PMID- 12748489 OWN - NLM STAT- MEDLINE DCOM- 20030619 LR - 20190616 IS - 0002-9378 (Print) IS - 0002-9378 (Linking) VI - 188 IP - 5 DP - 2003 May TI - Interleukin-18 in the plasma of women with preeclampsia. PG - 1234-7 AB - OBJECTIVE: Interleukin-18 (IL-18) is a proinflammatory cytokine capable of stimulating interferon gamma and tumor necrosis factor-alpha production. Our purpose was to determine whether abnormal levels of IL-18 in maternal plasma correlate with the diagnosis of preeclampsia. STUDY DESIGN: A case control study design was used to enroll 61 patients: controls (n = 31) and preeclamptic women (n = 30). A standard enzyme-linked immunosorbent assay measured plasma IL-18. Statistical methods included Student t tests and chi(2) tests. RESULTS: Mean IL-18 levels were lower in preeclampsia than in controls (185 +/- 74 pg/mL vs 224 +/- 75 pg/mL, P =.053). Administration of betamethasone (BMZ) and/or hydralazine (HYD) was significantly associated with a lower IL-18 compared with controls (159 +/- 50 pg/mL vs 224 +/- 75 pg/mL, P =.002). After women who received BMZ or HYD were excluded, levels of IL-18 in preeclampsia were similar to those of controls (213 +/- 87 pg/mL, P =.69). There was no association between gestational age and IL-18. CONCLUSION: Lower IL-18 was associated with administration of either BMZ or HYD. After patients receiving these medications were excluded, IL-18 levels were similar in controls and preeclamptic women. IL-18 was not associated with gestational age. FAU - Adams, Kristina M AU - Adams KM AD - Department of Obstetrics and Gynecology and Fred Hutchinson Cancer Research Center, University of Washington School of Medicine, Seattle, WA 98195, USA. FAU - Mandel, Lynn S AU - Mandel LS FAU - Guthrie, Katherine A AU - Guthrie KA FAU - Atkinson, M Wendy AU - Atkinson MW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Obstet Gynecol JT - American journal of obstetrics and gynecology JID - 0370476 RN - 0 (Antihypertensive Agents) RN - 0 (Glucocorticoids) RN - 0 (Interleukin-18) RN - 26NAK24LS8 (Hydralazine) RN - 9842X06Q6M (Betamethasone) SB - IM MH - Adult MH - Antihypertensive Agents/therapeutic use MH - Betamethasone/therapeutic use MH - Case-Control Studies MH - Drug Therapy, Combination MH - Female MH - Gestational Age MH - Glucocorticoids/therapeutic use MH - Humans MH - Hydralazine/therapeutic use MH - Interleukin-18/*blood MH - Pre-Eclampsia/*blood/drug therapy MH - Pregnancy EDAT- 2003/05/16 05:00 MHDA- 2003/06/20 05:00 CRDT- 2003/05/16 05:00 PHST- 2003/05/16 05:00 [pubmed] PHST- 2003/06/20 05:00 [medline] PHST- 2003/05/16 05:00 [entrez] AID - S0002937803002618 [pii] AID - 10.1067/mob.2003.349 [doi] PST - ppublish SO - Am J Obstet Gynecol. 2003 May;188(5):1234-7. doi: 10.1067/mob.2003.349.