Association of neutrophil gelatinase associated lipocalin, ischemia modified albumin with uric acid in the etiopathogenesis of preeclampsia
Author:
Parasher Nitin1, Kaushik Priya1, Singh Naveen Kumar1, Sweta 2, Yadav Lalit1, Bhurer Yadav Bibek1, Suri Arpita1ORCID
Affiliation:
1. Department of Biochemistry, Faculty of Medicine & Health Sciences , SGT University , Gurugram , Haryana , India 2. Department of Pathology, Faculty of Medicine & Health Sciences , SGT University , Gurugram , Haryana , India
Abstract
Abstract
Objectives
Preeclampsia is a multisystem illness that manifests in the third trimester of pregnancy after 20 weeks of gestation and is marked by proteinuria and hypertension (PE). Changes in lifestyle, such as eating a high-calorie diet and delaying delivery, have raised the likelihood of developing PE. Eclampsia, abrupt renal failure, thromboembolic episodes leading to cardiac and brain problems, pulmonary embolism, and coagulopathy associated with HELLP syndrome are a few of the complications that might follow preeclampsia in pregnant moms. The objects of this study is to estimate and correlate the levels of NGAL (neutrophil gelatinase associated lipocalin), IMA (ischemia modified albumin) and Uric acid in prreclampsia.
Methods
40 diagnosed cases of preeclampsia and 40 healthy age and gestational age matched healthy controls were included in the study. Blood samples were collected from them and serum NGAL, IMA and Uric acid levels were estimated. Estimation of NGAL (neutrophil gelatinase associated lipocalin), IMA (ischemia modified albumin) was done by commercially available ELISA kits standard spectrophotometry methods in autoanalyzer Mind ray BS300 using commercially available kits.
Results
The parameters of NGAL and IMA were significantly increased in patients with PE (p<0.001) when compared with the healthy control subjects. γ-glutamyl transferases and OPN were found in patients with ALD (p<0.001) when compared with the control subjects. OPN showed significant positive correlations with AST (r=0.76, p<0.001), ALT (r=0.64 p<0.001), ALP (r=0.68, p<0.001), and GGT (r=0.61, p<0.001).
Conclusions
The current study focuses on the roles of NGAL and IMA, two sensitive markers of kidney injury that are particularly useful in identifying widespread endothelial dysfunction. As a result, the pattern of elevated NGAL and IMA levels can be useful for diagnosis.
Publisher
Walter de Gruyter GmbH
Subject
Endocrinology,Molecular Biology,General Medicine,Endocrinology, Diabetes and Metabolism
Reference26 articles.
1. Osungbade, KO, Ige, OK. Public health perspectives of preeclampsia in developing countries: implication for health system strengthening. J Pregnancy 2011:2011. https://doi.org/10.1155/2011/481095. 2. Arora, R, Ganguli, RP, Swain, S, Oumachigui, A, Rajaram, P. Determinants of maternal mortality in eclampsia in India. Aust N Z J Obstet Gynaecol 1994;34:537–9. https://doi.org/10.1111/j.1479-828x.1994.tb01104.x. 3. Suhail, M, Suhail, MF, Khan, H. Role of vitamins C and E in regulating antioxidant and pro-oxidant markers in preeclampsia. J Clin Biochem Nutr 2008;43:210–20. https://doi.org/10.3164/jcbn.2008067. 4. Wallis, AB, Saftlas, AF, Hsia, J, Atrash, HK. Secular trends in the rates of preeclampsia, eclampsia, and gestational hypertension, United States, 1987–2004. AJH (Am J Hypertens) 2008;21:521–6. https://doi.org/10.1038/ajh.2008.20. 5. Akolekar, R, Syngelaki, A, Sarquis, R, Zvanca, M, Nicolaides, KH. Prediction of early, intermediate and late pre-eclampsia from maternal factors, biophysical and biochemical markers at 11–13 weeks. Prenat Diagn 2011;31:66–74. https://doi.org/10.1002/pd.2660.
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