Plasma lipocalin-2 levels in pregnant women with pre-eclampsia, and their relation with severity of disease

J Matern Fetal Neonatal Med. 2011 Feb;24(2):291-6. doi: 10.3109/14767058.2010.487138. Epub 2010 May 27.

Abstract

Objective: To compare lipocalin-2 (LCN2) levels in pre-eclamptic women with those in healthy pregnant women, and to determine whether there is a correlation between LCN2 levels and the severity of the disease.

Methods: The study included 66 pregnant women: 22 healthy pregnant women (Group 1), 23 women with mild pre-eclampsia (Group 2), and 21 women with severe pre-eclampsia (Group 3). Pre-eclamptic women and normal controls were carefully matched for maternal age, gestational age, and body mass index (BMI). The maternal levels of plasma LCN2 were determined by enzyme-linked immunosorbent assay.

Results: Plasma LCN2 levels in the pre-eclamptic group were significantly lower than those in the healthy control group (p < 0.05). Although plasma LCN2 level was lower in the severe compared to the mild pre-eclamptic group, the difference was not statistically significant (p > 0.05). There was no significant correlation between LCN2 levels and the homeostasis model assessment of insulin resistance (HOMA-IR), BMI, triglyceride, gestational week at delivery, birth weight, and systolic and diastolic blood pressure in pre-eclamptic and healthy pregnant women (p > 0.05).

Conclusions: Our results show that there are decreased concentrations of plasma LCN2 in pre-eclamptic subjects and this may indicate that LCN2 plays a role in the pathogenesis of pre-eclampsia. However, further experiments are needed to clarify this role.

MeSH terms

  • Acute-Phase Proteins
  • Adult
  • Blood Pressure / physiology
  • Case-Control Studies
  • Female
  • Humans
  • Insulin / blood
  • Lipocalin-2
  • Lipocalins / blood*
  • Pre-Eclampsia / blood*
  • Pre-Eclampsia / diagnosis
  • Pregnancy
  • Prognosis
  • Proto-Oncogene Proteins / blood*
  • Severity of Illness Index
  • Triglycerides / blood
  • Young Adult

Substances

  • Acute-Phase Proteins
  • Insulin
  • LCN2 protein, human
  • Lipocalin-2
  • Lipocalins
  • Proto-Oncogene Proteins
  • Triglycerides