Oxidative stress indicators in pregnant women, those who are healthy and those who have urogenital infection, in the early stages of gestation

Zhambalova B.A., Nosikova I.N., Malushenko S.V., Maksina A.G., Gankovskaya L.V., Dobrokhotova Yu.E., Osipov A.N., Tesyolkin Yu.O.

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow 117997, Ostrovityanov str 1, Russia
Objective. To investigate oxidative stress indicators in women with early physiological pregnancy and in those with early pregnancy complicated by urogenital infection.
Subjects and methods. Examinations were made in 90 women aged 20-45 years, who were divided into 3 groups: 1) 30 healthy non-pregnant women; 2) 30 healthy pregnant women; 3) 30 pregnant women with urogenital infection. All the pregnant women were in the first trimester of pregnancy (at 8-10 weeks). The functional activity of whole blood phagocytes was determined by luminol-dependent chemiluminescence. A chemiluminescent method was also used to measure the antioxidant activity of plasma. The plasma content of one of the lipid peroxidation products, malondialdehyde, was determined spectrophotometrically.
Results. There was significantly enhanced functional activity of whole blood phagocytes in the healthy pregnant women and in the pregnant women with urogenital infection versus the healthy non-pregnant women, elevated malondialdehyde levels in their plasma, and its decreased antioxidant activity.
Conclusion. Comparison of the indicators of oxidative stress in pregnant women, those who are healthy and those who have urogenital infection, and in the healthy non-pregnant women leads to the conclusion that oxidative stress develops just in the first trimester of pregnancy. Urogenital infection in pregnant women contributes to an even greater imbalance between the production of prooxidants and the activity of the antioxidant system.

Keywords

physiological pregnancy
urogenital infection
blood phagocytes
reactive oxygen species
oxidative stress
plasma antioxidant activity
chemiluminescence

Supplementary Materials

  1. Fig.1. Intensity of luminol-dependent chemiluminescence of whole blood phagocytes (a) and normalized luminol-dependent chemiluminescence of whole blood phagocytes (b), stimulated by zymosan and opsonized zymosan.
  2. Fig. 2. Levelsof blood plasma malondialdehyde (а) and the total antioxidant capacity of blood plasma (b).
  3. Table. Oxidative stress index in women surveyed groups

References

1. Ляличкина Н.А., Пешев Л.П., Балченкова Ю.П,, Щукина Л.П. Значение эндогенной интоксикации в патогенезе плацентарной недостаточности при угрожающем аборте и экстрагенитальных заболеваниях у беременных. Фундаментальные исследования. 2012; 12: 96-9. [Lyalichkina N.A., Peshev L.P., Balchenkova Yu.P,, Schukina L.P. The importance of endogenous intoxication in the pathogenesis of placental insufficiency in menacing abortion and extragenital diseases in pregnant women. Fundamentalnyie issledovaniya. 2012; 12: 96-9. (in Russian)]

2. Burton G.J., Jauniaux E. Oxidative stress. Best Pract. Res. Clin. Obstet. Gynaecol. 2011; 25(3): 287-99.

3. Raicevic S., Cubrilo D., Arsenijevic S., Vukcevic G., Zivkovic V., Vuletic M. et al. Oxidative stress in fetal distress: potential prospects for diagnosis. Oxid. Med. Cell Longev. 2010; 3(3): 214-8.

4. Доброхотова Ю.Э., Иванова Т.А., Гуляева.Н.В., Онуфриев М.В., Джобава Э.М., Гехт А.Б. Окислительный стресс в плаценте при физиологической и патологически протекающей беременности. Российский вестник акушера-гинеколога. 2008; 6: 33-6. [Dobrokhotova Yu.E., Ivanova T.A., Gulyaeva.N.V., Onufriev M.V., Dzhobava E.M., Geht A.B. Oxidative stress in the placenta with physiological and pathologically occurring pregnancy. Rossiyskiy vestnik akushera-ginekologa. 2008; 6: 33-6. (in Russian)]

5. Ashok A., Kurutas E., Gul M., Kilinc M., Aral M., Guven A. The effects of oxidative stress on female reproduction. Mediators Inflamm. 2012; 2005(5): 309-11.

6. Jauniaux E., Burton G. The role of oxidative stress in placental-related diseases of pregnancy. J. Gynecol. Obstet. Biol. Reprod. (Paris). 2016; 45(8): 775-85.

7. Wu F., Tian F., Lin Y. Oxidative stress in placenta: health and diseases. Biomed. Res. Int. 2015; 2015: 293271. doi: 10.1155/2015/293271.

8. Bernardi F., Felisberto F., Vuolo F., Petronilho F., Souza D., Luciano T. et al. Oxidative damage, inflammation, and Toll-like receptor 4 pathway are increased in preeclamptic patients: a case-control study. Oxid. Med. Cell Longev. 2012; 7: 1-6.

9. Matsubara K., Higaki T., Matsubara Y., Nawa A. Nitric oxide and reactive oxygen species in the pathogenesis of preeclampsia. Int. J. Mol. Sci. 2015; 16(3):4600-14.

10. Redman C.W., Sargent I.L. Pre-eclampsia, the placenta and the maternal systemic inflammatory response. Placenta. 2003; 24(Suppl. A): S21-7.

11. Genc H., Uzun H., Benian A., Simsek G., Gelisgen R., Madazli R., Guralp O. Evaluation of oxidative stress markers in first trimester for assessment of preeclampsia risk. Arch. Gynecol. Obstet. 2011; 284(6): 1367-73.

