PMID- 29039974 OWN - NLM STAT- MEDLINE DCOM- 20180717 LR - 20180717 IS - 1525-6065 (Electronic) IS - 1064-1955 (Linking) VI - 36 IP - 4 DP - 2017 Nov TI - Role of kidney biomarkers [Kidney injury molecule-1, Calbindin, Interleukin-18 and Monocyte chemoattractant protein-1] in HIV associated pre-eclampsia. PG - 288-294 LID - 10.1080/10641955.2017.1385793 [doi] AB - OBJECTIVE: Both HIV infection and pre-eclampsia (PE) are associated with considerable maternal mortality in South Africa. This study was designed to compare the urinary levels of kidney injury molecule-1 (KIM-1), calbindin, interleukin-18 (IL-18), and monocyte chemoattractant protein-1 (MCP-1) in HIV associated normotensive and preeclamptic pregnancies. METHODS: Following ethical approval and written consent, urine samples were collected from HIV negative (HIV -ve) normotensive pregnant (n = 19), HIV positive (HIV +ve) normotensive pregnant (n = 19), HIV -ve pre-eclamptic (n = 19) and HIV +ve pre-eclamptic (n = 19) women. The concentrations of KIM-1, calbindin, IL-18 and MCP-1 were assessed using the Bioplex technology. RESULTS: In contrast to IL-18 (p > 0.05) and MCP-1 (p > 0.05), the concentrations of KIM-1 (p = 0.02) and calbindin (p = 0.02) were significantly higher in PE compared to normotensive pregnancies, irrespective of HIV status. Based on HIV status, all 4 analytes were similar between HIV+ve and HIV-ve groups. Urinary KIM-1 levels in the HIV -ve pre-eclamptics were significantly higher than those in the HIV -ve women with normal pregnancies (p = 0.007). The maternal hypertension and/or HIV profile has no marked impact on the fetal weight. CONCLUSION: Our results demonstrate an increase in the urinary level of kidney injury molecule-1 and calbindin in PE, implicating their possible value as biomarkers of kidney injury. We observed no differences in the levels of KIM-1, IL-18, MCP-1 and calbindin based on HIV status. We propose that studies with larger sample sizes using these markers be conducted to establish their use as markers of diagnosing kidney injury in PE. FAU - Eltounali, Soumaya Abdullatif AU - Eltounali SA AD - a Optics and Imaging Centre, Nelson R. Mandela School of Medicine, College of Health Sciences , University of KwaZulu-Natal , Durban , South Africa. FAU - Moodley, Jagidesa AU - Moodley J AD - b Women's Health and HIV Research Unit, Nelson R. Mandela School of Medicine, College of Health Sciences , University of KwaZulu-Natal , Durban , South Africa. FAU - Naicker, Thajasvarie AU - Naicker T AD - a Optics and Imaging Centre, Nelson R. Mandela School of Medicine, College of Health Sciences , University of KwaZulu-Natal , Durban , South Africa. LA - eng PT - Journal Article DEP - 20171017 PL - England TA - Hypertens Pregnancy JT - Hypertension in pregnancy JID - 9421297 RN - 0 (Biomarkers) RN - 0 (Calbindins) RN - 0 (Chemokine CCL2) RN - 0 (HAVCR1 protein, human) RN - 0 (Hepatitis A Virus Cellular Receptor 1) RN - 0 (Interleukin-18) SB - IM MH - Adult MH - Biomarkers/urine MH - Calbindins/*urine MH - Chemokine CCL2/*urine MH - Female MH - HIV Infections/*urine MH - Hepatitis A Virus Cellular Receptor 1/*metabolism MH - Humans MH - Interleukin-18/*urine MH - Kidney Diseases/*diagnosis/urine MH - Pre-Eclampsia/*urine/virology MH - Pregnancy MH - South Africa MH - Young Adult OTO - NOTNLM OT - Kidney injury molecule-1 OT - Monocyte chemoattractant protein-1 OT - calbindin OT - interleukin-18 EDAT- 2017/10/19 06:00 MHDA- 2018/07/18 06:00 CRDT- 2017/10/18 06:00 PHST- 2017/10/19 06:00 [pubmed] PHST- 2018/07/18 06:00 [medline] PHST- 2017/10/18 06:00 [entrez] AID - 10.1080/10641955.2017.1385793 [doi] PST - ppublish SO - Hypertens Pregnancy. 2017 Nov;36(4):288-294. doi: 10.1080/10641955.2017.1385793. Epub 2017 Oct 17.