Abstract

Oxidative stress occurs when cellular levels of reactive oxygen species exceed anti-oxidant capabilities and has been implicated in the pathogenesis of pre-eclampsia. In this study we have examined the tissue levels of endogenous anti-oxidant proteins (superoxide dismutase, glutathione peroxidase, thioredoxin reductase and thioredoxin) and the level of lipid and protein oxidation in placental samples from normal and pre-eclamptic pregnancies. Pre-eclamptic tissue homogenates demonstrated significantly increased levels of lipid peroxidation ( 20.68±7.811 μM / mg protein versus 5.33±4.03 μM / mg protein, P <0.001) and a trended increase in protein carbonyl concentration ( 248.1±97.71 units / mg protein versus 209.7±82.6 units / mg protein) when compared to controls. The levels and activities of the anti-oxidant proteins superoxide dismutase ( 2.48±0.6 U / mg protein versus 2.02±0.51 U / mg protein, P <0.02), thioredoxin reductase ( 19.25±9.81 U / mg protein versus 13.02±5.66 U / mg protein, P =0.02), thioredoxin ( 107.00±18.11 ng / mg protein versus 91.12±21.18 ng / mg protein, P =0.02) and glutathione peroxidase ( 17.33±6.63 mmol / min / mg protein versus 11.50±3.11 mmol / min / mg , P <0.02) were all found to be significantly reduced when comparing pre-eclamptic placental tissue homogenates to gestational age-matched control placentae from non-pre-eclamptic pregnancies. The results of this study demonstrate a decreased enzymatic anti-oxidant capacity and increased oxidation in placental tissue from pre-eclamptic women, which may contribute to the pathogenesis of this complex disorder.

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