12. Yiyenoglu O.B., Ugur M.G., Ozcan H.C., Can G., Ozturk E., Balat O., Erel O. Assessment of oxidative stress markers in recurrent pregnancy loss: a prospective study. Arch. Gynecol. Obstet. 2014; 289(6): 1337-40.

13. Allen R.C., Dale D.C., Taylor F.B. Jr. Blood phagocyte luminescence: gauging systemic immune activation. Methods Enzymol. 2000; 305: 591-629.

14. Куликова А.И., Тугушева Ф.А., Зубина И.М., Шепилова И.Н. Методические аспекты оценки потенциальной способности липидов к перокислению по уровню ТБК-активных продуктов сыворотки крови при стимуляции ионами железа. Клиническая лабораторная диагностика. 2008; 5: 8-10. [Kulikova A.I., Tugusheva F.A., Zubina I.M., Shepilova I.N. Methodical aspects of assessing the potential lipid capacity for peroxidation by the level of TBA-active serum in stimulation with iron ions. Klinicheskaya laboratornaya diagnostika. 2008; 5: 8-10. (in Russian)]

15. Чехани Н.Р., Теселкин Ю.О., Павлова Л.А., Козин С.В., Любицкий О.Б. Антиоксидантная активность растений, используемых в этномедицине Тувы. Вестник Российского государственного медицинского университета. 2012; 6: 66-9. [Chekhani N.R., Teselkin Yu.O., Pavlova L.A., Kozin S.V., Lyubitskiy O.B. Antioxidant activity of plants used in the ethnomedicine of Tuva. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta. 2012; 6: 66-9. (in Russian)]

16. Juarez E., Nunez C., Sada E., Ellner J., Schwander K., Torres M. Differential expression of Toll-like receptors on human alveolar macrophages and autologous peripheral monocytes. Respir. Res. 2010; 11: 2. doi: 10.1186/1465-9921-11-2.

17. Kohchi C., Inagawa H., Nishizawa T., Soma G. ROS and innate immunity. Anticancer Res. 2009; 29(3): 817-21.

18. Prince L.R., Whyte M.K., Sabroe I., Parker L.C. The role of TLRs in neutrophil activation. Curr. Opin. Pharmacol. 2011; 11(4): 397-403.

19. Makni-Maalej K., Chiandotto M., Hurtado-Nedelec M., Bedouhene S., Gougerot-Pocidalo M.A., Dang P.M., El-Benna J. Zymosan induces NADPH oxidase activation in human neutrophils by inducing the phosphorylation of p47phox and the activation of Rac2: involvement of protein tyrosine kinases, PI3Kinase, PKC, ERK1/2 and p38MAPkinase. Biochem. Pharmacol. 2013; 85(1): 92-100.

20. Озолиня Л.А., Праведников Н.Н., Овсепян Н.Р. Современный взгляд на этиологию, патогенез, клинику и лечение воспалительных заболеваний органов малого таза у женщин (обзор литературы). Вестник Российского государственного медицинского университта. 2013; 2: 47-52. [Ozolinya L.A., Pravednikov N.N., Ovsepyan N.R. Modern view on the etiology, pathogenesis, clinic and treatment of pelvic inflammatory diseases in women (literature review). Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universitta. 2013; 2: 47-52. (in Russian)]

Received 23.11.2016

Accepted 23.12.2016

About the Authors

Zhambalova Bayarma Arsalanovna, Ph.D., Department of Medical Biophysics, N.I. Pirogov Russian National Research Medical University.
117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +79854133427. E-mail: ZhambalovaBA@inbox.ru
Nosikova Inna Nikolaevna, student of N.I. Pirogov Russian National Research Medical University.
117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +79055806672. Е-mail: nosikovainna@mail.ru
Malushenko Svetlana Vasilevna, postgraduate of N.I. Pirogov Russian National Research Medical University. 117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74954941253. Е-mail: malusvetlana@yandex.ru
Maksina Alexandra Genrikhovna, Doctor of Biological Sciences, Professor, Department of Physics and Mathematics, N.I. Pirogov Russian National Research Medical University. 117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74954348619. E-mail: maxinaalexandra@yandex.ru
Gankovskaya Lyudmila Viktorovna, Doctor of Medical Sciences, Professor, Department of Immunology, N.I. Pirogov Russian National Research Medical University.
117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74954349000. Е-mail: lvgan@yandex.ru
Dobrokhotova Yuliya Eduardovna, Doctor of Medical Sciences, Professor, Department of Obstetrics and Gynecology, N.I. Pirogov Russian National Research Medical University. 117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74952374033. E-mail: pr.dobrohotova@mail.ru
Osipov Anatoliy Nikolaevich, Doctor of Biological Sciences, Professor, Department of Medical Biophysics, N.I. Pirogov Russian National Research Medical University.
117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74954342266, ext. 1410. E-mail: anosipov@yahoo.com
Teselkin Yuriy Olegovich – Doctor of Biological Sciences, Professor, Department of Medical Biophysics N.I. Pirogov Russian National Research Medical University.
117997, Russia, Moscow, Ostrovityanov str 1. Tel.: +74954342266, ext. 1411. E-mail: teselkin-box@mail.ru

For citations: Zhambalova B.A., Nosikova I.N., Malushenko S.V., Maksina A.G.,
Gankovskaya L.V., Dobrokhotova Yu.E., Osipov A.N., Tesyolkin Yu.O. Oxidative stress indicators in pregnant women, those who are healthy and those who have urogenital infection,
in the early stages of gestation. Akusherstvo i Ginekologiya/
Obstetrics and Gynecology. 2017; (9): 40-6. (in Russian)
http://dx.doi.org/10.18565/aig.2017.9.40-6

Similar Articles

By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.