Peran IL-10 dan Indeks Resistensi Arteri Uterina dalam Memprediksi Pertumbuhan Janin Terhambat pada Preeklamsia Onset Dini
Downloads
Tujuan: Melihat hubungan IL-10 dantahanan arteri uterina terhadap kejadian PJT intrauterin pada pasien preeklampsia berat.
Bahan dan Metode: Penelitian kami adalah analitik cross sectional yang dilakukan pada 40 wanita hamil usia 30-34 minggu yang didiagnosa preeklampsia berat dan diputuskan dilakukan perawatan konservatif kemudian dilakukan pemeriksaan IL-10 dengan menggunakan Quantikine high sensitivity human IL-10 immunoassay dan pemeriksaan ultrasonografi berupa biometri janin (ratio FL/AC) dan Doppler velocimetri arteri uterina (RI arteri uterina).
Hasil: didapatkan rerata IL-10 0,55 pg/ml, tidak didapatkan hubungan antara IL-10 dengan FL/AC dan RI uterina (p 0,378 dan p 0,527), tidak didapatkan hubungan antara RI arteri uterina dengan FL/AC (p 0,18) tetapi didapatkan hubungan dengan AC (r -0,422, p 0,007)
Simpulan: IL-10 sebagai anti inflamasi pada disfungsi endotel belum dapat digunakan dalam mendeteksi kejadian PJT pada preeklamsia berat.Platz E and Newman R. Diagnosis of IUGR: Traditional Biometry. Semin in Perinat. 2008;32:140-7.
Orange S, Hovarth J, Hennessy A. Preeclampsia Is Associated with a Reduced Interleukin-10 Production from Pheripheral Blood Mononuclear Cells. Hypertension in Pregnancy. 2003;22(1):1-8.
Dekker G and Sibai B. Primary, secondary and tertiary prevention of pre-eclampsia. The Lancet. 2001:208-15.
Cunningham FG. Williams Obstetrics. 22th Eds. New York: The McGraw-Hill Compenies; 2005.
Espinoza J, et al. Normal and Abnormal transformation of spiral arteries during pregnancy. J. Perinat. Med. 2006;34:447-58.
Stone, et al. Risk Factors for Severe Preeclampsia. J Obstet and Gynecol. 1994;83(3):357-61.
Sibai B. Diagnosis and Management of Gestational Hypertension and Preeclampsia. ACOG. 2003;102(1).
Cnossen JS, et al. Use of Uterine Doppler Ultrasonography to Predict Pre Eclampsia and Intra Uterine Growth Restriction: A Systematic Review and Bi-variable Meta-Analysis. Canadian Med Assoc J. 2008;178(6):701-11.
Odeendal H. Chapter 19: Doppler Velocimetry and Hypertension. Cited from MAulik D, Zalud I. Doppler Ultrasound in Obstetric and Gynecology. 2nd Eds. New York: Springer-Verlag Berlin Heidelberg; 2005. p. 299-311.
Valensise H, Vasapollo B, Novelli GP, Pasqualetti P, Galante A, Arduini D. Maternal Total Vascular Resistence and Concentric Geometry: A Key to Identify Uncomplicated Gestasional Hypertension. BJOG. 2006;113:1044-52.
Tinsley JH, South S, Chiasson LV and Mitchell BM. Interleukin-10 reduces inflammation, endothelial dysfunction, and blood pressure in hypertensive pregnant rats. Am J Physiol Regul Integr Comp Physiol. 2010;298:713-9.
Holmes VA, Wallace JMW, Gilmore VS, McFaul P and Alexender HD. Plasma levels of the immunomodulatory cytokine interleukin-10 during normal human pregnancy: a longitudinal study. Cytokine. 2003;21:265-9.
Sharma A, Satyam A, Sharma JB, Leptin. IL-10 and Inflammatory Markers (TNF-ï€ ï¡, IL-6 and IL-8) in Pre-Eclamptic, Normotensive Pregnant and Healthy Non-Pregnant Women. Am J Reprod Immunol. 2007;58:21-30.
Hadlock FP, et al. A Date-Independent Predictor of Intrauterine Growth Retardation: Femur Length/ Abdominal circumference Ratio. AJR. 1998; 141:979-83.
