Articles

Association of Haptoglobin Phenotypes with Clinical Features of Preterm Labor Disease

Abstract

Preterm birth means the birth before thirty seven week of pregnancy that causes a lot of complications for the baby. Variety factors are suggested to be involved in disease. In this study, we decided to evaluate haptoglobin (Hp) phenotypes association with clinical features of patients suffered from premature delivery to understand better the possible correlation of genetic and clinical features in this disease. This cross sectional analytic descriptive study has been carried out in two groups of 120 women, 60 with preterm and 60 with term labor. Patients were selected with previously diagnosed by a gynecologist with preterm birth in hospital during the study period. After performing diagnostic tests, the frequency of each haptoglobin phenotype in the two groups was analyzed using the X2 test and SPSS software. The maximum serum haptoglobin phenotype frequency in patients with Hp2-2, was 43 (71.7%) whereas in healthy individuals, 35 (58.3%). No statistically significant differences between the two groups was found (P=0.310). But based on some patients clinical features such as their history of preterm delivery, previous history of recurrent abortions and history of preterm delivery in their family, significant association was found with Hp2-2 compared with healthy control (P<0.003). This study showed that Hp2-2 phenotypes levels in the case group was higher than in control but the factors influencing the presence or absence of preterm labor is clinically various.

Blake RL Jr, Dilger S, Ingram E, Gay JW. Cervical inflammation and preterm delivery in pregnant women with a history of preterm delivery. J Am Board Fam Pract 1994;7(6):465-71.

Lockwood CJ, Kuczynski E. Markers of risk for preterm delivery. J Perinat Med 1999;27(1):5-20.

Blake RL Jr, Dilger S, Ingram E, Gay JW. Cervical inflammation and preterm delivery in pregnant women with a history of preterm delivery. J Am Board Fam Pract 1994;7(6):465-71.

Carey JC, Klebanoff MA, National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. What have we learned about vaginal infections and preterm birth? Semin Perinatol 2003;27(3):212-6.

Khalajinia Z, Sadeghi Moghadam P. Incidence and maternal risk factors associated with preterm delivery in Qom province. 1386. Journal of Qom University of Medical Sciences. 2007, 5 Number of first spring 90, pp. 36-30 (In Persian).

Nemat ullah Zadeh M, Ziaei S and Kazemzadeh A. Relationship between body mass index before pregnancy and maternal weight gain during pregnancy with preterm birth. Zahedan Journal of Research in Medical Sciences. 2010, 12(5). (In Persian).

Erickson K, Thorsen P, Chrousos G, Grigoriadis DE, Khongsaly O, McGregor J, Schulkin J. Preterm birth: associated neuroendocrine, medical, and behavioral risk factors. J Clin Endocrinol Metab. 2001, 86(6):2544-52.

Grgic G, Skokic F, Bogdanovic G. C-reactive protein as a biochemical marker of idiopathic preterm delivery. Med Arh 2010;64(3):132-4.

Mohammadi B, Moghaddam L and and Asghari M. CRP levels associated with the occurrence of the first half of pregnancy with preterm delivery and low birth weight.Journal of Nursing and Midwifery of Tehran University of Medical Sciences, Hayat. 2010, 16(3).pp.5- 14. (In Persian).

Fukushima A, Kawahara H, Isurugi C, Syoji T, Oyama R, Sugiyama T, Horiuchi S. Changes in serum levels of heat shock protein 70 in preterm delivery and pre-eclampsia. J Obstet Gynaecol Res 2005;31(1):72-7.

. Relationship between preterm delivery with saliva estriyo level. Journal of Mazandaran University of MedicalSciences. 2010, 20 (79):pp. 29-22. (In Persian).

Hagberg H, Mallard C, Jacobsson B Role of cytokines in preterm labour and brain injury. BJOG 2005;112 (Suppl 1):16-8.

Torbe A, Czajka R. Proinflammatory cytokines and other indications of inflammation in crevice vaginal secretions and preterm delivery. Int J Gynaecol Obstet 2004;87(2):125-30.

Oleszczuk J, Wawrzycka B, Maj JG. Interleukin-6 and neopterin levels in serum of patients with preterm labour with and without infection. Eur J Obstet Gynecol ReprodBiol 1997;74(1):27-30.

Bogavac MA, Brkić S. Serum proinflammatory cytokine - interleukin-8 as possible infection site marker in preterm deliveries. J Perinat Med 2009;37(6):707-8.

