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Association of TNF α and uric acid in women with pre-eclampsia

Prerna Mittal, Anupam Bansal, Suresh Goyal, Kirti Kamal Jain, Alok Goyal.

Background: TNF α, a cytokine of a generalized intravascular inflammatory reaction, has been also shown to cause microvascular protein leakage and hypertrygliceridemia which are associated with pre-eclampsia. Increased serum uric acid is also associated with hypertension.

Aims & Objective: To study the relationship between Tumour Necrosis Factor alpha (TNF α) with uric acid and to access the role of TNF α as a determinant of Pre-eclampsia in women.

Material and Methods: 100 patients with pre-eclampsia were studied out of which 50 were mild and 50 were severe pre-eclamptics. They were compared with 50 healthy subjects. Subjects were of similar gestational age, body mass index (BMI) and parity matched. They were all primigravidas at third trimester of pregnancy.

Results: All studied subjects belonged to age group 28-40 years. The difference in mean age of healthy subjects and pre-eclamptics was non-significant (P=0.8). BMI values were ranged from 18-43 kg/m2. No significant difference was observed between healthy pregnant women and pre-eclamptics. Serum TNF α co-related significantly with Mean Arterial Pressure (MAP) and Uric acid levels. The association of TNF α with uric acid was considerably significant compared to its association with other variables. The result showed that TNF α is a strong determinant of preeclampsia.

Conclusion: A co-relation exists between TNF α and uric acid. The observed co-relation indicates that monitoring TNF α and uric acid levels in Pre-eclamptic women might serve to help prevent the development of pre-eclampsia in pregnant women.

Key words: Pre-eclampsia, TNF α, Mean arterial pressure.

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