Increased neopterin level and chitotriosidase activity in pregnant women with threatened preterm labor

Keskin U., Ulubay M., Kurt Y. G., FİDAN U., Koçyiʇit Y. K., Honca T., ...Daha Fazla

Journal of Maternal-Fetal and Neonatal Medicine, cilt.28, sa.9, ss.1077-1081, 2015 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 9
  • Basım Tarihi: 2015
  • Doi Numarası: 10.3109/14767058.2014.943174
  • Dergi Adı: Journal of Maternal-Fetal and Neonatal Medicine
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1077-1081
  • Anahtar Kelimeler: Chitotriosidase activity, inflammation, neopterin, threatened preterm labor
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objectives: To determine whether the cellular inflammatory markers of activated macrophages, neopterin (NEO), chitotriosidase activity and the acute-phase inflammatory marker C-reactive protein (CRP) are elevated in pregnancy with threatened preterm labor (TPL). Methods: Thirty-two pregnant women with TPL and 32 women with uncomplicated pregnancy (UP) were included this study. The primary aim was to compare the NEO, chitotriosidase activity and CRP levels between women with TPL and women with UP. Results: NEO levels were all significantly elevated in patients with TPL compared to UP (median 25-75%; 9.61 [8.47-12.29] versus 4.46 [3.59-6.92], respectively; p<0.001). Chitotriosidase activity was significantly elevated in pregnant women with TPL compared to UP (median 25-75%; 59.00 [38.00-87.25] versus 43.50 [23.25-65.25], respectively; p=0.036). However, CRP levels were not different in women with TPL compared to UP (p=0.573). Furthermore, a significant moderate negative correlation was found between delivery week and NEO level (r=-0.557, p=0.001). However, a significant correlation was not seen between delivery week and chitotriosidase activity (r=-0.042, p=0.741). Conclusions: Inflammatory markers such as NEO and chitotriosidase activity, which are markers of macrophages, are more elevated in pregnant women with TPL than in women with UP. These data suggest that there are striking increases in inflammation and cellular immune activation in TPL.