Purpose
Although placental abruption is an acute condition, it is thought that the underlying pathology is chronic vasculopathy. Collagen is one of the important components of vascular structure, and there is a correlation between collagen turnover and prolidase enzyme activity (PEA). Thus, our aim was to assess whether there is a difference in serum oxidative stress level and PEA between pregnant women with placental abruption and those with a healthy pregnancy.
Methods
The study group consisted of 36 pregnant women who underwent caesarean section with a diagnosis of placental abruption, while the control group comprised 36 pregnant women who underwent caesarean section due to obstetric reasons. Venous blood samples were drawn from all patients before caesarean section. In addition, tissue samples were obtained during caesarean section to evaluate tissue PEA.
Results
No significant differences in demographic characteristics were detected between groups (p > 0.05). Oxidative stress parameters, such as total oxidant status and oxidative stress index, were found to be significantly higher in the study group (p < 0.001). Placental tissue PEA was found to be significantly higher in pregnant women with placental abruption (557.21 ± 135.41 vs. 426.68 ± 131.57 U/g, p < 0.001). In addition, a significant positive correlation was detected between PEA and oxidative stress parameters (r = 0.332, p = 0.004).
Conclusions
Our results indicated that elevated tissue PEA and serum oxidative stress levels are closely related to placental abruption. Thus, we think that increased collagen turnover may have a significant role in the aetiopathogenesis of placental abruption.
Similar content being viewed by others
References
Zdoukopoulos N, Zintzaras E (2008) Genetic risk factors for placental abruption: a HuGE review and meta-analysis. Epidemiology 19:309–323
Ananth CV, Williams MA (2013) Placental abruption and placental weight—implications for fetal growth. Acta Obstet Gynecol Scand 92:1443–1450
Williams MA, Sanchez SE, Ananth CV, Hevner K, Qiu C, Enquobahrie DA (2013) Maternal blood mitochondrial DNA copy number and placental abruption risk: results from a preliminary study. Int J Mol Epidemiol Genet 4:120–127
Tikkanen M (2011) Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand 90:140–149
Melamed N, Aviram A, Silver M, Peled Y, Wiznitzer A, Glezerman M, Yogev Y (2012) Pregnancy course and outcome following blunt trauma. J Matern Fetal Neonatal Med 25:1612–1617
Buhimschi CS, Schatz F, Krikun G, Buhimschi IA, Lockwood CJ (2010) Novel insights into molecular mechanisms of abruption-induced preterm birth. Expert Rev Mol Med 12:35
Salihu HM, Bekan B, Aliyu MH, Rouse DJ, Kirby RS, Alexander GR (2005) Perinatal mortality associated with abruptio placenta in singletons and multiples. Am J Obstet Gynecol 193:198–203
Brosens I, Pijnenborg R, Vercruysse L, Romero R (2011) The “Great Obstetrical Syndromes” are associated with disorders of deep placentation. Am J Obstet Gynecol 204:193–201
Toy H, Camuzcuoglu H, Arioz DT, Kurt S, Celik H, Aksoy N (2009) Serum prolidase activity and oxidative stress markers in pregnancies with intrauterine growth restricted infants. J Obstet Gynaecol Res 35:1047–1053
Vural M, Toy H, Camuzcuoglu H, Aksoy N (2011) Comparison of prolidase enzyme activities of maternal serum and placental tissue in patients with early pregnancy failure. Arch Gynecol Obstet 283:953–958
Hilali N, Aksoy N, Vural M, Camuzcuoglu H, Taskin A (2013) Oxidative status and serum prolidase activity in tubal ectopic pregnancy. J Pak Med Assoc 63:169–172
Yildiz A, Demirbag R, Yilmaz R, Gur M, Altiparmak IH, Akyol S, Aksoy N, Ocak AR, Erel O (2008) The association of serum prolidase activity with the presence and severity of coronary artery disease. Coron Artery Dis 19:319–325
Vural M, Camuzcuoglu H, Toy H, Aksoy N (2010) Amniotic fluid prolidase activity and oxidative status in neural tube defects. Fetal Diagn Ther 28:34–39
