Accessible Requires Authentication Published by De Gruyter June 26, 2017

The relationship between maternal and umbilical cord adropin levels with the presence and severity of preeclampsia

Burcu Dincgez Cakmak, Betul Dundar, Abdullah Serdar Acikgoz, Gulten Ozgen, Tayfur Cift ORCID logo, Robab Ahmedian and Yasin Altekin

Abstract

Aim:

To investigate both maternal and umbilical cord adropin levels in patients with preeclampsia and the possible relations with its severity and perinatal outcomes.

Materials and methods:

In this study, a total of 38 preeclamptic and 40 age-matched healthy pregnant women between January and June 2016 were included. Serum and cord adropin levels were measured using an enzyme-linked immunosorbent assay (ELISA).

Results:

The maternal and umbilical cord adropin levels were significantly lower in the preeclamptic group compared to controls [71.19±22.21 vs. 100.76±27.02 ng/L and 92.39 (59.77:129.89) vs. 106.20 (74.42:208.02) ng/L, P<0.001, respectively]. While maternal adropin levels were significantly lower in the severe preeclampsia group as compared to the mild preeclamptic group [66.45 (21.49:98.02) vs. 76.17 (58.06:109.58), P=0.007], umbilical cord adropin levels did not differ between each group [91.32 (59.77:113.34) vs. 92.87 (63.12:129.89), P=0.750]. Maternal adropin level was negatively correlated with systolic and diastolic blood pressures (r=−0.60, P<0.001 and r=−0.58, P<0.001, respectively) and positively correlated with platelet count (r=0.27, P=0.016). Moreover, umbilical cord adropin levels were weakly correlated with gestational age at delivery (r=0.28, P=0.012) and birth weight (r=0.28, P=0.014).

Conclusion:

The present study is the first to demonstrate a significant association between maternal and umbilical adropin levels and the presence and severity of preeclampsia. Adropin might be a useful parameter for predicting the presence and severity of preeclampsia.

Author’s statement

  1. Conflict of interest: The authors declare that they have no conflict of interest. The authors alone are responsible for the content and writing of the paper. The authors have had full control of all primary data and they agree to allow the journal to review their data if requested.

  2. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  3. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

  4. Funding: No funding sources supported the work.

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Received: 2017-2-13
Accepted: 2017-5-11
Published Online: 2017-6-26
Published in Print: 2017-10-26

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