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Erschienen in: Advances in Therapy 7/2018

19.06.2018 | Brief Report

Assessment of Relationship of Serum Neurokinin-B Level in the Pathophysiology of Pre-eclampsia: A Case–Control Study

verfasst von: Henna Salman, Mohsin Shah, Asif Ali, Asma Aziz, Salvatore Giovanni Vitale

Erschienen in: Advances in Therapy | Ausgabe 7/2018

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Abstract

Introduction

Pre-eclampsia is a pregnancy-induced disorder that complicates approximately 5–7% of pregnancies. It is the leading cause of maternal and foetal morbidity and mortality worldwide.

Aim

To determine the role of serum neurokinin-B level in the pathophysiology of pre-eclampsia.

Methods

This was a case–control study. A total of 80 pregnant women in their third trimester of pregnancy were included in the study. They were divided into two groups (40 pre-eclamptic and 40 normotensive) according to the presence or absence of clinical parameters of pre-eclampsia. Serum level of neurokinin-B was measured with ELISA.

Results

Maternal age, weight, BMI, pulse, systolic BP and diastolic BP were statistically higher in the pre-eclampsia group compared to the normotensive group (P < 0.0001). Moreover, statistically higher levels were observed for neurokinin-B in the normotensive group as compared to the pre-eclamptic group. The mean value of neurokinin-B was 83.50 ng/L in the pre-eclamptic group compared to 111.5 ng/L in the normotensive group (P = 0.006).

