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Plasma hemopexin activity in pregnancy and preeclampsia.
Authors:Winston W Bakker  Rogier B Donker  Albertus Timmer  Mari?lle G van Pampus  Willem J van Son  Jan G Aarnoudse  Harry van Goor  Klary E Niezen-Koning  Gerjan Navis  Theo Borghuis  Rianne M Jongman  Marijke M Faas
Affiliation:Departments of Pathology and Laboratory Medicine, University Medical Center of Groningen and University of Groningen. Groningen. The Netherlands. w.w.bakker@path.umcg.nl
Abstract:
OBJECTIVE: Plasma hemopexin activity, associated with increased vascular permeability, was evaluated in healthy pregnant and non-pregnant women and in pre-eclamptic women. METHODS: Hemopexin activity and the hemopexin inhibitor, extracellular ATP, were assayed in plasma from pregnant (n = 10), preeclamptic (n = 9), and non-pregnant women (n = 10) using standard methods. Abdominal fascia tissue fragments from preeclamptic and pregnant women were immunohistochemically stained for vascular ecto-apyrase or ecto-5'nucleotidase. RESULTS: The data show significantly enhanced Hx activity exclusively in plasma from pregnant women and significantly enhanced plasma ATP in pre-eclamptic women compared with the other groups. Dephosphorylation of preeclamptic plasma resulted in reactivation of Hx activity. Fascia tissue-samples from preeclamptic women showed reduced ecto-apyrase activity and enhanced ecto-5'nucleotidase activity compared to pregnant women. CONCLUSION: Enhanced hemopexin activity may be associated with normal pregnancy, but not with preeclampsia. Decreased hemopexin in pre-eclamptic patients may be due to enhanced plasma ATP, which is possibly promoted by diminished activity of vascular ecto-apyrase.
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