Original Article

Evaluation of Haptoglobin Phenotypes in Association with Clinical Features of Patients Suffered from 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 gynecologist with preterm birth in the labor during the study period. After performing diagnostic tests, the frequency of each haptoglobin phenotype in the two groups was analyzed using the Chi-square test (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 were 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, et al. 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.

Carey JC, Klebanoff MA. 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 2007. J Qom Univ Med Sci 2010, 5(1):30-6.

Nematollahzadeh M, Ziaei S, Kazemnejad A. Relationship between body mass index and preterm delivery before and during pregnancy. Zahedan J Res Med Sci 2011;12(5):89-94.

Erickson K, Thorsen P, Chrousos G, et al. 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 Banaem L, Asghari M. CRP levels during first trimester of pregnancy is associated with preterm labor and low birth weight. Hayat 2011;16(3,4): 5- 14.

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

Khani S, Abedian K, Shahhoseini Z, et al. Relationship between preterm delivery and salivary estriol level. Mazandaran Univ Med Sci 2010;20 (79):22-9 (In Persian).

Hagberg H, Mallard C, Jacobsson B. Role of cytokines in preterm labour and brain injury. BJOG 2005;112(Suppl1):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 Reprod Biol 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.

Mashhadyan M, Marsusi V, Ziaee S, et al. Comparison of sonographic cervical parameters in predicting risk of preterm delivery in pregnant women and high risk. J Med Tehran Univ Med Sci 2010;68(10):583-9.

Pereira L, Reddy AP, Jacob T, et al. Identification of novel protein biomarkers of preterm birth in human cervicalvaginal 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(3):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 J Biochem 1973;51(3):265-73.

Vania Peretti de Albuqueraue W, Tania Regina Z, Maria de Fatima S. Polymorphism of human haptoglobin and its clinical importance. Genet Mol Biol 2008;31(3):602-20.

Gutteridge JM. The antioxidant activity of haptoglobin towards haemoglobin-stimulated lipid peroxidation. Biochim Biophys Acta 1987;917(2):219-23.

Arredouani M, Matthijs P, Von Hoeyveld E, et al. Haptoglobin directly affects T cells and suppresses T helper cell type 2 cytokine release. Immunology2003;108(2):144-51.

Kasvosve I, Gomo ZA, Mvundura E, et al. Haptoglobin polymorphism and mortality in patients with tuberculosis. Int J Tuberc Lung Dis 2000;4(8):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, et al. Polymorphism of haptoglobin in patients with premature rupture of membrane. Yonsei Med J 2009;50(1):132-6.

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

Larsen K, Macleod D, Nihlberg K, et al. Specific haptoglobin expression in bronchoalveolar lavage duringdifferentiation of circulating fibroblast progenitor cells in mild asthma. J Proteome Res 2006;5(6):1479-83.

Areekul S, Kitiyanee U, Ukoskit K, etal. Serum haptoglobins in pregnancy. Southeast Asian J Trop Med Public Health 1975;6(4):567-72.

Khazaei HA, Nakhaei A, Dashti GA, et al. Association ofhaptoglobin phenotypes with serum of 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 birth. J Ardabil Univ Med Sci 2010;10(35):55-63.

Saadat M, Prevalent causes of premature delivery in Shariati Hospital- Bandar Abbas, Med J Hormozgan Univ 2001;5(4):19-24.

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IssueVol 52, No 2 (2014) QRcode
SectionOriginal Article(s)
Keywords
Evaluation Haptoglobin Phenotypes Preterm labor

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How to Cite
1.
Khazaei HA, Teymuri B, Nakhaei A, Mohammadi M, Noura M, Khazaei A, Tofigh N, Rezaei N. Evaluation of Haptoglobin Phenotypes in Association with Clinical Features of Patients Suffered from Preterm Labor Disease. Acta Med Iran. 1;52(2):106-110.