Abstract
Iodine is an essential element trace for the synthesis of maternal thyroid hormones needed to support normal fetal development; it also acts as an antioxidant directly or induce antioxidant enzymes indirectly. Iodine deficiency and oxidative stress are associated with pregnancy complications. This study aimed to assess the urinary iodine concentration and its relationship with the antioxidant and oxidative stress status during gestation. Pregnant women were consecutively recruited from an obstetric clinic during all gestation trimesters, and urinary iodine concentration, antioxidant, and oxidative stress were determined. Results showed that 70 % of pregnant women have optimal iodine levels (150–200 μg/L), while approximately 30 % showed mild iodine deficiency (50–99 μg/L). Oxidative stress was significantly higher, and the antioxidant status was also compromised as evidenced by decreased total antioxidant status and superoxide dismutase (SOD) activity in pregnant women with mild iodine deficiency than pregnant women with optimal iodine levels. Significant positive correlations were noted between optimal iodine levels and total antioxidant status. Oxidative stress was significantly correlated with mild iodine deficiency. However, no significant correlation was found between iodine levels and SOD and catalase activities. In conclusion, for the first time, these data suggest a correlation between iodine levels and the antioxidant status during pregnancy.
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References
WHO-UNICEF-ICCIIDD (1994) Indicators for assessing iodine deficiency disorders and their control through salt iodination. WHO/NUT 6:36
Delange F (2007) Iodine requirements during pregnancy, lactation and the neonatal period and indicators of optimal iodine nutrition. Public Health Nutr 10(12A):1571–1580
Dunn JT, Semigran MJ, Delange F (1998) The prevention and management of iodine-induced hyperthyroidism and its cardiac features. Thyroid 8(1):101–106
Aceves C, Anguiano B, Delgado G (2005) Is iodine a gatekeeper of the integrity of the mammary gland? J Mammary Gland Biol Neoplasia 10(2):189–196
Nava-Ocampo AA, Soldin OP, Koren G (2004) Hypothyroidism during pregnancy. Can Fam Physician 50:549–551
Sutandar M, Garcia-Bournissen F, Koren G (2007) Hypothyroidism in pregnancy. J Obstet Gynaecol Can 29(4):354–356
Gulaboglu M, Borekci B, Delibas I (2010) Urine iodine levels in preeclamptic and normal pregnant women. Biol Trace Elem Res 136(3):249–257
Gulaboglu M, Borekci B, Halici Z (2007) Placental tissue iodine level and blood magnesium concentration in pre-eclamptic and normal pregnancy. Int J Gynaecol Obstet 98(2):100–104
Venturi S, Venturi M (2009) Iodine in evolution of salivary glands and in oral health. Nutr Health 20(2):119–134
Moser M, Buchberger W, Mayer H, Winkler R (1991) Influence of an iodine-drinking cure on the antioxidative status of diabetic patients. Wien klin Wochenschr 103(6):183–186
Winkler R, Moser M (1992) Alterations of antioxidant tissue defense enzymes and related metabolic parameters in streptozotocin-diabetic rats—effects of iodine treatment. Wien klin Wochenschr 104(14):409–413
Aceves C, Anguiano B, Delgado G (2013) The extrathyronine actions of iodine as antioxidant, apoptotic, and differentiation factor in various tissues. Thyroid 23(8):938–946
Anastasakis E, Papantoniou N, Daskalakis G, Mesogitis S, Antsaklis A (2008) Screening for pre-eclampsia by oxidative stress markers and uteroplacental blood flow. J Obstet Gynaecol 28(3):285–289
Kaur G, Mishra S, Sehgal A, Prasad R (2008) Alterations in lipid peroxidation and antioxidant status in pregnancy with preeclampsia. Mol Cell Biochem 313(1–2):37–44
Mohanty S, Nayak N, Nanda NN, Rao P (2006) Serum lipids and malondialdehyde levels in primiparous patients with pregnancy induced hypertension. Indian J Clin Biochem 21(1):189–192
Mohanty S, Sahu PK, Mandal MK, Mohapatra PC, Panda A (2006) Evaluation of oxidative stress in pregnancy induced hypertension. Indian J Clin Biochem 21(1):101–105
Bomba-Opon DA, Brawura-Biskupski-Samaha R, Kozlowski S, Kosinski P, Bartoszewicz Z, Bednarczuk T, Wielgos M (2013) First trimester maternal serum vitamin D and markers of preeclampsia. J Matern Fetal Neonatal Med. doi:10.3109/14767058.2013.846318
Fenzl V, Flegar-Mestric Z, Perkov S, Andrisic L, Tatzber F, Zarkovic N, Duic Z (2013) Trace elements and oxidative stress in hypertensive disorders of pregnancy. Arch Gynecol Obstet 287(1):19–24
