Osteoprotegerin,interleukin and hepatocyte growth factor for prediction of diabetes and hypertension in the third trimester of pregnancy  

作　　者：Su-Jing Huang Hong-Wei Wang Hai-Fang Wu Qiu-Yuan Wei Shu Luo Lin Xu Hong-Qiong Guan 

机构地区：[1]Department of Obstetrics,The Second Affiliated Hospital of Hainan Medical College,Haikou 570311,Hainan Province,China

出　　处：《World Journal of Clinical Cases》2020年第22期5529-5534,共6页世界临床病例杂志

基　　金：Supported by Hainan Province Major Program of Science and Technology Projects 2017,No.ZDKJ2017007.

摘　　要：BACKGROUND Gestational diabetes mellitus(GDM)raises the risk of high blood pressure and may cause a series of life-threatening complications in pregnant women.Screening and management of GDM and gestational hypertension(GH)in pregnancy helps to control and reduce these risks and prevent adverse effects on mothers and their fetuses.Currently,the majority criteria used for screening of diabetes mellitus is oral glucose tolerance tests,and blood pressure test is usually used for the screening and diagnosis of hypertension.However,these criteria might not anticipate or detect all GDM or GH cases.Therefore,new specific predictive and diagnostic tools should be evaluated for this population.This study selected three biomarkers of osteoprotegerin(OPG),interleukin(IL)and hepatocyte growth factor(HGF)for GDM and GH predication and diagnosis.AIM To explore the feasibility of changes in placental and serum OPG,IL and HGF as tools for prediction and diagnosis of diabetes and hypertension in pregnant women.METHODS From January 2018 to January 2019,44 pregnant women with GDM and GH were selected as an observation group,and 44 healthy pregnant women were selected as a control group in the same period.Serum OPG,IL and HGF were compared between the two groups.RESULTS The levels of OPG and HGF in the observation group were lower than in the control group,and the level of IL-1βwas higher in the observation group than in the control group(all P<0.05).Furthermore,OPG and HGF were negatively associated with gestational diabetes and gestational hypertension,while IL-1βwas positively associated with GDM complicated with GH(all P<0.05).CONCLUSION The evaluation of serum OPG,HGF and IL-1βlevels in patients with coexistent gestational diabetes complicated with hypertension can predict the degree of disease and play an important role in the follow-up treatment and prognosis prediction.

关 键 词：Third trimester of pregnancy OSTEOPROTEGERIN INTERLEUKIN Hepatocyte growth factor Gestational diabetes mellitus Gestational hypertension 

分 类 号：R714.256[医药卫生—妇产科学] R714.246[医药卫生—临床医学]