Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 1/2013

01-01-2013 | Maternal-Fetal Medicine

Trace elements and oxidative stress in hypertensive disorders of pregnancy

Authors: Vanja Fenzl, Zlata Flegar-Meštrić, Sonja Perkov, Luka Andrišić, Franz Tatzber, Neven Žarković, Željko Duić

Published in: Archives of Gynecology and Obstetrics | Issue 1/2013

Login to get access

Abstract

Purpose

Due to increased metabolic requests, pregnancy can be considered as metabolic stress, especially if associated with oxidative stress triggered by disbalance of pro/antioxidants. The aim of the study was to determine serum concentrations of the trace elements iron (Fe), zinc (Zn) and copper (Cu) important in growth regulation and pro/anti-oxidant homeostasis, in relation to the total serum oxidant capacity (TOC) and total serum antioxidant capacity (TAC) in pregnant women with preeclampsia (n = 30) or with gestational hypertension (n = 30) and in healthy pregnant women (n = 37) and non-pregnant women (n = 30) as control groups expecting common differences between all pregnant women and controls and between preeclampsia and the other pregnancies indicating specific disbalance of the oxidative stress and analyzed trace elements.

Methods

Serum Fe was determined by spectrophotometric method, Cu and Zn were determined by atomic absorption spectrometry, TOC was determined by Enzymatic ANTIOX-CAP assay and TAC by Peroxide-activity assay.

Results

Serum Cu and TOC were significantly higher while Zn was lower in all pregnant groups regardless of hypertensive disorders. Serum Fe and TAC concentrations were found to be significantly higher in pregnant women with preeclampsia compared to pregnant controls.

