Abstract
Aim:
Our objective was to measure the circulating levels of ischemia-modified albumin (IMA) among pregnant with hyperemesis gravidarum (HEG) and to compare their levels with age- and body mass index (BMI)-matched control pregnant women.
Method:
The pregnant subjects were classified into the HEG group diagnosed with HEG (n=45) and age- and BMI-matched control group without a diagnosis of HEG (n=45) during their pregnancies. Serum IMA, hemoglobin, hematocrit, white blood cells, platelet, fasting blood glucose, creatinine, lipid profile, aspartate aminotransferase (AST) urea, alanine aminotransferase (ALT), sodium, potassium and thyroid-stimulating hormone (TSH) levels of the groups were measured.
Result:
Serum hemoglobin, hematocrit, white blood cells, platelet, fasting blood glucose, creatinine, lipid profile, AST, urea, ALT, sodium, potassium and TSH levels of the groups were statistically similar. Serum IMA values were significantly higher in subjects with HEG compared to the subjects without HEG.
Conclusions:
We found that HEG was related to increased maternal serum IMA levels. HEG might be due to an ischemic intrauterine environment leading to elevated serum IMA concentrations.
Acknowledgments
The authors have no conflicts of interest relevant to this article.
Funding: This research has been no financial supported.
References
[1] McCarthy FP, Lutomski JE, Greene RA. Hyperemesis gravidarum: current perspectives. Int J Womens Health. 2014;6:719–25.10.2147/IJWH.S37685Search in Google Scholar PubMed PubMed Central
[2] World Health Organization. International statistical classification of diseases and related health problems. 10th Rev. World Health Organization, 2007. Available at: http://apps.who.int/classifications/apps/icd/icd10online2007/. Accessed April 15, 2013.Search in Google Scholar
[3] Wood H, McKellar LV, Lightbody M. Nausea and vomiting in pregnancy: blooming or bloomin’ awful? A review of the literatüre. Women Birth. 2013;26:100–4.10.1016/j.wombi.2012.10.001Search in Google Scholar PubMed
[4] Vikanes AV, Stoer NC, Magnus P, Grjibovski AM. Hyperemesis gravidarum and pregnancy outcomes in the Norwegian Mother and Child Cohort – a cohort study. BMC Pregnancy Childbirth. 2013;13:169.10.1186/1471-2393-13-169Search in Google Scholar PubMed PubMed Central
[5] Mullin PM, Ching C, Schoenberg F, MacGibbon K, Romero R, Goodwin TM, et al. Risk factors, treatments, and outcomes associated with prolonged hyperemesis gravidarum. J Matern Fetal Neonatal Med. 2012;25:632–6.10.3109/14767058.2011.598588Search in Google Scholar PubMed PubMed Central
[6] McCarthy FP, Khashan AS, North RA, Moss-Morris R, Baker PN, Dekker G, et al. A prospective cohort study investigating associations between hyperemesis gravidarum and cognitive, behavioural and emotional well-being in pregnancy. PLoS One. 2011;6:e27678.10.1371/journal.pone.0027678Search in Google Scholar PubMed PubMed Central
[7] Caglayan EK, Engin-Ustun Y, Gocmen AY, Sarı N, Seckin L, Kara M, et al. Is there any relationship between serum sirtuin-1 level and neutrophil-lymphocyte ratio in hyperemesis gravidarum? J Perinat Med. 2016;44:315–20.10.1515/jpm-2015-0178Search in Google Scholar PubMed
[8] Zhou Q, O’Brien B, Relyea J. Severity of nausea and vomiting during pregnancy: what does it predict? Birth. 1999;26: 108–14.10.1046/j.1523-536x.1999.00108.xSearch in Google Scholar PubMed
[9] Shen XL, Lin CJ, Han LL, Lin L, Pan L, Pu XD. Assessment of ischemia-modified albumin concentrations for emergency room diagnosis of acute coronary syndrome. Int J Cardiol. 2011;149:296–8.10.1016/j.ijcard.2010.01.013Search in Google Scholar PubMed
[10] Van Rijn BB, Franx A, Sikkema JM, van Rijn HJ, Bruinse HW, Voorbij HA. Ischemia modified albumin in normal pregnancy and preeclampsia. Hypertens Pregnancy. 2008;27:159–67.10.1080/10641950701885147Search in Google Scholar PubMed