Conclusion

Higher levels of serum neurokinin-B were observed in the normotensive pregnant females as compared to the pre-eclamptic females. Thus, apparently, it seems that serum neurokinin-B plays no role in the pathophysiology of pre-eclampsia, and further large multicentre prospective studies may be required to ascertain its role.
Literatur
1.
Zurück zum Zitat Redman CW, Sargent IL. Latest advances in understanding preeclampsia. Science. 2005;308:1592–4.CrossRefPubMed Redman CW, Sargent IL. Latest advances in understanding preeclampsia. Science. 2005;308:1592–4.CrossRefPubMed
2.
Zurück zum Zitat Zhang J, Meikle S, Trumble A. Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States. Hypertens Pregnancy. 2003;22:203–12.CrossRefPubMed Zhang J, Meikle S, Trumble A. Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States. Hypertens Pregnancy. 2003;22:203–12.CrossRefPubMed
3.
Zurück zum Zitat Cross JC. The genetics of preeclampsia. Afetoplacental or maternal problem? Clin Genet. 2003;64:96–103.CrossRefPubMed Cross JC. The genetics of preeclampsia. Afetoplacental or maternal problem? Clin Genet. 2003;64:96–103.CrossRefPubMed
4.
Zurück zum Zitat Page NM, Woods RJ, Gardiner SM, et al. Excessive placental secretion of neurokinin B during the third trimester causes pre-eclampsia. Nature. 2000;405:797–800.CrossRefPubMed Page NM, Woods RJ, Gardiner SM, et al. Excessive placental secretion of neurokinin B during the third trimester causes pre-eclampsia. Nature. 2000;405:797–800.CrossRefPubMed
5.
Zurück zum Zitat Page NM. Characterization of the gene structures, precursor processing and pharmacology of the endokinin peptides. Vasc Pharmacol. 2006;45:200–8.CrossRef Page NM. Characterization of the gene structures, precursor processing and pharmacology of the endokinin peptides. Vasc Pharmacol. 2006;45:200–8.CrossRef
6.
Zurück zum Zitat Li ZM, Zhao Y, Chen Q, Zou L, Wang ZH. Relationship between neurokinin B and endothelin-1 and hypertensive disorders complicating pregnancy. Zhonghua Fu Chan KeZaZhi. 2008;43:584–8. Li ZM, Zhao Y, Chen Q, Zou L, Wang ZH. Relationship between neurokinin B and endothelin-1 and hypertensive disorders complicating pregnancy. Zhonghua Fu Chan KeZaZhi. 2008;43:584–8.
7.
Zurück zum Zitat Nussdorfer GG, Malendowicz LK. Role of tachykinins in the regulation of the hypothalamopituitary-adrenal axis. Peptides. 1998;19:949–68.CrossRefPubMed Nussdorfer GG, Malendowicz LK. Role of tachykinins in the regulation of the hypothalamopituitary-adrenal axis. Peptides. 1998;19:949–68.CrossRefPubMed
8.
Zurück zum Zitat Lembeck F, Donnerer J, Tsuchiya M, Nagahisa A. The non-peptide tachykinin antagonist, CP96, 345, is a potent inhibitor of neurogenic inflammation. Br J Pharmacol. 1992;105:527–30.CrossRefPubMedPubMedCentral Lembeck F, Donnerer J, Tsuchiya M, Nagahisa A. The non-peptide tachykinin antagonist, CP96, 345, is a potent inhibitor of neurogenic inflammation. Br J Pharmacol. 1992;105:527–30.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Emonds-Alt X, Doutremepuich JD, Heaulme M, et al. In vitro and in vivo biological activities of SR140333, a novel potent non-peptide tachykinin NK1 receptor antagonist. Eur J Pharmacol. 1993;250:403–13.CrossRefPubMed Emonds-Alt X, Doutremepuich JD, Heaulme M, et al. In vitro and in vivo biological activities of SR140333, a novel potent non-peptide tachykinin NK1 receptor antagonist. Eur J Pharmacol. 1993;250:403–13.CrossRefPubMed
10.
Zurück zum Zitat Avanov AI. Tachykinins and conformational aspects of their interactions with receptors. Mol Biol (Mosk). 1992;26:5–24. Avanov AI. Tachykinins and conformational aspects of their interactions with receptors. Mol Biol (Mosk). 1992;26:5–24.
11.
Zurück zum Zitat Page NM, Woods RJ, Lowry PJ. A regulatory role for neurokinin B in placental physiology and preeclampsia. Regul Pept. 2001;98:97–104.CrossRefPubMed Page NM, Woods RJ, Lowry PJ. A regulatory role for neurokinin B in placental physiology and preeclampsia. Regul Pept. 2001;98:97–104.CrossRefPubMed
12.