Conclusion

Increase of TOC in all pregnant women our study points to latent oxidative stress in pregnancy. Fe might have a role in etiopathogenesis of preeclampsia while the increase of TAC in the very beginning of preeclampsia might represent a stressdefence mechanism of the body. It has still to be revealed whether significantly higher serum Fe levels are associated with preeclampsia as a cause or as a consequence of this disorder.
Literature
1.
go back to reference ACOG Practice Bulletin (2001) Chronic hypertension in pregnancy. ACOG Committee on Practice Bulletins. Obstet Gynecol. 98(1):suppl 177–185 ACOG Practice Bulletin (2001) Chronic hypertension in pregnancy. ACOG Committee on Practice Bulletins. Obstet Gynecol. 98(1):suppl 177–185
2.
go back to reference (2000) Report of the national high blood pressure education program working group on high blood pressure in pregnancy. Am J Obstet Gynecol 183(1):S1–S22 (2000) Report of the national high blood pressure education program working group on high blood pressure in pregnancy. Am J Obstet Gynecol 183(1):S1–S22
3.
go back to reference Redman CW, Sacks GP, Sargent IL (1999) Preeclampsia: an excessive maternal inflammatory response to pregnancy. Am J Obstet Gynecol 180(2 Pt 1):499–506PubMedCrossRef Redman CW, Sacks GP, Sargent IL (1999) Preeclampsia: an excessive maternal inflammatory response to pregnancy. Am J Obstet Gynecol 180(2 Pt 1):499–506PubMedCrossRef
4.
go back to reference Rayman MP, Barlis J, Evans RW, Redman CW, King LJ (2002) Abnormal iron parameters in the pregnancy syndrome preeclampsia. Am J Obstet Gynecol 187(2):412–418PubMedCrossRef Rayman MP, Barlis J, Evans RW, Redman CW, King LJ (2002) Abnormal iron parameters in the pregnancy syndrome preeclampsia. Am J Obstet Gynecol 187(2):412–418PubMedCrossRef
5.
6.
go back to reference Friedman SA, Taylor RN, Roberts JM (1991) Pathophysiology of preeclampsia. Clin Perinatol 18(4):661–682PubMed Friedman SA, Taylor RN, Roberts JM (1991) Pathophysiology of preeclampsia. Clin Perinatol 18(4):661–682PubMed
7.
go back to reference Redman CW, Sargent IL (2009) Placental stress and pre-eclampsia: a revised view. Placenta 30(Suppl A):S38–S42PubMedCrossRef Redman CW, Sargent IL (2009) Placental stress and pre-eclampsia: a revised view. Placenta 30(Suppl A):S38–S42PubMedCrossRef
8.
go back to reference Burton GJ, Jauniaux E (2004) Placental oxidative stress: from miscarriage to preeclampsia. J Soc Gynecol Investig 11(6):342–352PubMedCrossRef Burton GJ, Jauniaux E (2004) Placental oxidative stress: from miscarriage to preeclampsia. J Soc Gynecol Investig 11(6):342–352PubMedCrossRef
9.
go back to reference Jauniaux E, Poston L, Burton GJ (2006) Placental-related diseases of pregnancy: involvement of oxidative stress and implications in human evolution. Hum Reprod Update 12(6):747–755PubMedCrossRef Jauniaux E, Poston L, Burton GJ (2006) Placental-related diseases of pregnancy: involvement of oxidative stress and implications in human evolution. Hum Reprod Update 12(6):747–755PubMedCrossRef
10.
go back to reference Hung TH, Burton GJ (2006) Hypoxia and reoxygenation: a possible mechanism for placental oxidative stress in preeclampsia. Taiwan J Obstet Gynecol 45(3):189–200PubMedCrossRef Hung TH, Burton GJ (2006) Hypoxia and reoxygenation: a possible mechanism for placental oxidative stress in preeclampsia. Taiwan J Obstet Gynecol 45(3):189–200PubMedCrossRef
14.
go back to reference Hayden MR, Tyagi SC (2004) Uric acid: a new look at an old risk marker for cardiovascular disease, metabolic syndrome, and type 2 diabetes mellitus: the urate redox shuttle. Nutr Metab (Lond) 1(1):10CrossRef Hayden MR, Tyagi SC (2004) Uric acid: a new look at an old risk marker for cardiovascular disease, metabolic syndrome, and type 2 diabetes mellitus: the urate redox shuttle. Nutr Metab (Lond) 1(1):10CrossRef
15.
go back to reference Pathak P, Kapil U (2004) Role of trace elements zinc, copper and magnesium during pregnancy and its outcome. Indian J Pediatr 71(11):1003–1005PubMedCrossRef Pathak P, Kapil U (2004) Role of trace elements zinc, copper and magnesium during pregnancy and its outcome. Indian J Pediatr 71(11):1003–1005PubMedCrossRef
16.
