PMID- 23324862 OWN - NLM STAT- MEDLINE DCOM- 20130925 LR - 20161125 IS - 1348-4214 (Electronic) IS - 0916-9636 (Linking) VI - 36 IP - 4 DP - 2013 Apr TI - Increased oxygen free radical production during pregnancy may impair vascular reactivity in preeclamptic women. PG - 356-60 LID - 10.1038/hr.2012.208 [doi] AB - To determine whether enhanced oxidative stress during pregnancy impairs vascular endothelial function and improves after delivery in preeclamptic women, we measured serum parameters of oxidative stress and endothelial function during pregnancy and 1 month after delivery in women with or without preeclampsia. We evaluated 18 participants with uncomplicated pregnancies, 11 with mild preeclampsia and 13 with severe preeclampsia. The plasma concentrations of reactive oxygen metabolite derivatives (d-ROMs) were measured, and the biological antioxidant potential (BAP) was determined to evaluate the oxygen free radicals and antioxidants, respectively. Flow-mediated vasodilation (FMD) was also assessed as a marker of endothelial function. FMD was decreased significantly in both preeclamptic groups compared with control during pregnancy. FMD did not change after delivery in the control group, but it significantly increased after delivery in both the mildly and severely preeclamptic groups, nearing control levels 1 month after delivery (mild, 6.5+/-3.6-9.0+/-3.5%; severe, 4.3+/-3.3-9.7+/-2.6%). No changes in d-ROM concentrations were observed in the control group; however, the concentrations in both the mildly and severely preeclamptic groups significantly decreased to normal levels 1 month after delivery (mild, 562.0+/-106.5-430.5+/-90.5 CARR U (Carratelli units); severe, 681.0+/-239.0-411.8+/-69.7 CARR U). The plasma BAP levels did not change significantly in all three groups. A negative correlation between FMD and d-ROM concentrations was observed in the preeclamptic group, but not in the control group (r=-0.497; P<0.05). Our findings indicated that enhanced oxidative stress during pregnancy may impair endothelial function and improve after delivery in preeclamptic women. FAU - Watanabe, Kazushi AU - Watanabe K AD - Department of Obstetrics and Gynecology, Aichi Medical University School of Medicine, Aichi, Japan. kw446433@yahoo.co.jp FAU - Mori, Toshitaka AU - Mori T FAU - Iwasaki, Ai AU - Iwasaki A FAU - Kimura, Chiharu AU - Kimura C FAU - Matsushita, Hiroshi AU - Matsushita H FAU - Shinohara, Koichi AU - Shinohara K FAU - Wakatsuki, Akihiko AU - Wakatsuki A LA - eng PT - Journal Article DEP - 20130117 PL - England TA - Hypertens Res JT - Hypertension research : official journal of the Japanese Society of Hypertension JID - 9307690 RN - 0 (Antioxidants) RN - 0 (Free Radicals) RN - 0 (Reactive Oxygen Species) SB - IM MH - Adult MH - Antioxidants/metabolism MH - Blood Pressure/physiology MH - Endothelium, Vascular/physiology MH - Female MH - Free Radicals/*metabolism MH - Gestational Age MH - Humans MH - Maternal Age MH - Muscle, Smooth, Vascular/diagnostic imaging/*physiology MH - Oxidative Stress/physiology MH - Pre-Eclampsia/diagnostic imaging/*metabolism/physiopathology MH - Pregnancy MH - Reactive Oxygen Species/*metabolism MH - Ultrasonography, Doppler EDAT- 2013/01/18 06:00 MHDA- 2013/09/26 06:00 CRDT- 2013/01/18 06:00 PHST- 2013/01/18 06:00 [entrez] PHST- 2013/01/18 06:00 [pubmed] PHST- 2013/09/26 06:00 [medline] AID - hr2012208 [pii] AID - 10.1038/hr.2012.208 [doi] PST - ppublish SO - Hypertens Res. 2013 Apr;36(4):356-60. doi: 10.1038/hr.2012.208. Epub 2013 Jan 17.