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Vertebrate reproductive science and technology
RESEARCH ARTICLE

Pathogenetic role of a number of factors in the development and progression of preeclampsia with varying severity in pregnant women

Irina Ismailova https://orcid.org/0009-0005-7039-2876 A * , Yulia Zame B , Moldir Akhmedzhanova A , Kuanysh Sultanov A and Galiya Tanzharykova C
+ Author Affiliations
- Author Affiliations

A Department of General Medical Practice No. 2, West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Republic of Kazakhstan.

B Department of Children’s Diseases No. 1, West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Republic of Kazakhstan.

C Department of Phthisiology and Dermatovenereology, West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Republic of Kazakhstan.

* Correspondence to: irinassmail32@gmail.com

Handling Editor: Ellen Menkhorst

Reproduction, Fertility and Development 36, RD23214 https://doi.org/10.1071/RD23214
Submitted: 3 January 2024  Accepted: 15 July 2024  Published online: 2 August 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

Context

Preeclampsia is a common pregnancy complication, posing significant risks to both the mother and fetus. Predicting and determining the risks of this disease is crucial.

Aims

This research aims to understand the pathogenetic role of several factors in the development and progression of preeclampsia, particularly in relation to its severity in pregnant patients.

Methods

The study included 60 pregnant women diagnosed with either mild or severe preeclampsia and 40 healthy pregnant women for comparison. Blood plasma was analysed using biochemical methods, and blood microcirculation parameters were determined to identify homeostatic abnormalities in early preeclampsia.

Key results

A molecular genetic study revealed the frequency of the endothelial nitric oxide gene eNOSC774T. Homeostatic abnormalities were statistically correlated with polymorphic genotypes of the eNOSC774T gene.

Conclusions

The research found a correlation between the T774T eNOS genotype mutation and the severity of preeclampsia, alongside significant homeostasis abnormalities in patients.

Implications

The T774T mutant genotype of the eNOS gene and higher levels of lipid peroxidation products are strongly linked to the severity and progression of preeclampsia. This highlights a significant connection between genetic predisposition and biochemical abnormalities in the disease’s development.

Keywords: genes, gestation, homeostasis, hypertensive disorders, pathological genotype, pregnancy, pregnant patients, severe preeclampsia.

References

Abdurahmanova D, Madaminova M, Sadullaeva A (2016) Pre-eclampsia – actual problem in modern obstetrics. Interdisciplinary Science Reviews 5(15), 111-113.
| Google Scholar |

Afanasyeva AA, Smirnova OV, Rzhevskaya NV, Martyushova EA (2019) Oxidative stress and preeclampsia. Siberian Journal of Life Sciences and Agriculture 4(11), 107-117.
| Google Scholar |

Ahmad A, Dempsey SK, Daneva Z, Azam M, Li N, Li P-L, Ritter JK (2018) Role of nitric oxide in the cardiovascular and renal systems. International Journal of Molecular Sciences 19(9), 2605.
| Crossref | Google Scholar | PubMed |

Baranouskaya EI (2017) Hypertension in pregnancy and preeclampsia. Medical News 6, 4-7.
| Google Scholar |

Darkwa EO, Djagbletey R, Essuman R, Sottie D, Dankwah GB, Aryee G (2018) Nitric oxide and pre-eclampsia: a comparative study in Ghana. Open Access Macedonian Journal of Medical Sciences 6(6), 1023-1027.
| Crossref | Google Scholar |

Fattakhow NS, Vasilenko MA, Skuratovskaia DA, Kulikov DI, Kirienkova EV, Zatolokin PA, Beletskaya MA, Litvinova LS (2016) Pathogenetic significance of C774T single nucleotide polymorphism of the endothelial NO synthase gene in the development of metabolic syndrome. Biomeditsinskaia Khimiia 62(4), 447-452.
| Google Scholar |

