Abstract

Purpose: To compare the serum malondialdehyde (MDA) and total antioxidant status in women with preeclampsia and normal pregnancy in our environment. Materials & Methods: This was a 3-year, cross-sectional, case control study of 100 preeclamptic and 200 normotensive pregnant women at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo, Nigeria. The study protocol was reviewed and approved by our Institutional Ethical Review Committee and all participants gave their consent. The fasting serum of recruited patients were analysed for Malondialdehyde (MDA) with rapid, sensitive and specific Thiobarbituric Acid (TBA) assay, while the Total Antioxidant status (TAS) was determined using the capacity of the biological fluids to inhibit the production of thiobarbituric acid reactive substances (TBARS) from sodium benzoate under the influence of the free oxygen radicals derived from Fenton’s reaction. Results: The mean serum MDA was significantly higher in the preeclamptic group (2.96 nmol/ mL) than the value recorded (1.23 nmol/mL) in the control group (P = 0.0001). Conversely, significantly lower mean TAS (0.46 nmol/mL vs 0.62 nmol/mL) was noticed in the preeclamptic group (P = 0.0001). Conclusion: The study showed significant increase in lipid peroxidation and failure of compensatory antioxidant functions in preeclamptic pregnant Nigerian women.

Highlights

  • Preeclampsia is a multisystem disorder of pregnancy, characterised by hypertension and proteinuria, usually occurring from 20th week of gestation [1]

  • The fasting serum of recruited patients were analysed for Malondialdehyde (MDA) with rapid, sensitive and specific Thiobarbituric Acid (TBA) assay, while the Total Antioxidant status (TAS) was determined using the capacity of the biological fluids to inhibit the production of thiobarbituric acid reactive substances (TBARS) from sodium benzoate under the influence of the free oxygen radicals derived from Fenton’s reaction

  • A total of 300 patients were recruited for study, of which 100 were women diagnosed with preeclampsia and 200 were normotensive pregnant women (Controls)

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Summary

Introduction

Preeclampsia is a multisystem disorder of pregnancy, characterised by hypertension and proteinuria, usually occurring from 20th week of gestation [1]. It is a leading cause of maternal and perinatal morbidity/mortality, affecting 2% - 3% of pregnancies and accounts for about 60,000 deaths worldwide. The impact of this disease is felt more severely in developing countries [2,3], where medical interventions may be ineffective due to late presentation of cases [4-6]. The oxidative stress theory in preeclampsia has enjoyed great attention of Researchers [9-11]. Oxidative stress is a general term used to describe the steady state level of oxidative damage to cell, tissue or organ, caused by the reactive oxygen species (ROS) [12]

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