Abstract
Oxidative stress has been proposed as one of the causes involved in idiopathic fetal growth restriction (IFGR). However, the exact relationship between oxidative stress and IFGR is not understood. This study aimed at understanding the role of oxidative stress and antioxidant status in IFGR materno-fetal dyads and matched controls. 75 materno-fetal dyads with IFGR were enrolled with equal number of normal low risk controls. Malondialdehyde (MDA) levels were measured as marker of oxidative stress, while paraoxonase-1 (PON1) activity and total antioxidant capacity (TAC) of serum were measured as markers of antioxidant status. MDA levels were increased in both maternal and cord blood of IFGR neonates as compared to controls (p < 0.001). TAC of serum were found to be decreased in IFGR (both maternal and cord blood) as compared to controls (p < 0.001; p < 0.05, respectively). PON1 activity was found to be decreased in the IFGR mothers while it was found increased in IFGR cord blood (p < 0.01; p < 0.001)). IFGR is a state of increased oxidative stress. Decreased PON1 enzymatic activity in mothers is also associated with IFGR.
Similar content being viewed by others
References
Gross TL. Increased risk to the growth retarded fetus. In: Gross TM, Sokol Rj, editors. Intrauterine growth retardation., Wolfe HMChicago: Year Book Medical Publishers; 1989.
Campbell S, Thomas A. Ultrasonic measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol. 1977;84:165–74.
Quadir M, Bhutta ZA. Low birth weight in developing countries. In: Chernausek SD, Hokken-koelega ACS, editors. Kiess W. Small for gestational age. Causes and consequences. Basal: Karger; 2009. p. 148–62.
Strauss RS. Adult functional outcome of those born small for gestational age: twenty-six-year follow up of 1970 British birth cohort. J Am Med Assoc. 2000;283:625–32.
Tumevo T, Lundgren EM. Neurological and intellectual consequences of being born small-for-gestational-age. In: Chernausek SD, Hokken-Koelega ACS, editors. Kiess W. Small for gestational age. Causes and consequences. Basal: Karger; 2009. p. 134–47.
Chan PYL, Morris JM, Leslie GI, Kelly PJ, Gallery EDM. Long term effects of prematurity and intrauterine growth restriction on cardiovascular, renal and metabolic functions. Int J Pediatrics. 2010; doi:10.1155/2010/280402.
Barker DJ. Mothers, babies and disease in later life. London: British Medical Journal Publishing; 1984.
Edwards DR, Romero R, Kusanovic JP, Hassan SS, Mazaki-Tovi S, Vaisbuch E, et al. Polymorphisms in maternal and fetal genes encoding for proteins involved in extracellular matrix metabolism alter the risk for small-for-gestational-age. J Matern Fetal Neonatal Med. 2011;24:362–80.
Wang X, Zuckerman B, Pearson C, Kaufman G, Chen C, Wang G, et al. Maternal cigarette smoking, metabolic gene polymorphism, and infant birth weight. JAMA. 2002;287:195–202.
Jauniaux E, Poston L, Burton GJ. Placental-related diseases of pregnancy: involvement of oxidative stress and implications in human evolution. Hum Reprod Update. 2006;12:747–55.
Jones ML, Mark PJ, Lewis JL, Mori TA, Keelan JA, Waddell BJ. Antioxidant defenses in the rat placenta in late gestation: increased labyrinthine expression of superoxide dismutases, glutathione peroxidase 3, and uncoupling protein 2. Biol Reprod. 2010;83:254–60.
Goel G, Banerjee BD, Pathak R, Guleria K, Radhakrishnan G, Radhika AG, et al. Assessment of redox imbalance in idiopathic fetal growth restricted pregnancies. Reprod Sys Sexual Disorders. 2012; doi:10.4172/2161-038X.1000112.
Kimura C, Watanabe K, Iwasaki A, Mori T, Matsushita H, Shinohara K, et al. The severity of hypoxic changes and oxidative DNA damage in the placenta of early-onset preeclamptic women and fetal growth restriction. J Matern Fetal Neonatal Med. 2013;26:491–6.
