PMID- 14616253 OWN - NLM STAT- MEDLINE DCOM- 20040105 LR - 20190815 IS - 0001-6349 (Print) IS - 0001-6349 (Linking) VI - 82 IP - 12 DP - 2003 Dec TI - Inflammatory cytokines in intrauterine growth retardation. PG - 1099-102 AB - BACKGROUND: To evaluate maternal serum levels of two inflammatory cytokines in women with intrauterine growth retardation (IUGR), while studying separately women with or without placental insufficiency. METHODS: The study comprised 14 women with IUGR and Doppler-defined placental insufficiency, 14 women with IUGR without placental insufficiency, and 28 healthy pregnant women as a control group. Tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) were measured using a commercially available kit. The Kruskal-Wallis test and the corrected Mann-Whitney U-test were used. RESULTS: There was a statistically significant difference in TNF-alpha levels among the three studied groups (p = 0.03). Women with IUGR and placental insufficiency showed statistically significant higher serum levels of TNF-alpha[2.2 pg/mL (1.3-4.1)] and a higher rate of detectable TNF-alpha[85.7% (12/14)] than those in the control group [0 pg/mL (0-2.7) and 32.1% (9/28)] (p = 0.01 and p = 0.001, respectively). On the contrary, there was no difference in either the TNF-alpha level [1.4 pg/mL (0-4.9)] or the rate of detectable TNF-alpha[57.1% (8/14)] between women with IUGR without placental insufficiency and women in the control group. The levels of IL-6 were similar in the three studied groups. CONCLUSION: TNF-alpha is increased in women with IUGR and placental insufficiency but normal in those with IUGR and normal placental perfusion. We suggest that elevations of TNF-alpha could be a specific phenomenon of certain subsets of IUGR, identifying cases with placental dysfunction. FAU - Bartha, Jose L AU - Bartha JL AD - Department of Obstetrics and Gynecology, University Hospital of Puerto Real, Puerto Real, Cadiz, Spain. J.Bartha@bristol.ac.uk FAU - Romero-Carmona, Raquel AU - Romero-Carmona R FAU - Comino-Delgado, Rafael AU - Comino-Delgado R LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Acta Obstet Gynecol Scand JT - Acta obstetricia et gynecologica Scandinavica JID - 0370343 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Biomarkers/analysis MH - Case-Control Studies MH - Cytokines/analysis MH - Female MH - Fetal Growth Retardation/*diagnosis/diagnostic imaging MH - Humans MH - Interleukin-6/*analysis MH - Placental Insufficiency/diagnosis/*diagnostic imaging MH - Pregnancy MH - *Pregnancy Outcome MH - Prenatal Care MH - Probability MH - Prospective Studies MH - Reference Values MH - Sensitivity and Specificity MH - Statistics, Nonparametric MH - Tumor Necrosis Factor-alpha/*analysis MH - Ultrasonography, Doppler MH - *Ultrasonography, Prenatal EDAT- 2003/11/18 05:00 MHDA- 2004/01/06 05:00 CRDT- 2003/11/18 05:00 PHST- 2003/11/18 05:00 [pubmed] PHST- 2004/01/06 05:00 [medline] PHST- 2003/11/18 05:00 [entrez] AID - 259 [pii] AID - 10.1046/j.1600-0412.2003.00259.x [doi] PST - ppublish SO - Acta Obstet Gynecol Scand. 2003 Dec;82(12):1099-102. doi: 10.1046/j.1600-0412.2003.00259.x.