Mshhadyan M, Mrsumi V, Ziaee S et al. Comparison of sonographic cervical parameters in predicting risk of preterm delivery in pregnant women and high risk. Journal of Medicine, Tehran University of Medical Sciences. 2010, 68 (10): pp. 583-9. (In Persian).

Pereira L, Reddy AP, Jacob T, Thomas A, Schneider KA, Dasari S, Lapidus JA, Lu X, Rodland M, Roberts CT Jr, Gravett MG, Nagalla SR.. Identification of novel protein biomarkers of preterm birth in human cervical-vaginal fluid. J Proteome Res 2007;6(4):1269-76.

Raynes JG, Eagling S , McAdam KP. Acute-phase protein synthesis in human hepatoma cells: Differential regulation of serum amyloid A(SAA) and haptoglobin by interleukin- 1 and interleukin-6. Clin Exp Immunol 1991;83:488-91.

Malchy B, Rorstad , Dixon GH. The half-molecule of haptoglobin: Studies on the product obtained by the selective cleavage of a haptoglobin disulfide.Can JBiochem 1973;51:265-73.

Wobeto VPA, Zaccariotto TR and Sonati MF Polymorphism of human haptoglobin and its clinical importance. Gen Mol Biol 2008;3:602-20.

Gutteridge JMC. The antioxidant activity of haptoglobin towards haemoglobin-stimulated lipid peroxidation. Biochim Biophys Acta 1987;917:219-23.

Arredouani M, Matthijs P, Van Hoeyveld E, Kasran A,Baumann H, Ceuppens JL, Stevens E. Haptoglobin directly affects cells and suppresses T helper cell type 2 cytokine release. Immunology 2008;108;144-51.

Kasvosve I, Gomo ZA, Mvundura E, Moyo VM, Saungweme T, Khumalo H, Gordeuk VR, Boelaert JR, Delanghe JR, De Bacquer D, Gangaidzo IT. Haptoglobin polymorphism and mortality in patients with tuberculosis. Int J Tuberc Lung Dis 2000;8(4):771-5.

Nakhoul FM, Miller-Lotan R, Awaad H. Hypothesishaptoglobin genotype and diabetic nephropathy. Nat Clin Pract Nephrol 2007;3(6):339-44.

Cho JK, Kim YH, Park IY, Shin JC, Oh MK, Park SJ, KimNH, Kim IS.. Polymorphism of haptoglobin in patients with premature rupture of membrane. Yonsei Med J 2009;28;50(1):132-6

Depypere HT, Langlois MR, Delanghe JR, Temmerman M, Dhont M. Haptoglobin polymorphism in patients with preeclampsia. Clin Chem Lab Med 2006;44(8):924-8.

Larsen K, Macleod D, Nihlberg K, Gürcan E, Bjermer L, Marko-Varga G, Westergren-Thorsson G. Specific haptoglobin expression in bronchoalveolar lavageduring differentiation of circulating fibroblast progenitor cells in mild asthma. J Proteome Res 2006;5(6):1479-83.

Areekul S, Kitiyanee U, Ukoskit K. Serum haptoglobins inpregnancy. Southeast Asian J Trop Med Public Health 19756;(4):567-72.

Khazaei HA, Nakhaei A, Dashti GA, Mohammadi M, Hejazenia F, Mehrangeez N, Khazaei A. Association of haptoglobin phenotypes with serum IgE and IgA levels in allergic rhinitis patients. Iran J Immunol 2012;9(4):254-60.

Kamali Fard M, Alizadeh R, Sehhati Shafaei F, et al. The effect of lifestyle on the rate of preterm delivery, Journal of Ardabil University of Medical Sciences 2010; 35:55. (In Persian).

Saadat M, The prevalence of premature labor pain and its known causes of disease in patients referred to Shariati Hospital of Bandar Abbas, Journal of Hormozgan Medicine 2002, 4(5):,19-24. (In Persian).

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IssueVol 51, No 8 (2013) QRcode
SectionArticles
Keywords
Haptoglobin Phenotypes Preterm labor

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How to Cite
1.
Khazaei HA, Teymuri B, Nakhaei A, Mohammadi M, Noura M, Khazaei A, Tofiqh N, Rezaei N. Association of Haptoglobin Phenotypes with Clinical Features of Preterm Labor Disease. Acta Med Iran. 1;51(8):554-559.