Gestasyonel Diyabetes Mellituslu Gebe Hastalarda Maternal ve Umblikal Kordon Heat-Shock Protein 70 Seviyeleri

Yıl 2024, Cilt: 34 Sayı: 2, 251 - 257, 30.04.2024

Mete Bertizlioğlu , Setenay Yılmaz , Ayşegül Kebapçılar , Aybike Tazegul , Özlem Seçilmiş , Berat Berrin Gençoğlu Bakbak , Sedat Abuşoğlu , Cetin Celik , Ali Unlu , Nasuh Utku Doğan , Görkem Aktaş

https://doi.org/10.54005/geneltip.1400341

Öz

AMAÇ: Bu çalışmanın amacı, hücresel stresin bir belirleyicisi olan Heat shock protein 70 (Hsp-70)'in, gestasyonel diyabet mellitus (GDM) gebeliklerde maternal serum ve umbilikal kordda yüksek olup olmadığını belirlemek ve farklı serum Hsp-70 konsantrasyonlarının umbilikal kordda, GDM'li kadınlarda ve kontrol grubundaki kadınlarda erken doğumun bir göstergesi olarak ilişkilendirilip ilişkilendirilmediğini belirlemektir (37 0/7-38 6/7 hafta gebelik).
YÖNTEMLER: Çalışma, bu durum kontrol çalışmasında sezaryen doğum olan GDM'li 62 hasta (GDM grubu) ve 22 diyabetik olmayan, sağlıklı kadını içermektedir. Hamileliklerde ve umbilikal kord serumlarında Hsp-70 düzeylerini ve tüm konulardaki erken doğumu içeren diğer biyokimyasal ve antropometrik belirteçleri analiz ettik.
BULGULAR: GDM'li hastalarda maternal serum Hsp-70 düzeyleri, sağlıklı hamile kadınlardan önemli ölçüde yüksekti. GDM hastalarının umbilikal kord Hsp-70 düzeyleri de sağlıklı hamile kadınlara göre artmıştı ancak genellikle kabul edilebilir düzeyde anlam bulunamadı. Kord Hsp-70 düzeyleri, GDM'li kadınlarda doğum zamanı ile negatif anlamlı bir korelasyon gösterdi. Kord Hsp-70 düzeyleri, aynı zamanda tüm grup içinde doğum zamanı ile negatif anlamlı bir korelasyon gösterdi.
SONUÇLAR: Maternal Hsp-70, GDM'li hastalarda önemli ölçüde yüksekti. Elde edilen sonuçlar, yüksek umbilikal kord Hsp-70 değerlerinin, gebeliklerde erken doğum için bir risk faktörü göstergesi olarak potansiyel olarak kullanılabileceğini göstermektedir.

Anahtar Kelimeler

heat-shock protein 70, gestasyonel diyabetes mellitus, erken doğum

Maternal and Umbilical Cord Heat-Shock Protein 70 Levels in Patients with Gestational Diabetes Mellitus

Öz

AIMS: The purpose of this study is to determine if heat shock protein 70 (Hsp-70), a marker of cellular stress, is elevated in maternal serum and umbilical cord in pregnancies complicated by gestational diabetes mellitus (GDM) and to determine whether altered serum Hsp-70 concentrations in umbilical cord are related to serve as an indicator of early term delivery (37 0/7–38 6/7 weeks of gestation) in women with GDM and control group.
METHODS: The study included 62 patients with GDM (GDM group) and 22 non-diabetic, healthy women before caesarean section in this case-control study. We analyzed serum levels of Hsp-70 in pregnancies and umbilical cord sera and other biochemical and anthropometric markers, early term delivery in all subjects.
RESULTS: Maternal Serum levels of Hsp-70 were significantly higher in patients with GDM than in healthy pregnant women. The umbilical cord levels of Hsp-70 in GDM patients were also increased as compared to healthy pregnant women but missed the commonly acceptable significance level. Cord Hsp-70 levels showed a negatively significant correlation with time of delivery, in women with GDM patients. Cord Hsp-70 levels showed a negatively significant correlation with time of delivery, also in the whole group.
CONCLUSIONS: Maternal Hsp-70 was significantly higher in patients with GDM. The obtained results seem to indicate that elevated umbilical cord Hsp-70 values may potentially be used as indicators of risk factor for early term delivery in pregnancies.

Anahtar Kelimeler

gestational diabetes mellitus, heat-shock protein 70, Preterm Birth

Kaynakça

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