Krishna Mohan S, Venkataramana G (2007) Status of lipid peroxidation, glutathione, ascorbic acid, vitamin E and antioxidant enzymes in patients with pregnancy-induced hypertension. Indian J Physiol Pharmacol 51(3):284–288
Ozkaya MO, Naziroglu M, Barak C, Berkkanoglu M (2011) Effects of multivitamin/mineral supplementation on trace element levels in serum and follicular fluid of women undergoing in vitro fertilization (IVF). Biol Trace Elem Res 139(1):1–9
Simsek M, Naziroglu M, Simsek H, Cay M, Aksakal M, Kumru S (1998) Blood plasma levels of lipoperoxides, glutathione peroxidase, beta carotene, vitamin A and E in women with habitual abortion. Cell Biochem Funct 16(4):227–231
Mujawar SA, Patil VW, Daver RG (2011) Study of serum homocysteine, folic Acid and vitamin b(12) in patients with preeclampsia. Indian J Clin Biochem 26(3):257–260
Ozkaya MO, Naziroglu M (2010) Multivitamin and mineral supplementation modulates oxidative stress and antioxidant vitamin levels in serum and follicular fluid of women undergoing in vitro fertilization. Fertil Steril 94(6):2465–2466
Rudra CB, Qiu C, David RM, Bralley JA, Walsh SW, Williams MA (2006) A prospective study of early-pregnancy plasma malondialdehyde concentration and risk of preeclampsia. Clin Biochem 39(7):722–726
Gnat D, Dunn AD, Chaker S, Delange F, Vertongen F, Dunn JT (2003) Fast colorimetric method for measuring urinary iodine. Clin Chem 49(1):186–188
Madesh M, Balasubramanian KA (1998) Microtiter plate assay for superoxide dismutase using MTT reduction by superoxide. Indian J Biochem Biophys 35(3):184–188
Sinha AK (1972) Colorimetric assay of catalase. Anal Biochem 47(2):389–394
Bahr P, Basulto Y (2004) El potencial reductor fèrrico (FRP). Un ensayo para evalular la capacidad antioxidante en suero. Revista Corr Méd Cient Holg 8(4)
Glinoer D, De Nayer P, Delange F, Lemone M, Toppet V, Spehl M, Grun JP, Kinthaert J, Lejeune B (1995) A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrinol Metab 80(1):258–269
Garcia-Solis P, Solis SJ, Garcia-Gaytan AC, Reyes-Mendoza VA, Robles-Osorio L, Hernandez-Montiel HL, Leo-Amador GE (2011) Iodine nutrition status in pregnant women in Mexico. Thyroid 21(12):1367–1371
Martinez-Salgado H, Castaneda-Limones R, Lechuga-Martin del Campo D, Ramos-Hernandez RI, Orozco-Lopez M, Rivera-Dommarco J, Mendoza I, Magos C (2002) Iodine deficiency and other potential goitrogens in the persistence of endemic goiter in Mexico. Gac Med Mex 138(2):149–156
Wu YX, Li LJ, Chen GY, Zhao WD, Qiu MC (2003) Effects of supplementation of different kinds of iodine on the antioxidative ability of retina in iodine deficient rats [. Zhonghua Yan Ke Za Zhi 39(8):495–498
Maleki A, Fard MK, Zadeh DH, Mamegani MA, Absaizadeh S, Mazloomzadeh S (2011) The relationship between plasma level of Se and preeclampsia. Hypertens Pregnancy 30(2):180–187
Mistry HD, Wilson V, Ramsay MM, Symonds ME, Broughton Pipikin F (2008) Reduced selenium concentrations and glutathione peroxidase activity in preeclamptic pregnancies. Hypertension 52(5):881–888
Nunez-Anita RE, Arroyo-Helguera O, Cajero-Juarez M, Lopez-Bojorquez L, Aceves C (2009) A complex between 6-iodolactone and the peroxisome proliferator-activated receptor type gamma may mediate the antineoplastic effect of iodine in mammary cancer. Prostaglandins Other lipid mediat 89(1–2):34–42
Yoo HY, Chang MS, Rho HM (1999) Induction of the rat Cu/Zn superoxide dismutase gene through the peroxisome proliferator-responsive element by arachidonic acid. Gene 234(1):87–91
Palan PR, Mikhail MS, Romney SL (2001) Placental and serum levels of carotenoids in preeclampsia. Obstet Gynecol 98(3):459–462
Shaker O, Sadik N (2013) Pathogenesis of preeclampsia: implications of apoptotic markers and oxidative stress. Hum Exp Toxicol 32(11):1170–1178
Acknowledgement
This study had financial support from Public Health Institute of Universidad Veracruzana grants POA 2011–2013 and CONACyT grant no. CB-2012-01-176513. The authors also wish to thank Irene Xochihua Rosas for his contribution to this study and proofreading. Zendy Evelyn Olivo Vidal was supported by graduate fellowships from CONACyT 376830.
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Vidal, Z.E.O., Rufino, S.C., Tlaxcalteco, E.H. et al. Oxidative Stress Increased in Pregnant Women with Iodine Deficiency. Biol Trace Elem Res 157, 211–217 (2014). https://doi.org/10.1007/s12011-014-9898-6
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DOI: https://doi.org/10.1007/s12011-014-9898-6