go back to reference Kontic-Vucinic O, Sulovic N, Radunovic N (2006) Micronutrients in women’s reproductive health: II. Minerals and trace elements. Int J Fertil Womens Med 51(3):116–124PubMed Kontic-Vucinic O, Sulovic N, Radunovic N (2006) Micronutrients in women’s reproductive health: II. Minerals and trace elements. Int J Fertil Womens Med 51(3):116–124PubMed
17.
go back to reference Flegar-Mestric Z, Nazor A, Perkov S, Surina B, Kardum-Paro MM, Siftar Z et al (2010) Accreditation of medical laboratories in Croatia—experiences of the Institute of Clinical Chemistry, University Hospital “Merkur”, Zagreb. Coll Antropol 34(1):181–186PubMed Flegar-Mestric Z, Nazor A, Perkov S, Surina B, Kardum-Paro MM, Siftar Z et al (2010) Accreditation of medical laboratories in Croatia—experiences of the Institute of Clinical Chemistry, University Hospital “Merkur”, Zagreb. Coll Antropol 34(1):181–186PubMed
18.
go back to reference (1993) Guide to the expression of uncertainty in measurement.ISO, Amsterdam (1993) Guide to the expression of uncertainty in measurement.ISO, Amsterdam
19.
go back to reference Resch U, Tatzber F, Budinsky A, Sinzinger H (2006) Reduction of oxidative stress and modulation of autoantibodies against modified low-density lipoprotein after rosuvastatin therapy. Br J Clin Pharmacol 61(3):262–274PubMedCrossRef Resch U, Tatzber F, Budinsky A, Sinzinger H (2006) Reduction of oxidative stress and modulation of autoantibodies against modified low-density lipoprotein after rosuvastatin therapy. Br J Clin Pharmacol 61(3):262–274PubMedCrossRef
20.
go back to reference Tatzber F, Griebenow S, Wonisch W, Winkler R (2003) Dual method for the determination of peroxidase activity and total peroxides-iodide leads to a significant increase of peroxidase activity in human sera. Anal Biochem 316(2):147–153PubMedCrossRef Tatzber F, Griebenow S, Wonisch W, Winkler R (2003) Dual method for the determination of peroxidase activity and total peroxides-iodide leads to a significant increase of peroxidase activity in human sera. Anal Biochem 316(2):147–153PubMedCrossRef
21.
go back to reference Raijmakers MT, Dechend R, Poston L (2004) Oxidative stress and preeclampsia: rationale for antioxidant clinical trials. Hypertension 44(4):374–380PubMedCrossRef Raijmakers MT, Dechend R, Poston L (2004) Oxidative stress and preeclampsia: rationale for antioxidant clinical trials. Hypertension 44(4):374–380PubMedCrossRef
22.
go back to reference Siddiqui IA, Jaleel A, Tamimi W, Al Kadri HM (2010) Role of oxidative stress in the pathogenesis of preeclampsia. Arch Gynecol Obstet 282(5):469–474PubMedCrossRef Siddiqui IA, Jaleel A, Tamimi W, Al Kadri HM (2010) Role of oxidative stress in the pathogenesis of preeclampsia. Arch Gynecol Obstet 282(5):469–474PubMedCrossRef
23.
go back to reference Borzychowski AM, Sargent IL, Redman CW (2006) Inflammation and pre-eclampsia. Semin Fetal Neonatal Med 11(5):309–316PubMedCrossRef Borzychowski AM, Sargent IL, Redman CW (2006) Inflammation and pre-eclampsia. Semin Fetal Neonatal Med 11(5):309–316PubMedCrossRef
24.
go back to reference Noris M, Perico N, Remuzzi G (2005) Mechanisms of disease: pre-eclampsia. Nat Clin Pract Nephrol 1(2):98–114 quiz 20PubMedCrossRef Noris M, Perico N, Remuzzi G (2005) Mechanisms of disease: pre-eclampsia. Nat Clin Pract Nephrol 1(2):98–114 quiz 20PubMedCrossRef
25.
go back to reference Gveric-Ahmetasevic S, Sunjic SB, Skala H, Andrisic L, Stroser M, Zarkovic K et al (2009) Oxidative stress in small-for-gestational age (SGA) term newborns and their mothers. Free Radic Res 43(4):376–384PubMedCrossRef Gveric-Ahmetasevic S, Sunjic SB, Skala H, Andrisic L, Stroser M, Zarkovic K et al (2009) Oxidative stress in small-for-gestational age (SGA) term newborns and their mothers. Free Radic Res 43(4):376–384PubMedCrossRef
26.
go back to reference Ghiselli A, Serafini M, Natella F, Scaccini C (2000) Total antioxidant capacity as a tool to assess redox status: critical view and experimental data. Free Radic Biol Med 29(11):1106–1114PubMedCrossRef Ghiselli A, Serafini M, Natella F, Scaccini C (2000) Total antioxidant capacity as a tool to assess redox status: critical view and experimental data. Free Radic Biol Med 29(11):1106–1114PubMedCrossRef
