Journal
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Volume 29, Issue 6, Pages 422-426Publisher
BLACKWELL PUBLISHING ASIA
DOI: 10.1111/j.1341-8076.2003.00141.x
Keywords
E-selectin; intercellular adhesion molecule-1 (ICAM-1); pregnancy-induced hypertension (PIH); pregnancy; tumor necrosis factor alpha (TNF alpha)
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Aim: To study whether serum tumor necrosis factor alpha gene (TNFalpha) and adhesion molecule levels are indicators of the onset of pregnancy-induced hypertension (PIH), we compared levels of these molecules between normal pregnant women and PIH patients from the first to the third trimester. Methods: We serially measured serum concentrations of TNFalpha, soluble intercellular adhesion molecule-1 (sICAM-1), soluble E-selectin (sE-selectin), soluble vascular cell adhesion molecule-1 (sVCAM-1) and soluble P-selectin (sP-selectin) using enzyme immunoassay kits in 10 normal pregnant women and 10 pregnant women who developed PIH late in gestation. Results: Serum TNFalpha, sICAM-1 and sE-selectin levels in PIH affected women were significantly higher from the first trimester compared with those in normal pregnancy. sVCAM-1 and sP-selectin levels were not significantly changed. Conclusion: Serum TNFalpha, sE-selectin and sICAM-1 levels might be effective indicators of the onset of PIH.
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