Tegnander E and Eik-Nes SH. The examiner's ultrasound experience has a significant impact on the detection rate of congenital heart defects at the second-trimester fetal examination. Ultrasound Obstet Gynecol. 2006;28:8-14.
Collins SL and Impley L. Prenatal Diagnosis: Types and Techniques. Early Human Development. 2012;88:3-8.
Cox P and Marton T. Pathological assessment of intrauterine growth restriction. Best Practice & Reaserch Clinical Obstetrics and Gynecology. 2009;23:751-64.
Salafia CM, et al. Intrauterine growth restriction in infants of less than thirty-two weeks' gestation: Associated placental pathologic features. Am J Obstet Gynecol. 1995;173:1049-57.
Arroyo JA and Winn VD. Vasculogenesis and Angiogenesis in the IUGR Placenta. Semin Perinatol. 2008;32:172-7.
Mayhew TM. Fetoplacentation angiogenesis during gestasion is biphasic, longitudinal and occurs by proliferation and remodeling of vascular endhotelial cells. Placenta. 2002;23:742-50.
Geva E, Ginzinger DG, Zaloudek CJ, Moore DH, Byrne A, Jaffe RB. Human Placental Vascular Development: Vasculagenic and Angiogenic (Branching and Non branching) Transformation is Regulated by Vascular Endhotelial Growth Factor-A, Angiopoeitin-1, and Angiopoetin-2. The Journal of Clinical Endocrinology & Metabolism. 2002: 4213.
Carmeliet P, FerreiraV, Breier G, et al. Abnormal blood vessel development and lethaly in embryos lacking a single VEGF allele. Nature. 1996;380: 435-9.
Kaufmann P, Mayhew TM, Charnock-Jones DS. Aspect of Human fetoplacental vasculogenesis and angiogenesis: II. Changes During.
Zhou Y, Damsky CH, Fisher SJ. Preeclampsia is associated with failure of cytotrophoblasts to mimic a vascular adhesion phenotype. One cause of defective endovascular invasion in this syndrome? J Clin Invest. 1997;99:2152-64.
Lyall F, et al. Placental expression of vascular endothelial growth factor in placentae from pregnancies complicated by preeclampsia and intrauterine growth restriction does not support placental hypoxia at delivery. Placenta. 1997; 18:269-76.
Muy-Rivera M, Vadachkoria S, Woelk GB, Qiu C, Mahomed K and Williams MA. Maternal Plasma VEGF, Svegf-R1, And Plgf Concentrations In Preeclamptic And Normotensive Pregnant Zimbabwean Women. Physiol Res. 2005;54:611-22.
Lin Chin-Chu and Forgas JS. Current Consepts of Fetal Growth Restriction: Part I. Causes, Classification, and Pathophysio-logy. Fetal Growth Restriction. 1998; 92(6):1044-55.
Peterson S, Larsen T and Greisen G. Fetal abdominal circumference rather than fetal femur length/abdominal circumference ratio predicts fetal malnutrition in high risk pregnancies. J Perinat. Med. 1989;17:439-45.
Schlembach, et al, Angiogenic growth factor levels in Maternal and Fetal Blood: Correlation with Doppler ultrasound parameters in pregnancies complicated by pre-eclampsia and intrauterine growth restriction. Ultrasoun Obstet Gynecol. 2007;29:407-13.
Celik H, Avci B, Alper T. Comparison of maternal serum levels of interleukin-10, interleukin-12, and interleukin-2 in normal and preeclamptic pregnan-cies. Pregnancy Hypertension: A Journal of Women's Cardiovascular Health. 2012;2:39-42.
1. Copyright of the article is transferred to the journal, by the knowledge of the author, whilst the moral right of the publication belongs to the author.
2. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Non Commercial-Share alike (CC BY-NC-SA), (https://creativecommons.org/licenses/by-nc-sa/4.0/)
3. The articles published in the journal are open access and can be used for non-commercial purposes. Other than the aims mentioned above, the editorial board is not responsible for copyright violation
The manuscript authentic and copyright statement submission can be downloaded ON THIS FORM.