PLACENTAL HISTO-MORPHOMETRIC CHANGES IN PREECLAMPSIA AND ITS ASSOCIATION WITH BETATROPHIN
Main Article Content
Keywords
Betatrophin, Placenta, Pre-eclampsia, Pregnancy Induced Hypertension
Abstract
Preeclampsia is one of hypertensive disorders in pregnancy that occurs after the 20th weeks of pregnancy along with proteinuria. It threatens maternal and child health and has worldwide prevalence of about 3–8%. This cross-sectional study included 90 cases among them 45 women were diagnosed with preeclampsia and 45 normal pregnant women was carried out from December 2021 to November 2022 at department of anatomy in collaboration with department of gyneacology and obstetric, Liaquat University of Medical and Health Sciences, Jamshoro after getting ethical approval. Placental histological changes were matched for betatrophin levels. Their age, gravidity, gestational age, socioeconomic status, and mode of delivery were recorded. The mean betatrophin level in control 1.66 ± 0.10 and in pre-eclampsia 1.71± 0.06. Plasma betatrophin levels were found significant in PE than in control groups (p<0.008). Placental morphological and morphometric parameters were significant in PE than control group. All gross and microscopic parameters of placenta were altered in preeclampsia along with plasma elevated levels of betatrophin. These findings may bring out betatrophin as a new marker to predict, prevent, and treat pre-eclampsia.
References
2. Garovic VD, Dechend R, Easterling T, Karumanchi SA, McMurtry Baird S, Magee LA, et al. Hypertension in pregnancy: diagnosis, blood pressure goals, and pharmacotherapy: a scientific statement from the American Heart Association. Hypertension. 2022;79(2):e21-e41.
3. Lei J, Zhao M, Li L, Ji B, Xu T, Sun M, et al. Research progress of placental vascular pathophysiological changes in pregnancy-induced hypertension and gestational diabetes mellitus. Frontiers in Physiology. 2022;13:954636.
4. Brien M-E, Boufaied I, Soglio DD, Rey E, Leduc L, Girard S. Distinct inflammatory profile in preeclampsia and postpartum preeclampsia reveal unique mechanisms. Biology of reproduction. 2019;100(1):187-94.
5. Powles K, Gandhi S. Postpartum hypertension. Cmaj. 2017;189(27):E913-E.
6. Ives CW, Sinkey R, Rajapreyar I, Tita AT, Oparil S. Preeclampsia—pathophysiology and clinical presentations: JACC state-of-the-art review. Journal of the American College of Cardiology. 2020;76(14):1690-702.
7. Fox R, Kitt J, Leeson P, Aye CY, Lewandowski AJ. Preeclampsia: risk factors, diagnosis, management, and the cardiovascular impact on the offspring. Journal of clinical medicine. 2019;8(10):1625.
8. Jansen CH, Kastelein AW, Kleinrouweler CE, Van Leeuwen E, De Jong KH, Pajkrt E, et al. Development of placental abnormalities in location and anatomy. Acta obstetricia et gynecologica Scandinavica. 2020;99(8):983-93.
9. Khilji A, Rizvi SFA, Tarique S, Fatima S, Shah AA, Kazmi QH, et al. Morphometric Analysis of Placental Terminal Villi, Capillaries, and Intervillous Space in Normal and Pre-Eclamptic Pregnancies. Pakistan Journal of Medical & Health Sciences. 2023;17(02):826-.
10. Konkov DG, Piskun AO, Taran OA, Kostur GV. Specialties of hystomorphometrical changes in placenta of women with early and late preeclampsia. Wiadomosci Lekarskie. 2020;73(1):151-5.
11. Gore C, Pandey A, Shetty A, Rao R, Paranjape S. A study on histopathological changes in placenta in pre-eclampsia/eclampsia: a case-control study in tertiary care centre, western India. Indian J Pathol Oncol. 2018;5(3):385-90.
12. Na K. MORPHOLOGICAL STUDY OF PLACENTA IN SELECTED NORMOTENSIVE AND PRE-ECLAMPTIC WOMEN IN BANGLADESH. Journal of Dhaka Medical College. 2020;29(2).
13. Sahmani M, Kianorooz Z, Javadi A, Gheibi N, Chegini K. A New Insight Into the Anti-Proliferative and Apoptotic Effects of Betatrophin on Human Ovarian Cancer Cell Line Skov-3. Journal of Evolutionary Biochemistry and Physiology. 2022;58(3):715-27.
14. Kirlangic MM, Sahin ME, Sahin E, Madendag Y, Madendag IC, Akdemir E, et al. First-trimester maternal serum betatrophin levels are decreased in pregnancies complicated by gestational diabetes mellitus. Placenta. 2022;124:1-4.
15. Jeyabalan A. Epidemiology of preeclampsia: impact of obesity. Nutrition reviews. 2013;71(suppl_1):S18-S25.
16. Qu Q, Zhao D, Zhang F, Bao H, Yang Q. Serum betatrophin levels are increased and associated with insulin resistance in patients with polycystic ovary syndrome. Journal of International Medical Research. 2017;45(1):193-202.
17. Gonen N, Levy M, Kovo M, Schreiber L, Noy LK, Volpert E, et al. Placental histopathology and pregnancy outcomes in “early” vs.“late” placental abruption. Reproductive Sciences. 2021;28:351-60.
18. Sirikonda P, Katikireddi R, Chatripalli SR. MORPHOLOGY AND MORPHOMETRIC ANALYSIS OF HUMAN PLACENTAE. Int J Biol Med Res. 2021;12(1):7236-43.
19. Zelinka-Khobzey MM, Tarasenko KV, Nesterenko LA, Starchenko II. MORPHOMETRIC CHARACTERISTICS OF PLACENTA IN WOMEN WITH PREECLAMPSIA AND OBESITY COMPARED TO WOMEN WITH NORMAL BODY WEIGHT. Wiadomosci Lekarskie (Warsaw, Poland: 1960). 2023;76(12):2593-600.
20. Dibal NI, Garba SH, Jacks TW. Histological stains and their application in teaching and research. Asian Journal of Health Sciences. 2022;8(2):ID43-ID.
21. Abbas K, Begum N, Ahmed Z, Mubarik S, Haq IU, Ghulam N, et al. Low birth weight, and low ponderal index mediates the association between preeclampsia, placenta previa, and neonatal mortality. Iranian journal of public health. 2020;49(4):654.
22. Obed S, Patience A. Birth weight and ponderal index in pre-eclampsia: a comparative study. Ghana Medical Journal. 2006;40(1):8.
23. Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, Bommarito K, Madden T, Olsen MA, et al. Maternal age and risk of labor and delivery complications. Maternal and child health journal. 2015;19:1202-11.
24. Tyas BD, Lestari P, Akbar MIA. Maternal perinatal outcomes related to advanced maternal age in preeclampsia pregnant women. Journal of family & reproductive health. 2019;13(4):191.
25. Fisher SJ, McMaster M, Roberts JM. The placenta in normal pregnancy and preeclampsia. Chesley's hypertensive disorders in pregnancy: Elsevier; 2015. p. 81-112.
26. Akdemir E, Sahin E, Madendag Y, Sahin ME, Madendag IC, Acmaz G, et al. Effect of preeclampsia and preeclampsia severity on insulin, HOMA-IR, and betatrophin levels in non-diabetic pregnant women. Placenta. 2020;100:54-9.
27. Simsek EE, Kasikci HO, Sakin O, Korkut S. Can Betatrophin predict the risk of preeclampsia? Journal of Clinical & Diagnostic Research. 2018;12(10).