Basima Sh. Alghazali, Ashtha Farook Aboud
Abstract
The objective of this study is to evaluate the potential clinical use of maternal serum free human chorionic gonadotrophine (β-hCG) in prediction of preeclampsia and its severity. Two hundred and ten blood samples were collected from patients. Twenty seven patients were developed PE. These patients were followed for up to five months (first reading at 16-20 week, second reading at 21-28 week and third reading at 29-40 week). Patients suffered from any other disease were not included in the current study. The control group consisted of one hundred and eighty subjects. They were pregnant women without preeclampsia and other complications. These patients also were followed for up to five months (first reading at 16-20 week, second reading at 21-28 week and third reading at 29-40 week). Three patients were escaped. Compared with the control, The elevation of serum β-hCG was statistically significant, P value (<0.001) in women who were developed preeclampsia (mild and sever preeclampsia) later on throughout their pregnancy at 16-20, 21-28, and at 29-40 weeks of gestation, and there is further significant increment in the level of serum β-hCG in women who develop sever preeclampsia when compared with women who develop mild preeclampsia throughout their pregnancy, p value (<0.001). We are concluded that serum β-hCG is significantly associated with preeclampsia and they can be used as a markers for prediction of preeclampsia early in pregnancy and for evaluation of its severity.
Keywords: Preeclampsia; β-hCG; Pregnancy
References
1. Robert JM, Lain KY. Recent insights into the pathogenesis of preeclampsia. Placenta 2002;23:359-372. [PubMed]
2. Sibai BM. Diagnosis and management of gestational hypertension and preeclampsia. Obstet Gynecol 2003;102:181-192. [PubMed]
3. Hauth JC, Ewell MG, Levine RJ, et al. Pregnancy outcomes in healthy nulliparas who developed hypertension: calcium for preeclampsia prevention study group. Obest Gynecol 2000;95:24-28. [PubMed]
4. Stevens JM. Gynaecology from ancient Egypt: The Papyrus Kahun: a translation of the oldest treatise on gynaecology that has survived from the ancient world. Med J Aust 1975;2:949-952. [PubMed]
5. Roberts JM, Cooper DW. Pathogenesis and genetics of pre-eclampsia. Lancet 2001;357:53-56. [PubMed]
6. Kharfi A, Giguere Y, Sapin V, Masse J, Dastugue B, Forest JC. Trophoblastic remodeling in normal and preeclamptic pregnancies: implication of cytokines. Clin Biochem 2003; 36:323-331. [PubMed]
7. Vaitukaitis JL, Ebersole ER. Evidence for altered synthesis of human chorionic gonadotropin in gestational trophoblastic tumors. J Clin Endocrinol Metab 1976;42:1048-1055. [PubMed]
8. Towner D, Gandhi S, Elkady D. Obstetric outcomes in women with elevated maternal serum human chorionic gonadotropin. Am J Obstet Gynecol 2006;194:1676-1681. [PubMed]
9. Eknoyan G. Adolphe Quetelet (1796-1874)–the average man and indices of obesity. Nephrology Dialysis Transplantation 2007;23:47-51. [PubMed]
10. Anderson UD, Olsson MG, Kristensen KH, Akerstrom B, Hasson SR. Review: Biochemical marker to predict preeclampsia. Placenta 2012; 33 Suppl:S42-7. [PubMed]
11. Choudhury KM, Das M, Sarkar SG, Bhattacharya D, Ghosh TK. Value of serum B-hCG in pathogenesis of pre-eclampsia. J Clin Gynecol Obstet 2012;1:71-75. [Abstract/Full-Text]
12. Olsen RN, Woelkers D, Dunsmoor-Su R, LaCoursiere Y. Abnormal second trimester serum analyses are more predictive of pre-eclampsia. Am J Obstet Gynecol 2012;207:228. [PubMed]
13. Davidson EJ, Riley SC, Roberts SA, Shearing CH, Groome NP, Martin CW. Maternal serum activin, inhibin, human chorionic gonadotrphin and α-fetoprotein as second trimester predictors of pre-eclampsia. BJOG 2003;110:46-52. [PubMed]
14. Remzi G, Erdal A, Nursel B, Balat O. Elevated serum β-hCG levels in sever pre-eclampsia. Turk J Med Sci 2000;30:43-45.
15. Kharfi A, Giguere Y, Grandpre P, Moutquin J-M, Forest J-C. Human chorionic gonadotropin (HCG) may be a marker of systemic oxidative stress in normotensive and preeclamptic term pregnancies. Clinical Biochemistry 2005;38:717-721. [PubMed]
16. Lorzadeh N, Kazemirad S. The effects of fetal gender on serum human chorionic gonadotropin and testosterone in normotensive and preeclamptic pregnancies. Journal of pregnancy 2012;10:1-6. [PubMed]
17. Pouta AM, Hartikainen AL, Vuolteenaho OJ, Ruokonen AO, Laatikainen TJ. Midtrimester N-Terminal Proatrial Natriuretic Peptide, Free Beta hCG, and Alpha-fetoprotein in Predicting Preeclampsia. Obstet Gynecol 1998;91:940-941. [PubMed]