Fetisova IN, Panova IA, Malyshkina AI, Rokotyanskaya EA, Ratnikova SY, Smirnova EV, Fetisov NS, Nazarova AO (2014) Genetic aspects of preeclampsia. Available at https://science-education.ru/ru/article/view?id=15739

Galina TV, Devyatova EA, Gagaev ChG (2017) Preeclampsia: the newest points in pathogenesis, screening and prophylaxis. Obstetrics and gynecology. News, Opinions, Training 3, 66-77.
| Google Scholar |

Gasanova SY (2022) Cell therapy for destructive pancreatitis. Pirogov Russian Journal of Surgery 9, 50-55.
| Crossref | Google Scholar |

Gil-Acevedo LA, Ceballos G, Torres-Ramos YD (2022) Foetal lipoprotein oxidation and preeclampsia. Lipids in Health and Disease 21(1), 51.
| Crossref | Google Scholar | PubMed |

Hsiao P-J, Chan J-S, Wu K-L, Chiang W-F, Huang J-S, Wu C-C, Chu P, Chen J-S (2016) Comparison of short-term efficacy of iron sucrose with those of ferric chloride in hemodialysis patients: an open-label study. Journal of Research in Medical Sciences 21, 99.
| Crossref | Google Scholar |

Kiseleva AN, Butina EV, Zaitseva GA, Ovchinnikov VV, Ignatiev SV, Yarygin DN, Paramonov IV (2017) Association of genes polymorphism F2, F5, F7, F13, FGB, ITGA2, ITGB3, PAI-1, MTHFR, MTR, MTRR with impairments of reproductive function in women. Vyatka Medical Bulletin 2(54), 24-29.
| Google Scholar |

Kovtun OP, Tsyvian PB (2019) Pre-eclampsia in a mother and programming of the child’s cardiovascular health. Russian Bulletin of Perinatology and Pediatrics 64(4), 19-25.
| Crossref | Google Scholar |

Lipatov IS, Tezikov YV, Azamatov AR (2020) The importance of pathological insulin resistance and hyperinsulinemia in the pathogenesis of preeclampsia. Obstetrics, Gynecology and Reproduction 14(5), 587-599.
| Crossref | Google Scholar |

Murashko AV, Faizullin AL, Murashko LE (2015) Angiogenic growth factors in the pathogenesis of pre-eclampsia. V.F. Snegirev Archives of Obstetrics and Gynecology 2(3), 4-7.
| Google Scholar |

Pylaeva NY, Shifman EM, Kulikov AV, Artymuk NV, Belokrinitskaya TE, Phillipov OS, Babich TY (2020) Preeclampsia. Eclampsia. Anesthesia and intensive care in childbirth and the puerperium. Review. Annals of Critical Care 1, 41-52.
| Crossref | Google Scholar |

Shaheen G, Jahan S, Ain QU, Ullah A, Afsar T, Almajwal A, Alam I, Razak S (2020) Placental endothelial nitric oxide synthase expression and role of oxidative stress in susceptibility to preeclampsia in Pakistani women. Molecular Genetics & Genomic Medicine 8(1), e1019.
| Crossref | Google Scholar | PubMed |

Shaheen G, Jahan S, Bibi N, Ullah A, Faryal R, Almajwal A, Afsar T, Al-disi D, Abulmeaty M, Al Khuraif AA, Arshad M, Razak S (2021) Association of endothelial nitric oxide synthase gene variants with preeclampsia. Reproductive Health 18(1), 163.
| Crossref | Google Scholar |

Yusupova ZS, Novikova VA, Olenev AS (2018) Current conceptions of preeclampsia – pathogenesis, diagnosis, prediction. Practical Medicine 16(6), 45-51.
| Crossref | Google Scholar |

Zhukova E, Sychev D, Chilova R, Trifonova N, Proklova G (2018) Premature birth: diagnosis and treatment. Vrach (The Doctor) 29(2), 78-80.
| Crossref | Google Scholar |