Oxidative stress as a significant contributor in the pathogenesis and white cell changes in pre-eclampsia: A study in Owerri, Nigeria
Abstract
Haeomatological and oxidative stress parameters were measured in Pre-eclamptic [PE] women attending clinic in owerri South Eastern Nigeria. The effect of Pre-eclampsia on these parameters was assessed by juxtaposition with similar indices in normal pregnant and normal non-pregnant women. Result showed that pre-eclampia resulted in significant decrease (P< 0.05) in Lymphocyte count. There was a significant increase in total white blood cell count, neutrophil count and mixed differential count. Pre-eclamptic resulted in significant increase (P<0.05) in erythrocyte lipid peroxidation, met-haemoglobin concentration and percentage hydrogen peroxide-induced haemolysis. The result indicate that oxidative stress is a significant contributor in the pathogenesis and white cell changes seen in pre-eclampsia.
References
Allsop P, Peters AM, Arnot RN, Stuttle AWJ, Deen-Mamod M, Gwilliam H, Myers MJ and Hall GM. 1992. Intrasplenic blood cell kinetics in man before and after brief maximal exercise. Clinical Science. 83: 47.
Armutcu F, Coskun Ö, Gürel A, Sahin S, Kanter M, Cihan A, Var K, Numanoglu M and Alt nyazar C. 2005. Vitamin E protects against acetone-induced oxidative stress in rat red blood cells Cell Biology and Toxicology 21(1):53-60.
Balloch AJ, Cauchi MN. 1993. Reference range for haematology parameters in pregnancy derived from patients populations. Clinical and laboratory haematology 15:7-14.
Canzoneri BF, Lewis DF, Groome L, Wang Y. 2009. Increased Neutrophil Numbers Account for Leukocytosis in Women with Preeclampsia Amer J Perinatol 26(10):729-732.
Caritis S, Sibai B, Hauth J, Lindheimer MD, Klebanoff M, Thom E, VanDorsten P, Landon M, Paul R, Miodovnik M, Meis P and Thurnau G. 1998. Low-dose aspirin to prevent preeclampsia in women at high risk. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. New England Journal of Medicine 338:701-705.
Ceyhan T, Cengiz B, İskender B, Kürşat K, Sadettin G, Ahmet I. 2006. The effect of preeclampsia on complete blood count, platelet count and mean platelet volume. Annual in Hematology 85:320-322.
Corinne MS, Reglinski J, Ewen Smith W, Wilson R, Walker JJ and McKillop J. 1998. Erythrocyte Glutathione Balance and Membrane Stability During Preeclampsia The Veterinary Record, British Veterinary Association 126(17):429-431.
Dacie JV and Lewis SM. 2006. Laboratory methods used in the investigation of the haematolytic anaemias In:Practical Haematology. Churchill Livingstone, Edinburgh 10th edition 188-203.
Eskenazi B, Fenster L, Sidney S and Elkin EP. 1993. Fetal growth retardation in infants of multiparous and nulliparous women with preeclampsia. American Journal Obstetrics and Gynecology 169:1112-1118.
Evelyn KA and Malloy HT. 1938. Microdetermination of oxyhaemoglobin, Methaemoglobin and sulfhaemoglobin in a single sample of blood. Journal of Biological Chemistry 126:655.
Goldenberg RL and Rouse DJ. 1998. Prevention of premature birth. New England Journal of Medicine 339:313-320.
Heilmann L, Rath W, Pollow K. 2004. Hemoconcentration and pre-eclampsia Clinical Hemorheology and Microcirculation 31(1):49-58.
Liu J, Edamatsu R, Kabuto H, Mori A. 1990. Antioxidant action of Guilingji in the brain of rats with FeCl3 induced epilepsy. Free Radical Biology and Medicine 9, 451-454.
López-Jaramillo P, Casas JP and Serrano N. 2001. Preeclampsia: from epidemiological observations to molecular mechanisms. Brazilian Journal of Medical and Biological Research 34(10):1227-1235.
Oishi K, Yokoi M, Maekawa S, Sodeyama C, Shiraishi T, Kondo R, Kuriyama T and Machida K. 1999. Oxidative stress and haematological changes in immobilized rats. Acta Physiologica Scanadinavica 165(1):65-69.
Powers RW, Evans RW, Ness RB, Crombleholme WR and Roberts JM. 2001. Homocysteine and cellular fibronectin are increased in preeclampsia, not transient hypertension of pregnancy. Hypertension in Pregnancy 20:69-77.
Roberts JM, Pearson G, Cutler J and Lindheimer M. 2003. Summary of the NHLBI Working Group on Research on Hypertension During Pregnancy. Hypertension 41:437-445.
Roberts MJ and Gammills SH. 2005. Preeclampsia: Recent insight Hypertension 46:1243-1249.
Sargent IL, Sacks GP, Studena K and Redman CWG. 1998 Normal pregnancy and preeclampsia both produce inflammatory changes in peripheral blood leukocytes akin those of sepsis. American Journal of Obstetrics and Gynecology 179:80-86
Scholl OT, Leskiw M, Chen X, Sims M and Stein PT. 2005. Oxidative stress, diet, and the etiology of pre-eclampsia. American Journal of Clinical Nutrition 81:1390-6.
Schuiling MM, Faas MM, Gerard A, Linton, Elizabeth A, Sargent IL, Redman C WG. 2000. Activation of peripheral leukocytes in rat pregnancy and experimental preeclampsia American Journal of Obstetrics and Gynecology 182(2):351-357.
Se Imseek M, Nairogi Lu M, Se Imseek M, Ce Ay M, Aksakal M and Kumru S. 1998. Blood Plasma Levels of Lipoperoxides, Glutathione Peroxidase, Beta Carotene, Vitamin A and E in Women with Habitual Abortion Cell Biochemistry and Function. 16:227-231.
Sengupta A, Guha SK, Anand S, Jayaraman G, Biswas P and Rehana HMK. 1995. Can conventional biomedical investigative techniques unfold the mysteries of uteroplacental system in pregnancy? A critical study. In: The proceedings of RC-IEEE-EMBS, USA. NewDelhi:CBME-IIT/AIIMS 1.83-1.84.
Shaarawy M, Aref A, Salem ME and Sheiba M. 1998. Radical-scavenging antioxidants in preeclampsia and eclampsia. International Journal Gynecology obstetrics 60:123-128.
Sibai BM, Gordon T, Thom E, Caritis SN, Klebanoff M, McNellis D and Paul RH. 1995. Risk factors for preeclampsia in healthy nulliparous women: a prospective multicenter study. The National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units. American Journal Obstetrics Gynecology 172:642-648.
Laivuori H, Kaaja R, Rutanen EM, Viinikka L and Ylikorkala O. 1998. Evidence of high circulating testosterone in women with prior preeclampsia. Journal of Clinical Endocrinology and Metabolism 83:344-347.
Lurie S, Frenkel E, Tuvbin Y. 1998. A Comparison of the Differential Distribution of Leukocytes in Preeclampsia versus Uncomplicated Pregnancy Gynecology and Obstetrics Investigation 45:229-231.