[11] Papageorghiou AT, Prefumo F, Leslie K, Gaze DC, Collinson PO, Thilaganathan B. Defective endovascular trophoblast invasion in the first trimester is associated with increased maternal serum ischemia-modified albumin. Hum Reprod. 2008;23:803–6.10.1093/humrep/den029Search in Google Scholar PubMed
[12] Jauniaux E, Hempstock J, Greenwold N, Burton GJ. Trophoblastic oxidative stress in relation to temporal and regional differences in maternal placental blood flow in normal and abnormal early pregnancies. Am J Pathol. 2003;162:115–25.10.1016/S0002-9440(10)63803-5Search in Google Scholar
[13] Prefumo F, Gaze DC, Papageorghiou AT, Collinson PO, Thilaganathan B. First trimester maternal serum ischaemia-modified albumin: a marker of hypoxia – ischaemia-driven early trophoblast development. Human Reprod. 2007;22:2029–32.10.1093/humrep/dem095Search in Google Scholar
[14] Sullıvan CA, Johnson CA, Roach H, Martın RW, Stewart DK, Morrıson JC. A pilot study of intravenous ondansetron for hyperemesis gravidarum. Am J Obstet Gynecol. 1996;174: 1565–8.10.1016/S0002-9378(96)70607-5Search in Google Scholar
[15] Engin-Ustun Y, Tonguç E, Var T, Deveer R, Yilmaz N, Danisman N, et al. Vaspin and C-reactive protein levels in hyperemesis gravidarum. Eur Rev Med Pharmacol Sci. 2013;17:138–40.Search in Google Scholar
[16] Rossi A, Bortolotti N, Vescovo S, Romanello I, Forzano L, Londero AP, et al. Ischemia-modified albumin in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2013;170:348–51.10.1016/j.ejogrb.2013.06.037Search in Google Scholar PubMed
[17] Sari K, Gencer ZK, Ede H, Gocmen AY, Kantekin Y. Ischemia-modified albumin, brain natriuretic peptide, and growth differentiation factor-15 levels in patients with nasal polyps. Auris Nasus Larynx. 2016;43:529–36.10.1016/j.anl.2015.12.009Search in Google Scholar PubMed
[18] Guven S, Alver A, Mentese A, Ilhan FC, Calapoglu M, Unsal MA. The novel ischemia marker ‘ischemia-modified albumin’ is increased in normal pregnancies. Acta Obstet Gynecol Scand. 2009;88:479–482.10.1080/00016340902777517Search in Google Scholar PubMed
[19] Yilmaz S, Ozgu-Erdinc AS, Demirtas C, Ozturk G, Erkaya S, Uygur D. The oxidative stress index increases among patient with hyperemesis gravidarum but not in normal pregnancies. Redox Rep. 2015;20:97–102.10.1179/1351000214Y.0000000110Search in Google Scholar PubMed PubMed Central
[20] Longini M, Perrone S, Kenanidis A, Vezzosi P, Marzocchi B, Petraglia F, et al. Oxidative stress in amniotic fluid of pregnancies with fetal growth retardation. Pediatr Res. 2004;56:471.10.1203/00006450-200409000-00067Search in Google Scholar
[21] Ustün Y, Engin-Ustün Y, Oztürk O, Alanbay I, Yaman H. Ischemia-modified albumin as an oxidative stress marker in preeclampsia. J. Matern Fetal Neonatal Med. 2011;24:418–21.10.3109/14767058.2010.497879Search in Google Scholar PubMed
[22] Ozdemir S, Kiyici A, Balci O, Goktepe H, Cicekler H, Celik C. Assessment of ischemia-modified albumin level in patients with recurrent pregnancy loss during the first trimester. Eur J Obstet Gynecol Reprod Biol. 2011;155:209–12.10.1016/j.ejogrb.2010.12.004Search in Google Scholar PubMed
[23] Cengiz H, Dagdeviren H, Kanawati A, Suzen Çaypinar S, Yesil A, Ekin M, et al. Ischemia-modified albumin as an oxidative stress biomarker in early pregnancy loss. J Matern Fetal Neonatal Med. 2016;29:1754–7.10.3109/14767058.2015.1061494Search in Google Scholar PubMed
[24] Sanu O, Lamont RF. Hyperemesis gravidarum: pathogenesis and the use of antiemetic agents. Exp Opin Pharmacother. 2011;12:737–48.10.1517/14656566.2010.537655Search in Google Scholar PubMed
The authors stated that there are no conflicts of interest regarding the publication of this article.
