4.2 Article

Investigation of maternal serum cardiotrophin-1 concentrations in pregnant women with preeclampsia; a prospective case-control study

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Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/14767058.2023.2229931

Keywords

Cardiotrophin-1; eclampsia; hypertension; preeclampsia; pregnancy

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The study aimed to investigate the concentrations of cardiotrophin-1 (CT-1) in the serum of pregnant women with preeclampsia. A cross-sectional study was conducted with 88 pregnant women, including 44 diagnosed with preeclampsia and 44 healthy pregnant women as the control group. No significant difference was found in the maternal serum CT-1 concentrations between the preeclampsia and control groups. The role of CT-1 in the pathophysiology of preeclampsia remains unclear.
Objective We aimed to investigate the cardiotrophin-1 (CT-1) concentrations in the serum of pregnant women with preeclampsia Methods This cross-sectional study was conducted with 88 pregnant women who applied to the Umraniye Training and Research Hospital Gynecology and Obstetrics Clinic between May 2022 and September 2022. The preeclampsia group consisted of 44 pregnant women diagnosed with preeclampsia, and the control group consisted of 44 healthy pregnant women matched with the preeclampsia group in terms of age and body mass index. Demographic characteristics, ultrasound and laboratory findings, perinatal outcomes, and maternal serum CT-1 concentrations were recorded. Results Both groups were similar in terms of demographic features and the gestational week at blood sampling for CT-1. Preeclampsia and control groups were compared in terms of maternal serum CT-1 concentrations and no significant difference was found between the two groups (2061.4 pg/ml, 2168.5 pg/ml, respectively, p = .516). The preeclampsia group was divided into subgroups as mild and severe preeclampsia according to the severity of the disease and early-onset and late-onset preeclampsia according to the time of onset and compared with the control group in terms of maternal serum CT-1 concentration, no significant difference was found between the groups (p > .005, for all). Conclusion The serum CT-1 concentration of women whose pregnancy was complicated with preeclampsia was found to be similar to that of healthy controls. Although it has been shown in the literature that high serum CT-1 concentrations are associated with hypertensive heart diseases, its role in the pathophysiology of preeclampsia remains unclear.

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