The comparative value of macroglobuline and interleukine-6 in the women with preterm and term birth
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2024-02-29 13:36
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COTELEA, Veronica, FRIPTU, Valentin, HODOROGEA, Stelian, SURGUCI, Mihail, COROLCOVA, Natalia, BURAC, Mihaela. The comparative value of macroglobuline and interleukine-6 in the women with preterm and term birth. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 179. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

The comparative value of macroglobuline and interleukine-6 in the women with preterm and term birth


Pag. 179-179

Cotelea Veronica, Friptu Valentin, Hodorogea Stelian, Surguci Mihail, Corolcova Natalia, Burac Mihaela
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 22 decembrie 2023


Rezumat

Introduction. Preterm birth is the leading cause of neonatal morbidity and mortality and is one of the major challenges of modern obstetrics and still lacks an efficient treatment. Although the underlying causes of pregnancy-associated complication are numerous, it is well established that infection and inflammation represent a highly significant risk factor in preterm birth. In fact, a sophisticated interaction occurs between contractile and immuno-inflammatory pathways, whereby proinflammatory amplification is intensified by collaborative connections between cells, ligands, and tissues. However, despite the clinical and public health significance, infectious agents, molecular trigger(s), and immune pathways underlying the pathogenesis of preterm birth remain underdefined and represent a major gap in knowledge. Objective. To estimate the comparative value of the serum levels of -Macroglobuline and prinflammatory citokins as a Interleukine-6. Methods. The study comprised 65 women with spontaneous preterm labor and 65 women with term labor. Maternal plasma concentrations of -Macroglobuline and Interleukine-6 were detected by standard test system Enzyme-like Immunosorbent Assay Kit for -Macroglobuline and Best-Vector A-8768 for Interleukine-6 Ref 3307 which (GmbH Co, Germany) gave an analytical sensitive of 0,35ng/ ml U/ml for -Macroglobuline and 0.131 pg/ml for Interleukine-6. The numerical values of the parameters were numbered in Excel table, after which – imported into the statistical analysis software R studio, using descriptive, variation, and correlational analysis. Applied statistic tests: nonparametrical Mann-Whitney test and p Spearman test were used as appropriate. P values less than 0.05 were considered statistically significant. Results. The results of this study demonstrated increase plasmal levels of the -Macroglobuline (min. 5.06 pg/ml, max. 99.88 pg/ml, μmedian = 46.97 pg/ml) in the women with preterm comparated to the control group, women with term delivery (min. 0.76 pg/ml, max. 80.84 pg/ml, μmedian = 1.10 pg/ml) (p0.001). At the same time, the study found a increase plasmal levels of the Interleukine-6 (min. 0.99 pg/ml, max. 192.93 pg/ml, μmedian = 51.90 pg/ml) in the women with preterm comparated to the control group, women with term delivery min. (9.65 pg/ml, max. 137.97 pg/ml, μmedian =21.51 pg/ ml) (p0.001). Conclusion. The study findings suggest that plasma levels of the -Macroglobuline and Interleukine-6 in women with preterm labor may be considered as a promising early biomarker for preterm labor.