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Antepartum care
- Academy’s Paper
- Late pregnancy – a clue to prolonging life?
- Highlight articles
- The effect of cigarette smoking on fetal heart rate tracing during pregnancy
- Correlation between markers of DNA and lipid oxidative damage in maternal and fetoplacental compartment in the mid-trimester of pregnancy
- Hyperemesis gravidarum is associated with increased maternal serum ischemia-modified albumin
- Can prepartum thromboelastometry-derived parameters and fibrinogen levels really predict postpartum hemorrhage?
- Effect of DHA supplements during pregnancy on the concentration of PUFA in breast milk of Chinese lactating mothers
- Ferric carboxymaltose vs. oral iron in the treatment of pregnant women with iron deficiency anemia: an international, open-label, randomized controlled trial (FER-ASAP)
- Maternal and perinatal outcomes in pregnancies with multiple sclerosis: a case-control study
- The role of vitamin B1-B2 and plasma lipid profile in intrahepatic cholestasis of pregnancy
- Hyponatremia associated with preeclampsia
- Impact of routine transvaginal ultrasound monitoring of cervical length in twins on administration of antenatal corticosteroids
- Does an ideal prototype of a twin mother exist?
- Differential immunophenotype of macrophages in acute and chronic chorioamnionitis
- Longitudinal changes of cardiotocographic parameters throughout pregnancy: a prospective cohort study comparing small-for-gestational-age and normal fetuses from 24 to 40 weeks
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorial
- Antepartum care
- Academy’s Paper
- Late pregnancy – a clue to prolonging life?
- Highlight articles
- The effect of cigarette smoking on fetal heart rate tracing during pregnancy
- Correlation between markers of DNA and lipid oxidative damage in maternal and fetoplacental compartment in the mid-trimester of pregnancy
- Hyperemesis gravidarum is associated with increased maternal serum ischemia-modified albumin
- Can prepartum thromboelastometry-derived parameters and fibrinogen levels really predict postpartum hemorrhage?
- Effect of DHA supplements during pregnancy on the concentration of PUFA in breast milk of Chinese lactating mothers
- Ferric carboxymaltose vs. oral iron in the treatment of pregnant women with iron deficiency anemia: an international, open-label, randomized controlled trial (FER-ASAP)
- Maternal and perinatal outcomes in pregnancies with multiple sclerosis: a case-control study
- The role of vitamin B1-B2 and plasma lipid profile in intrahepatic cholestasis of pregnancy
- Hyponatremia associated with preeclampsia
- Impact of routine transvaginal ultrasound monitoring of cervical length in twins on administration of antenatal corticosteroids
- Does an ideal prototype of a twin mother exist?
- Differential immunophenotype of macrophages in acute and chronic chorioamnionitis
- Longitudinal changes of cardiotocographic parameters throughout pregnancy: a prospective cohort study comparing small-for-gestational-age and normal fetuses from 24 to 40 weeks
- Congress Calendar
- Congress Calendar