Toy H, Camuzcuoglu H, Arioz DT, Kurt S, Celik H, Aksoy N. Serum prolidase activity and oxidative stress markers in pregnancies with intrauterine growth restricted infants. J Obstet Gynaecol Res. 2009;35:1047–53.
Lian IA, Løset M, Mundal SB, Fenstad MH, Johnson MP, Eide IP, et al. Increased endoplasmic reticulum stress in decidual tissue from pregnancies complicated by fetal growth restriction with and without pre-eclampsia. Placenta. 2011;32:823–9.
AhmedA Perkins J. Angiogenesis and intrauterine growth restriction. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14:981–98.
Chen D, Hu Y, Chen C, Yang F, Fang Z, Wang L, et al. Polymorphisms of the paraoxonase gene and risk of preterm delivery. Epidemiology. 2004;15:466–70.
Mogarekar MR, Rojekar MV. Harbingers of neonatal birth weight; The PON1 arylesterase and lactonase activities. Turk J Biochem. 2014;39:25–9.
Girotti MJ, Khan N, Mclellan BA. Early measurement of systemic lipid peroxidation products in the plasma of major blunt trauma patients. J Trauma-Inj Infect Crit Care. 1991;31:32–5.
Biri A, Bozkurt N, Turp A, Kavutcu M, Himmetoglu O, Durak I. Role of oxidative stress in intrauterine growth restriction. Gynecol Obstet Invest. 2007;64:187–92.
Gupta P, Narang M, Banerjee BD, Basu S. Oxidative stress in term small for gestational age neonates born to undernourished mothers: a case control study. BMC Pediatr. 2004;20:14.
Saker M, SoulimaneMokhtari N, Merzouk SA, Merzouk H, Belarbi B, Narce M. Oxidant and antioxidant status in mothers and their newborns according to birthweight. Eur J Obstet Gynecol Reprod Biol. 2008;141:95–9.
Negi R, Pande D, Kumar A, Khanna RS, Khanna HD. Evaluation of biomarkers of oxidative stress and antioxidant capacity in the cord blood of preterm low birth weight neonates. J Matern Fetal Neonatal Med. 2012;25:1338–41.
Nabhan AF, El-Din LB, Rabie AH, Fahmy GM. Impact of intrapartum factors on oxidative stress in newborns. J Matern Fetal Neonatal Med. 2009;22:867–72.
Nishizawa H, Ota S, Suzuki M, Kato T, Sekiya T, Kurahashi H, et al. Comparative gene expression profiling of placentas from patients with severe pre-eclampsia and unexplained fetal growth restriction. Reprod Biol Endocrinol. 2011;9:107. doi:10.1186/1477-7827-9-107.
Acikgoz S, Bayar UO, Can M, Guven B, Mungan G, Dogan S, et al. Levels of oxidized LDL, estrogens, and progesterone in placenta tissues and serum paraoxonase activity in preeclampsia. Mediat Inflamm. 2013; doi:10.1155/2013/862982.
Lee BE, Park H, Park EA, Gwak H, Ha EH, Pang MG, Kim YJ. Paraoxonase 1 gene and glutathione S-transferase μ 1 gene interaction with preterm delivery in Korean women. Am J Obstet Gynecol. 2010;203:569.
Infante-Rivard C. Genetic association between single nucleotide polymorphisms in the paraoxonase 1 gene and small-for-gestational-age birth in related and unrelated subjects. Am J Epidemiol. 2010;171:999–1006.
Acknowledgments
The authors are thankful to the Indian Council for Medical Research, New Delhi and University College of Medical Sciences, Delhi for providing support in the form of research grant for completion of this work.
Conflict of interest
The authors declare that there is no conflict of interests regarding the publication of this paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chandra, N., Mehndiratta, M., Banerjee, B.D. et al. Idiopathic Fetal Growth Restriction: Repercussion of Modulation in Oxidative Stress. Ind J Clin Biochem 31, 30–37 (2016). https://doi.org/10.1007/s12291-015-0487-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12291-015-0487-z