27.
go back to reference Alebic-Juretic A, Frkovic A (2005) Plasma copper concentrations in pathological pregnancies. J Trace Elem Med Biol 19(2–3):191–194PubMedCrossRef Alebic-Juretic A, Frkovic A (2005) Plasma copper concentrations in pathological pregnancies. J Trace Elem Med Biol 19(2–3):191–194PubMedCrossRef
28.
go back to reference Ladipo OA (2000) Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr 72(1 Suppl):280S–290SPubMed Ladipo OA (2000) Nutrition in pregnancy: mineral and vitamin supplements. Am J Clin Nutr 72(1 Suppl):280S–290SPubMed
29.
go back to reference Kumru S, Aydin S, Simsek M, Sahin K, Yaman M, Ay G (2003) Comparison of serum copper, zinc, calcium, and magnesium levels in preeclamptic and healthy pregnant women. Biol Trace Elem Res 94(2):105–112PubMedCrossRef Kumru S, Aydin S, Simsek M, Sahin K, Yaman M, Ay G (2003) Comparison of serum copper, zinc, calcium, and magnesium levels in preeclamptic and healthy pregnant women. Biol Trace Elem Res 94(2):105–112PubMedCrossRef
30.
go back to reference Ilhan N, Simsek M (2002) The changes of trace elements, malondialdehyde levels and superoxide dismutase activities in pregnancy with or without preeclampsia. Clin Biochem 35(5):393–397PubMedCrossRef Ilhan N, Simsek M (2002) The changes of trace elements, malondialdehyde levels and superoxide dismutase activities in pregnancy with or without preeclampsia. Clin Biochem 35(5):393–397PubMedCrossRef
31.
go back to reference Serdar Z, Gur E, Develioglu O (2006) Serum iron and copper status and oxidative stress in severe and mild preeclampsia. Cell Biochem Funct 24(3):209–215PubMedCrossRef Serdar Z, Gur E, Develioglu O (2006) Serum iron and copper status and oxidative stress in severe and mild preeclampsia. Cell Biochem Funct 24(3):209–215PubMedCrossRef
32.
go back to reference Schumann K, Ettle T, Szegner B, Elsenhans B, Solomons NW (2007) On risks and benefits of iron supplementation recommendations for iron intake revisited. J Trace Elem Med Biol 21(3):147–168PubMedCrossRef Schumann K, Ettle T, Szegner B, Elsenhans B, Solomons NW (2007) On risks and benefits of iron supplementation recommendations for iron intake revisited. J Trace Elem Med Biol 21(3):147–168PubMedCrossRef
33.
34.
go back to reference Droge W (2002) Free radicals in the physiological control of cell function. Physiol Rev 82(1):47–95PubMed Droge W (2002) Free radicals in the physiological control of cell function. Physiol Rev 82(1):47–95PubMed
35.
36.
go back to reference Bhatla N, Kaul N, Lal N, Kriplani A, Agarwal N, Saxena R et al (2009) Comparison of effect of daily versus weekly iron supplementation during pregnancy on lipid peroxidation. J Obstet Gynaecol Res 35(3):438–445PubMedCrossRef Bhatla N, Kaul N, Lal N, Kriplani A, Agarwal N, Saxena R et al (2009) Comparison of effect of daily versus weekly iron supplementation during pregnancy on lipid peroxidation. J Obstet Gynaecol Res 35(3):438–445PubMedCrossRef
37.
go back to reference Lachili B, Hininger I, Faure H, Arnaud J, Richard MJ, Favier A et al (2001) Increased lipid peroxidation in pregnant women after iron and vitamin C supplementation. Biol Trace Elem Res 83(2):103–110PubMedCrossRef Lachili B, Hininger I, Faure H, Arnaud J, Richard MJ, Favier A et al (2001) Increased lipid peroxidation in pregnant women after iron and vitamin C supplementation. Biol Trace Elem Res 83(2):103–110PubMedCrossRef
38.
go back to reference Knutson MD, Walter PB, Ames BN, Viteri FE (2000) Both iron deficiency and daily iron supplements increase lipid peroxidation in rats. J Nutr 130(3):621–628PubMed Knutson MD, Walter PB, Ames BN, Viteri FE (2000) Both iron deficiency and daily iron supplements increase lipid peroxidation in rats. J Nutr 130(3):621–628PubMed
Metadata
Title
Trace elements and oxidative stress in hypertensive disorders of pregnancy
Authors
Vanja Fenzl
Zlata Flegar-Meštrić
Sonja Perkov
Luka Andrišić
Franz Tatzber
Neven Žarković
Željko Duić
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 1/2013
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2502-4

Other articles of this Issue 1/2013

Archives of Gynecology and Obstetrics 1/2013 Go to the issue