Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios

Objective: Oligohydramnios is defined as amniotic fluid index in ultrasonographic measurement is less than 5 percentile according to gestational age, the amniotic fluid volume is ≤ 5 cm, or if the single deepest dial is < 2 cm. The condition of oligohydramnios that not with fetal structural/chrom...

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Autores principales: T. Kiremitli, S. Kiremitli, O. Erel, E. Oguz, K. Dinc, U. Nayki, C. Nayki, C. Turkler, A. Kirkinci
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:88107b5ce8144bbf9be59886e073a6252021-11-18T04:44:43ZDynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios1028-455910.1016/j.tjog.2021.09.015https://doaj.org/article/88107b5ce8144bbf9be59886e073a6252021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002552https://doaj.org/toc/1028-4559Objective: Oligohydramnios is defined as amniotic fluid index in ultrasonographic measurement is less than 5 percentile according to gestational age, the amniotic fluid volume is ≤ 5 cm, or if the single deepest dial is < 2 cm. The condition of oligohydramnios that not with fetal structural/chromosomal abnormalities, intrauterine growth retardation, intrauterine infection and maternal disease is described as isolated oligohydramnios (IO). The aim of this study is to examine whether oxidative stress and reactive oxygen species (ROS) have a place in the pathophysiology of IO. Materials and methods: In this prospective case–control study, a total of 126 participants were included. The patient group consisted of 65 patients who were diagnosed IO, and the control group consisted of 61 healthy normal pregnants. Native thiol (-SH), total thiol (-SH + -SS), dynamic disulfide (-SS), IMA values from maternal serum were measured and compared between groups. Results: Maternal serum -SH and -SH + -SS values were significantly lower in the IO group than in the control group (409.47 ± 55.36 μmol/L vs. 437.40 ± 48.68 μmol/L, p = 0.03 and 457.40 ± 63.01 μmol/L vs. 484.59 ± 52.75 μmol/L, p = 0.01). In the IO group when -SS/-SH and -SS/-SH + -SS ratio was found to be statistically significantly higher than control group (5.84 ± 1.1 vs 5.41 ± 0.71, p = 0.01 and 5.2 ± 0.88 vs 4.8 ± 0.58, p = 0.01), -SH/-SH + -SS ratio was significantly lower (89.56 ± 1.7 vs 90.24 ± 1.16, p = 0.01). There was no significant difference in terms of -SS value (p = 0.66). IMA value was significantly higher in the IO group than control group (0.76 ± 0.10 ABSU vs 0.68 ± 0.06, p < 0.01). It is seen as a result of ROC analysis that -SH, -SH + -SS, -SS/-SH, -SS/-SH + -SS, -SH/-SH + -SS and IMA values have a diagnostic value for IO (p < 0.05). Conclusion: The thiol/disulfide balance shifted towards oxidative stress in IO compared to control group. So oxidative stress and ROS have a place in the pathophysiology of IO.T. KiremitliS. KiremitliO. ErelE. OguzK. DincU. NaykiC. NaykiC. TurklerA. KirkinciElsevierarticleThiol/disulphide homeostasisThiolsIMAOligohydroamniosisIsolated oligohydroamniosGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 1038-1042 (2021)
institution DOAJ
collection DOAJ
language EN
topic Thiol/disulphide homeostasis
Thiols
IMA
Oligohydroamniosis
Isolated oligohydroamnios
Gynecology and obstetrics
RG1-991
spellingShingle Thiol/disulphide homeostasis
Thiols
IMA
Oligohydroamniosis
Isolated oligohydroamnios
Gynecology and obstetrics
RG1-991
T. Kiremitli
S. Kiremitli
O. Erel
E. Oguz
K. Dinc
U. Nayki
C. Nayki
C. Turkler
A. Kirkinci
Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
description Objective: Oligohydramnios is defined as amniotic fluid index in ultrasonographic measurement is less than 5 percentile according to gestational age, the amniotic fluid volume is ≤ 5 cm, or if the single deepest dial is < 2 cm. The condition of oligohydramnios that not with fetal structural/chromosomal abnormalities, intrauterine growth retardation, intrauterine infection and maternal disease is described as isolated oligohydramnios (IO). The aim of this study is to examine whether oxidative stress and reactive oxygen species (ROS) have a place in the pathophysiology of IO. Materials and methods: In this prospective case–control study, a total of 126 participants were included. The patient group consisted of 65 patients who were diagnosed IO, and the control group consisted of 61 healthy normal pregnants. Native thiol (-SH), total thiol (-SH + -SS), dynamic disulfide (-SS), IMA values from maternal serum were measured and compared between groups. Results: Maternal serum -SH and -SH + -SS values were significantly lower in the IO group than in the control group (409.47 ± 55.36 μmol/L vs. 437.40 ± 48.68 μmol/L, p = 0.03 and 457.40 ± 63.01 μmol/L vs. 484.59 ± 52.75 μmol/L, p = 0.01). In the IO group when -SS/-SH and -SS/-SH + -SS ratio was found to be statistically significantly higher than control group (5.84 ± 1.1 vs 5.41 ± 0.71, p = 0.01 and 5.2 ± 0.88 vs 4.8 ± 0.58, p = 0.01), -SH/-SH + -SS ratio was significantly lower (89.56 ± 1.7 vs 90.24 ± 1.16, p = 0.01). There was no significant difference in terms of -SS value (p = 0.66). IMA value was significantly higher in the IO group than control group (0.76 ± 0.10 ABSU vs 0.68 ± 0.06, p < 0.01). It is seen as a result of ROC analysis that -SH, -SH + -SS, -SS/-SH, -SS/-SH + -SS, -SH/-SH + -SS and IMA values have a diagnostic value for IO (p < 0.05). Conclusion: The thiol/disulfide balance shifted towards oxidative stress in IO compared to control group. So oxidative stress and ROS have a place in the pathophysiology of IO.
format article
author T. Kiremitli
S. Kiremitli
O. Erel
E. Oguz
K. Dinc
U. Nayki
C. Nayki
C. Turkler
A. Kirkinci
author_facet T. Kiremitli
S. Kiremitli
O. Erel
E. Oguz
K. Dinc
U. Nayki
C. Nayki
C. Turkler
A. Kirkinci
author_sort T. Kiremitli
title Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
title_short Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
title_full Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
title_fullStr Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
title_full_unstemmed Dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
title_sort dynamic thiol/disulphide homeostasis and ischemic modified albumin levels in isolated oligohydramnios
publisher Elsevier
publishDate 2021
url https://doaj.org/article/88107b5ce8144bbf9be59886e073a625
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