The Role of Thrombomodulin, IL-12, Transforming Growth Factor-b2 in Early Onset Preeclampsia: A Potential Biomarker for Disease Severity
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- Category: Vol. 77, June 2009
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The Role of Thrombomodulin, IL-12, Transforming Growth Factor-b2 in Early Onset Preeclampsia: A Potential Biomarker for Disease Severity,LOBNA M. SABER, SAMIA M. EID, DAAD F.I. EL-FOUHIL, MAHA M. SABER and ALAA A. AL SAID
Abstract
Background: Early onset Preeclampsia is a pregnancy specific heterogeneous syndrome with genetic predisposition ranging from hypertension, proteinuria and edema to severe preeclampsia with complications. A defective implantation and placentation, circulating factors including proinflammatory molecules, cytokines and adhesion molecules have been implicated in the pathogenesis of preeclampsia.
The Aim of Study: Was to assess the clinical value of assaying maternal serum concentration of thrombomodulin (TM) , interleukin-12 (IL-12) and transforming growth factor beta-2 (TGF-b 2), in normotensive, mild and severe preec-lamptic pregnant women, and to evaluate the correlation between these factors and the blood pressure, uric acid and creatinine. The second objective was to look for differences between mild and severe early onset preeclampsia, compared with a healthy pregnant and non pregnant cross sectional investigated groups.
Method of Study: Serum TM, IL-12 and TGF-b 2 were measured using enzyme linked immunoassay (ELISA) and enzyme immunoassay respectively in 45 women with preec-lampsia divided into 24 mild and 21 severe preeclamptic patients and compared with 21 pregnant normotensive and 20 non pregnant controls. Serum uric acid and creatinine were measured as well.
Result: Severe preeclamptic women had significantly increased levels of TM (p<0.01), IL-12 (p<0.01) and TGF-b 2 (p<0.01) compared with women with normal pregnancy and non pregnant women. Serum creatinine and uric acid concentrations were significantly higher in severe preeclamptic patients (1.35± 0.17mg/dL, 7.43±0.74mg/dL, respectively, mean ± SD) and did not change significantly in mild preec-lamptic women compared with those of healthy normotensive pregnant women.
Significant positive correlations existed between serum TGF-b 2 concentrations and mean arterial blood pressure, TM, serum creatinine and uric acid concentrations in sever preeclamptic patients.
Conclusion: Increase concentration of thrombomodulin, IL-12 and TGF-b 2, in severe preeclamptic patient might explain the shallow placentation, endothelial cell dysfunction and renal involvement described in severe preeclampsia. Measurement of maternal plasma of TM, IL-12, TGF-b 2 levels in preeclampsia can be useful biomarker for the assess-ment of the severity of the disease.