Buyukhatipoglu H, Kirhan I, Vural M, Taskin A, Sezen Y, Dag OF, Turan MN, Aksoy N (2010) Oxidative stress increased in healthcare workers working 24-hour on-call shifts. Am J Med Sci 340:462–467
Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191
Elsasser DA, Ananth CV, Prasad V, Vintzileos AM, Abruption NJP (2010) Diagnosis of placental abruption: relationship between clinical and histopathological findings editorial comment. Obstet Gynecol Surv 65:297–299
Aksin M, Incebiyik A, Vural M, Gul Hilali N, Camuzcuoglu A, Camuzcuoglu H, Aksoy N (2013) Does a risky outcome of antenatal screening test indicate oxidative stress? J Matern Fetal Neonatal Med Early Online:1–5
Camuzcuoglu H, Arioz DT, Toy H, Kurt S, Celik H, Aksoy N (2009) Assessment of preoperative serum prolidase activity in epithelial ovarian cancer. Eur J Obstet Gynecol Reprod Biol 147:97–100
Ananth CV, Oyelese Y, Prasad V, Getahun D, Smulian JC (2006) Evidence of placental abruption as a chronic process: associations with vaginal bleeding early in pregnancy and placental lesions. Eur J Obstet Gynecol Reprod Biol 128:15–21
Avagliano L, Bulfamante GP, Morabito A, Marconi AM (2011) Abnormal spiral artery remodelling in the decidual segment during pregnancy: from histology to clinical correlation. J Clin Pathol 64:1064–1068
Schenone MH, Schlabritz-Loutsevitch N, Zhang J, Samson JE, Mari G, Ferry RJ Jr, Hubbard GB, Dick EJ Jr (2012) Abruptio placentae in the baboon (Papio spp.). Placenta 33:278–284
Hilali N, Vural M, Camuzcuoglu H, Camuzcuoglu A, Aksoy N (2013) Increased prolidase activity and oxidative stress in PCOS. Clin Endocrinol 79:105–110
Cauci S, McGregor J, Thorsen P, Grove J, Guaschino S (2005) Combination of vaginal pH with vaginal sialidase and prolidase activities for prediction of low birth weight and preterm birth. Am J Obstet Gynecol 192:489–496
Tuuli MG, Longtine MS, Nelson DM (2011) Review: oxygen and trophoblast biology—a source of controversy. Placenta 32:109–118
Lanoix D, Lacasse AA, Reiter RJ, Vaillancourt C (2013) Melatonin: the watchdog of villous trophoblast homeostasis against hypoxia/reoxygenation-induced oxidative stress and apoptosis. Mol Cell Endocrinol 381:35–45
Micle O, Muresan M, Antal L, Bodog F, Bodog A (2012) The influence of homocysteine and oxidative stress on pregnancy outcome. J Med Life 5:68–73
Gonullu H, Aslan M, Karadas S, Kat C, Duran L, Milanlioglu A, Aydin MN, Demir H (2014) Serum prolidase enzyme activity and oxidative stress levels in patients with acute hemorrhagic stroke. Scand J Clin Lab Invest 74:199–205
Bozkurt MCM, Oktayoglu P, Em S, Batmaz I, Sariyildiz MA, Nas K, Ucar D, Yüksel H, Sarac AJ (2014) Serum prolidase enzyme activity and oxidative status in patients with fibromyalgia. Redox Rep 19:148–153
Bozkurt M, Yuksel H, Em S, Oktayoglu P, Yildiz M, Akdeniz D, Nas K (2013) Serum prolidase enzyme activity and oxidative status in patients with Behcet’s disease. Redox Rep 19:59–64
Pirincci N, Kaba M, Gecit I, Gunes M, Yuksel MB, Tanik S, Arslan A, Demir H (2013) Serum prolidase activity, oxidative stress, and antioxidant enzyme levels in patients with renal cell carcinoma. Toxicol Ind Health 30:1–8
Conflict of interest
The authors have stated explicitly that there is no financial support or relationships that may pose potential conflict of interest in this article.
Author information
Authors and Affiliations
Corresponding author
Additional information
The summary of this article was sent to XXIV European Congress of Perinatal Medicine; June 4–7th 2014 Florence/Italy.
Rights and permissions
About this article
Cite this article
Incebiyik, A., Vural, M., Camuzcuoglu, A. et al. Comparison of tissue prolidase enzyme activity and serum oxidative stress level between pregnant women with placental abruption and those with a healthy pregnancy. Arch Gynecol Obstet 291, 805–809 (2015). https://doi.org/10.1007/s00404-014-3481-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-014-3481-4