title: Chemerin level in pregnancies complicated by preeclampsia and its relation with disease severity and neonatal outcomes.
abstract: The aims of this prospective study were to detect maternal serum chemerin level in patients with preeclampsia and investigate its association with disease severity and neonatal outcomes. Maternal serum chemerin levels were significantly elevated in severe preeclamptic women (394.72 ± 100.01 ng/ml) compared to mild preeclamptic women (322.11 ± 37.60 ng/ml) and healthy pregnant women (199.96 ± 28.05 ng/ml) (p = .001). Maternal serum chemerin levels were positively correlated with systolic and diastolic blood pressure, C-reactive protein levels, homeostasis model assessment of insulin resistance, proteinuria, AST, ALT, and duration of hospitalisation. Gestational week at delivery, birthweight, and APGAR scores at 1 and 5 min were negatively correlated with maternal serum chemerin level. A maternal serum chemerin level of >252.0 ng/ml indicated preeclampsia with 95.5% sensitivity and 95.7% specificity. There was a positive correlation between maternal serum chemerin level and severity of preeclampsia. Additionally, adverse neonatal outcomes were significantly associated with high maternal serum chemerin levels.
authors.affiliation: a Department of Obstetrics and Gynaecology, Faculty of Medicine , Yuzuncu Yil University , Van , Turkey.
authors.forename: Orkun
authors.initials: O
authors.lastname: Cetin
authors.affiliation: b Department of Obstetrics and Gynaecology , Ankara Education and Research Hospital , Ankara , Turkey.
authors.forename: Zehra
authors.initials: Z
authors.lastname: Kurdoglu
authors.affiliation: c Department of Obstetrics and Gynaecology, Faculty of Medicine , Gazi University , Ankara , Turkey.
authors.forename: Mertihan
authors.initials: M
authors.lastname: Kurdoglu
authors.affiliation: a Department of Obstetrics and Gynaecology, Faculty of Medicine , Yuzuncu Yil University , Van , Turkey.
authors.forename: H Guler
authors.initials: HG
authors.lastname: Sahin
mesh_terms: D054392:Adipokines / Q000097:blood*; D000328:Adult; D000704:Analysis of Variance; D015415:Biomarkers / Q000097:blood; D002097:C-Reactive Protein / Q000032:analysis; D016022:Case-Control Studies; D018925:Chemokines / Q000378:metabolism*; D005260:Female; D006801:Humans; D036341:Intercellular Signaling Peptides and Proteins / Q000378:metabolism*; D011225:Pre-Eclampsia / Q000097:blood*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012372:ROC Curve; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D018615:Ultrasonography, Doppler, Color; D055988:Uterine Artery / Q000000981:diagnostic imaging; D055815:Young Adult
chemical_list: D054392:Adipokines; D015415:Biomarkers; D018925:Chemokines; D036341:Intercellular Signaling Peptides and Proteins; C478630:RARRES2 protein, human; D002097:C-Reactive Protein
keywords: Chemerin; neonatal outcomes; preeclampsia; pregnancy