Zurück zum Zitat D’Anna R, Corrado F, Baviera G, Jasonni VM. Neurokinin B peptide levels in normal pregnancy. Eur J Obstet Gynecol Reprod Biol. 2002;103:101–2.CrossRefPubMed D’Anna R, Corrado F, Baviera G, Jasonni VM. Neurokinin B peptide levels in normal pregnancy. Eur J Obstet Gynecol Reprod Biol. 2002;103:101–2.CrossRefPubMed
13.
Zurück zum Zitat Brownbill P, Bell NJ, Woods RJ, Lowry PJ, Page NM, Sibley CP. Neurokinin-B is aparacrine vasodilator in the human fetal placental circulation. J Clin Endocrinol Metab. 2003;88:2164–70.CrossRefPubMed Brownbill P, Bell NJ, Woods RJ, Lowry PJ, Page NM, Sibley CP. Neurokinin-B is aparacrine vasodilator in the human fetal placental circulation. J Clin Endocrinol Metab. 2003;88:2164–70.CrossRefPubMed
14.
Zurück zum Zitat D’Orleans-Juste P, Claing A, Telemaque S, Warner TD, Regoli D. Neurokinins produce selective venoconstriction via Nk-3 receptors in the rat mesenteric vascular bed. Eur J Pharmacol. 1991;204:329–34.CrossRefPubMed D’Orleans-Juste P, Claing A, Telemaque S, Warner TD, Regoli D. Neurokinins produce selective venoconstriction via Nk-3 receptors in the rat mesenteric vascular bed. Eur J Pharmacol. 1991;204:329–34.CrossRefPubMed
15.
Zurück zum Zitat Thompson GW, Hoover DB, Ardell JL, Armour JA. Canine intrinsic cardiac neurons involved in cardiac regulation possess NK1, NK2, and NK3 receptors. Am J Physiol Regul Integr Comp Physiol. 1998;275:R1683–9.CrossRef Thompson GW, Hoover DB, Ardell JL, Armour JA. Canine intrinsic cardiac neurons involved in cardiac regulation possess NK1, NK2, and NK3 receptors. Am J Physiol Regul Integr Comp Physiol. 1998;275:R1683–9.CrossRef
16.
Zurück zum Zitat Gecse A, Kis B, Mezei Z, Telegdy G. The effect of bradykinin and substance P on the arachidonate cascade of platelets. Immunopharmacology. 1996;33:167–70.CrossRefPubMed Gecse A, Kis B, Mezei Z, Telegdy G. The effect of bradykinin and substance P on the arachidonate cascade of platelets. Immunopharmacology. 1996;33:167–70.CrossRefPubMed
17.
Zurück zum Zitat Perretti M, Ahluwalia A, Flower RJ, Manzini S. Endogenous tachykinins play a role in IL-1-induced neutrophil accumulation: involvement of NK-1 receptors. Immunology. 1993;80:73–7.PubMedPubMedCentral Perretti M, Ahluwalia A, Flower RJ, Manzini S. Endogenous tachykinins play a role in IL-1-induced neutrophil accumulation: involvement of NK-1 receptors. Immunology. 1993;80:73–7.PubMedPubMedCentral
18.
Zurück zum Zitat Jansen I, Alafaci C, McCulloch J, Uddam R, Edvinsson L. Tachykinins (substance P, neurokinin A, neuropeptide K, and neurokinin B) in the cerebral circulation: vasomotor responses in vitro and in situ. J Cereb Blood Flow Metab. 1991;2:567–75.CrossRef Jansen I, Alafaci C, McCulloch J, Uddam R, Edvinsson L. Tachykinins (substance P, neurokinin A, neuropeptide K, and neurokinin B) in the cerebral circulation: vasomotor responses in vitro and in situ. J Cereb Blood Flow Metab. 1991;2:567–75.CrossRef
19.
Zurück zum Zitat Wareing M, Bhatti H, O’Hara M, et al. Vasoactive effects of neurokinin B on human blood vessels. Am J Obstet Gynecol. 2003;188:196–202.CrossRefPubMed Wareing M, Bhatti H, O’Hara M, et al. Vasoactive effects of neurokinin B on human blood vessels. Am J Obstet Gynecol. 2003;188:196–202.CrossRefPubMed
20.
Zurück zum Zitat Tjoa ML, Lomecky M, Martens F, van Wijk IJ, van Vugt JM, Blankenstein MA, Oudejans CB. Neurokinin B levels in maternal circulation during early pregnancy. Clin Chem Lab Med. 2004;42:611–23.CrossRefPubMed Tjoa ML, Lomecky M, Martens F, van Wijk IJ, van Vugt JM, Blankenstein MA, Oudejans CB. Neurokinin B levels in maternal circulation during early pregnancy. Clin Chem Lab Med. 2004;42:611–23.CrossRefPubMed
21.
Zurück zum Zitat Schlembach D, Scalera F, Fischer T, Beinder E, Marx SG, Garfield RE. Neurokinin B peptide levels are higher in normotensive pregnant women than in preeclamptic pregnant women. Am J Obstet Gynecol. 2003;189:1418–22.CrossRefPubMed Schlembach D, Scalera F, Fischer T, Beinder E, Marx SG, Garfield RE. Neurokinin B peptide levels are higher in normotensive pregnant women than in preeclamptic pregnant women. Am J Obstet Gynecol. 2003;189:1418–22.CrossRefPubMed
22.
