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5 March 2013

Relationship Between Oxidative Stress Parameters and Cystatin C Levels in Patients With Severe Preeclampsia

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1
Department of Anesthesiology and Reanimation, Faculty of Medicine, Harran University
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Department of Internal Medicine, Faculty of Medicine, Harran University
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Department of Gynecology and Obstetrics, Faculty of Medicine, Harran University
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Department of Biochemistry, Faculty of Medicine, Harran University, Turkey

Abstract

Background and Objective. Oxidative stress is believed to play a role in the development of preeclampsia (PE). It is known that an increased cystatin C level is also associated with PE. The aim of this study was to investigate the relationship between oxidative stress parameters and cystatin C levels in patients with severe PE.
Material and Methods
. Forty-four patients with severe PE and 40 healthy pregnant women were recruited for the study. All study subjects were divided into 2 groups: group 1 (n=44) consisted of patients with severe PE, and group 2 (n=40) included healthy pregnant subjects. Blood samples were obtained from all subjects in order to measure the cystatin C level, total antioxidant status, and total oxidant status. The oxidative stress index was calculated.
Results
. The group 1 had significantly higher cystatin C, total oxidant status, oxidative stress index levels and lower total antioxidant status level as compared with the group 2 (P=0.001, P<0.001, P<0.001, P=0.036, respectively). The serum cystatin C level was significantly correlated with the oxidative stress index (r=0.609, P<0.001).
Conclusions
. The present study demonstrated that both oxidative stress and cystatin C levels were increased in patients with PE, and the increased cystatin C levels seem to be a consequence of oxidative stress. Correspondence to

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