pathogenesis of unexplained recurrent spontaneous abortion (URSA). The current study was conducted to determine the possible role of antioxidant status and tumor necrosis factor-α (TNF-α) in URSA.

Methods: Reduced glutathione (GSH), glutathione reductase (GSH-R), glutathione peroxidase (GSH-PX), catalase (CAT), superoxide dismutase (SOD), nitric oxide (NO), malondialdehyde (MDA) and TNF-α were assayed in women suffering unexplained first-trimester abortions. Two groups were included, the first represented by 24 women with URSA (number of abortions 3–5) and the second included 16 women with URSA (number of abortions >5). The control group included 20 women within their first trimester of pregnancy and 20 non-pregnant healthy females within their follicular phase.

Results: We observed that the antioxidant levels measured were significantly lower in URSA groups than in the control group (p<0.05 for each comparison). Higher TNF-α, MDA and NO production were detected in URSA groups compared to controls (p<0.05 for each comparison). URSA 3–5 was associated with significantly higher levels of antioxidants and lower levels of TNF-α compared to levels in URSA >5.

Conclusions: Impaired antioxidant defense and an increase in oxidative reactive species may be responsible for recurrent abortion due to possible damage produced by their generation. In addition, the level of TNF-α apparently contributes to the pathogenesis of URSA.

Clin Chem Lab Med 2007;45:879–83.


Corresponding author: Prof. Dr. Mohamed El-Far, Head of Division of Biochemistry, Faculty of Science, Mansoura University, Mansoura, Egypt Phone:+20-502248348, Fax: +20-502246254

Received: 2007-1-23
Accepted: 2007-3-5
Published Online: 2007-07-08
Published in Print: 2007-07-01

©2007 by Walter de Gruyter Berlin New York

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