Zurück zum Zitat Thompson GW, Hoover DB, Ardell JL, Armour JA. Canine intrinsic cardiac neurons involved in cardiac regulation possess NK1, NK2 and NK3 receptors. Am J Physiol. 1998;44:1683–9. Thompson GW, Hoover DB, Ardell JL, Armour JA. Canine intrinsic cardiac neurons involved in cardiac regulation possess NK1, NK2 and NK3 receptors. Am J Physiol. 1998;44:1683–9.
23.
Zurück zum Zitat Mastrangelo D, Mathison R, Huggel HJ, Dion S, D’Orleans-Juste P, Rhaleb NE, Drapeau G, Rovero P, Regoli D. The rat isolated portal vein: a preparation sensitive to neurokinins, particularly neurokinin B. Eur J Pharmacol. 1987;134:321–6.CrossRefPubMed Mastrangelo D, Mathison R, Huggel HJ, Dion S, D’Orleans-Juste P, Rhaleb NE, Drapeau G, Rovero P, Regoli D. The rat isolated portal vein: a preparation sensitive to neurokinins, particularly neurokinin B. Eur J Pharmacol. 1987;134:321–6.CrossRefPubMed
25.
Zurück zum Zitat Patak EN, Pennefather JN, Story ME. Proceedings of the Australian Physiological and Pharmacological Society Symposium Tachykinins: the challenge continues effects of tachykinins on uterine smooth muscle. Clin Exp Pharmacol Physiol. 2000;27:922–7.CrossRefPubMed Patak EN, Pennefather JN, Story ME. Proceedings of the Australian Physiological and Pharmacological Society Symposium Tachykinins: the challenge continues effects of tachykinins on uterine smooth muscle. Clin Exp Pharmacol Physiol. 2000;27:922–7.CrossRefPubMed
26.
Zurück zum Zitat Roques BP, Noble F, Dauge V, Fournie-Zaluski MC, Beaumont A. Neutral endopeptidase 24.11 structure, inhibition, and experimental and clinical pharmacology. Pharmacol Rev. 1993;45:87–146.PubMed Roques BP, Noble F, Dauge V, Fournie-Zaluski MC, Beaumont A. Neutral endopeptidase 24.11 structure, inhibition, and experimental and clinical pharmacology. Pharmacol Rev. 1993;45:87–146.PubMed
27.
Zurück zum Zitat Von Dadelszen P, Magee LA, Roberts JM. Sub-classification of preeclampsia. Hypertens Pregnancy. 2003;22:143–8.CrossRef Von Dadelszen P, Magee LA, Roberts JM. Sub-classification of preeclampsia. Hypertens Pregnancy. 2003;22:143–8.CrossRef
28.
Zurück zum Zitat Sibai BM. Preeclampsia as a cause of preterm and late preterm (near-term) births. Semin Perinatol. 2006;30:16–9.CrossRefPubMed Sibai BM. Preeclampsia as a cause of preterm and late preterm (near-term) births. Semin Perinatol. 2006;30:16–9.CrossRefPubMed
29.
Zurück zum Zitat Chaiworapongsa T, Romero R, Korzeniewski SJ, et al. Maternal plasma concentrations of angiogenic/antiangiogenic factors in the third trimester of pregnancy to identify the patient at risk for stillbirth at or near term and severe late preeclampsia. Am J Obstet Gynecol. 2013;208:287.PubMedPubMedCentral Chaiworapongsa T, Romero R, Korzeniewski SJ, et al. Maternal plasma concentrations of angiogenic/antiangiogenic factors in the third trimester of pregnancy to identify the patient at risk for stillbirth at or near term and severe late preeclampsia. Am J Obstet Gynecol. 2013;208:287.PubMedPubMedCentral
31.
Zurück zum Zitat Kenneth L, Hall DR, Gebhardt S, Grove D. Late onset preeclampsia is not an innocuous condition. Hypertens Pregnancy. 2010;29:262–70.CrossRefPubMed Kenneth L, Hall DR, Gebhardt S, Grove D. Late onset preeclampsia is not an innocuous condition. Hypertens Pregnancy. 2010;29:262–70.CrossRefPubMed
32.
Zurück zum Zitat Moodley J. Maternal deaths associated with hypertensive disorders of pregnancy: a population-based study. Hypertens Pregnancy. 2004;23:247–56.CrossRefPubMed Moodley J. Maternal deaths associated with hypertensive disorders of pregnancy: a population-based study. Hypertens Pregnancy. 2004;23:247–56.CrossRefPubMed
Metadaten
Titel
Assessment of Relationship of Serum Neurokinin-B Level in the Pathophysiology of Pre-eclampsia: A Case–Control Study
verfasst von
Henna Salman
Mohsin Shah
Asif Ali
Asma Aziz
Salvatore Giovanni Vitale
Publikationsdatum
19.06.2018
Verlag
Springer Healthcare
Erschienen in
Advances in Therapy / Ausgabe 7/2018
Print ISSN: 0741-238X
Elektronische ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-018-0723-z

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