肥胖对孕妇氧化应激参数的影响

Derya KOCAMAZ, Gülizar ATLI, Şule MENZİLETOĞLU YILDIZ, Sefa ARLIER, Birol GÜVENÇ
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摘要

目的:近年来,公众对肥胖的关注越来越多,因为已知肥胖会降低妇女的生育能力,延长怀孕时间。产妇肥胖也与胎盘功能障碍影响的不良妊娠结局有关。因此,在本研究中,我们旨在比较肥胖和正常体重妇女在妊娠中期的氧化应激水平。方法:通过测量50例肥胖女性(体重指数,BMI:36.60±4.95)和51例正常体重女性(BMI:24.51±3.47)的超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)和过氧化氢酶(CAT)的活性,测定硫代巴比托酸活性物质(TBARS)和抗氧化防御系统,评估脂质过氧化作用。结果:与正常体重的孕妇相比,肥胖孕妇的脂质过氧化和SOD酶活性增加。此外,我们发现BMI与TBARS水平呈显著正相关(r:0.286, p:0.0435), TBARS水平与SOD酶活性呈显著负相关(r: -0.421, p: 0.002)。两组间CAT和GPx酶活性无显著性差异。 结论:根据我们的研究结果,尽管SOD酶活性的升高反映了抗氧化防御系统的激活,以应对活性氧产生的增加,但母体肥胖是通过脂质过氧化的增加而引起的氧化应激。因此,妊娠中期孕妇肥胖诱导的氧化应激应由临床医生进行随访,因为它可能导致妊娠期间胎盘的氧化损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of obesity on oxidative stress parameters in pregnant women
Objective: In recent years, there has been a growing concern about obesity in public since it is known to reduce fertility in women and increase the duration of conception. Maternal obesity is also related to adverse pregnancy outcomes affected by placental malfunction. Therefore, in this study, we aimed to compare levels of oxidative stress between obese and normal weight women in the second trimester. Method: We assessed lipid peroxidation by measuring the thiobarbituric acid reactive species (TBARS) as well as antioxidant defense system by measuring the activity of superoxide dismutase (SOD), glutathione peroxidase (GPx) and catalase (CAT) enzymes in 50 obese women (body mass index, BMI:36.60±4.95) and 51 normal weight women (BMI:24.51±3.47). Results: An increased lipid peroxidation and SOD enzyme activity were determined in obese pregnant women compared to normal weight women. Also, we found a significantly positive correlation (r:0.286, p:0.0435) between BMI and TBARS level as well as a significantly negative correlation (r: -0.421, p: 0.002) between TBARS level and SOD enzyme activity. No significance difference was observed between two groups in CAT and GPx enzymes activities. Conclusion: According to our results, although increased SOD enzyme activity has reflected that antioxidant defense system is activated cope with the increased production of reactive oxygen species, maternal obesity is induced oxidative stress via increased lipid peroxidation. Hence, maternal obesity induced-oxidative stress in the second trimester should be followed up by clinicians since it may cause oxidative damage in the placenta during pregnancy.
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