Preview

Medical alphabet

Advanced search

Obesity and thrombophilia as double threat of gestational complications

https://doi.org/10.33667/2078-5631-2020-26-57-61

Abstract

Purpose of the study. A systematic analysis of the data available in the modern literature on the pathogenetic relationships of obesity and thrombophilia, the search for markers and predictors of obstetric and thrombotic complications during gestation. Material and methods. The review includes data from domestic and foreign articles found in PubMed, CyberLeninka and еLibrary on this topic, published over the past 5–10 years. Results. The possible mechanisms and pathogenetic relationship of the pro-inflammatory, prothrombotic and endocrine statuses observed in obese women in the development of obstetric and thrombotic complications are clearly presented. Conclusion. Despite a significant amount of work devoted to the study of risk factors and pathogenetic mechanisms of the development of thromboembolic complications in obese women, the problem of identifying the causes and methods for correcting disorders has not been completely resolved and requires further study. At the same time, the annually increasing percentage of women with obesity of reproductive age poses new challenges for improving methods of pregravid preparation and for the effective prevention of thrombohemorrhagic complications during pregnancy, childbirth and the postpartum period.

About the Authors

M. M. Mukhtarova
Dagestan State Medical University
Russian Federation
Makhachkala


Z. A. Аbusueva
Dagestan State Medical University
Russian Federation
Makhachkala


T. Kh. Hashaeva
Dagestan State Medical University
Russian Federation
Makhachkala


References

1. Нестерова Э.А. Оценка роли родительско-плодовой тромбофилии в формировании суби декомпенсированной плацентарной недостаточности. Автореф. дис. канд. мед. наук. Челябинск; 2017.

2. Передеряева Е. Б., Пшеничникова Т. Б., Макацария А. Д. Роль тромбофилии в патогенезе осложнений беременности у женщин с метаболическим синдромом. Практическая медицина. 2013; 7 (76): 31–3.

3. Веропотвелян П. Н., Веропотвелян Н. П., Гужевская И. В. Цитокины в системе мать-плацента-плод при физиологическом и патологическом течении беременности. Здоровье женщин. 2013; 11: 30–2.

4. Пшеничникова Т. Б., Передеряева Е. Б., Донина Е. В., Гадаева З. К. Место тромбофилии в структуре синдрома потери плода у женщин с метаболическим синдромом. Акушерство, гинекология и репродукция. 2013; 7 (4): 2–10.

5. Разина А.О., Ачкасов Е.Е., Руненко С.Д. Ожирение: современный взгляд на проблему. Ожирение и метаболизм. 2016; 13 (1): 3–8.

6. Тимошина И. В. Особенности течения родов и послеродового периода у женщин с избыточной массой тела и ожирение. Автореф. канд. мед.наук. Москва, 2016.

7. Spradley F.T., Palei A.C., Granger J.P. Immune Mechanisms Linking Obesity and Preeclampsia. Biomolecules. 2015; 5: 3142–6. DOI: 10.3390/biom5043142.

8. Cnattingius, S., Villamor, E., Johansson, S., Bonamy, A.E., Persoson, M., Wikstrom, A., et al. (2013) Maternal Obesity and Risk of Preterm Delivery. Journal of the American Medical Association, 2013, 309, 2362–2370. doi.org/10.1001/jama.2013.6295.

9. Carlson N. S., Hernandez T. L. Hurt K. J.., et al. Parturition dysfunction in obesity: time to target the pathobiology. Reproductive Biology Endocrinology. 2015; 13: 35. http://doi.org/10.1186/s12958–015–0129–6.

10. Kramer M. S., Berg C., Abenhaim H. et al. Incidence, risk factors, and temporal trends in severe postpartum hemorrhage. Am J Obstet Gynecol. 2013; 209: 449. e1–7.

11. Wispelwey B. P., Sheiner E. Cesarean delivery in obese women: a comprehensive review. J Matern Fetal Neonatal Med. 2013; 26 (6): 547–1. DOI: 10.3109/14767058.2012.745506.

12. Pellegrinelli V., Carobbio S., Vidal-Puig A. Adipose tissue plasticity: how fat depots respond differently to pathophysiological cues. 183. Diabetologia. 2016; 59 (6): 1075–8. DOI: 10.1007/s00125–016–3933–4. Epub. 2016 Apr 4.

13. Michalakis K., Mintziori G., Kaprarab A., Tarlatzis B. C., Goulis D. G. The complex interaction between obesity, metabolic syndrome and reproductive axis: A narrative review. Metabolism clinical and experimental. 2013; 62: 457–8.

14. Galic S., Oakhill J.S., Steinberg G.R. Adipose tissue as an endocrine organ. Mol Cell Endocrinol. 2010; 25. 316 (2): 129–9. DOI: 10.1016/j.mce.2009.08.018.

15. Чабанова Н. Б., Матаев С. И., Василькова Т. Н., Трошина И. А. Метаболические нарушения при адипоцитокиновом дисбалансе и гестационные осложнения. Ожирение и метаболизм. 2017; 14 (1): 9–16.

16. Хромылев А. В. Патогенетические аспекты атеротромботического риска при ожирении и тромбофилии. Акушерство, гинекология и репродукция. 2015; 3: 45–52.

17. Pisto P., Ukkola O., Santaniemi M., et al. Plasmaadiponectin–an independent indicator of liver fat accumulation. Metabolism. 2011; 60 (11): 1515–1520.

18. Stern JH, Rutkowski JM, Scherer PE. Adiponectin, Leptin, and Fatty Acids in the Maintenance of Metabolic Homeostasis through Adipose Tissue Crosstalk. Cell Metab. 2016; 23 (5): 770–774.

19. Karen Pricilla, Pendeloski Tezotto, Erika Ono, Maria Regina Torloni, Rosiane Mattar, Silvia Daher. Maternal obesity and inflammatory mediators: A controversial association. Am J Reprod Immunol. 2017; 77 (5).

20. Meyer BJ, Stewart FM, Brown EA, et al. Maternal obesity is associated with the formation of small dense LDL and hypoadiponectinemia in the third trimester. J Clin Endocrinol Metab. 2013; 98: 643–652.

21. Franco Sena AB, de Oliveira LC, de Jesus Pereira Pinto T, Farias DR, Vaz Jdos S, Kac G. Factors associated with prospective leptin concentrations throughout pregnancy in pregestational normal weight, overweight and obese women. Clin Endocrinol. 2015; 82: 127–135.

22. Vong L, Ye C, Yang Z, Choi B, Chua Jr S, Lowell BB. Leptin action on GABAergic neurons prevents obesity and reduces inhibitory tone to POMC neurons. Neuron. 2011; 71: 142–144.

23. Friedman JM. Leptin and the Regulation of Body Weight. Keio J Med. 2011; 60 (1): 1–9.

24. Rosenbaum M, Leibel RL. 20 years of leptin: role of leptin in energy homeostasis in humans. J Endocrinol. 2014; 223 (1): 83–86. DOI: 10.1530/JOE-14–0358.

25. Hamed EA, Zakary MM, Ahmed NS, Gamal RM. Circulating leptin and insulin in obese patients with and without type 2 diabetes mellitus: relation to ghrelin and oxidative stress. Diabetes Res Clin Pract. 2011; 94: 434–441.

26. Valsamakis G, Papatheodorou DC, Naoum A, etal. Neonatal birth waist is positively predicted by second trimester maternal active ghrelin, a pro-appetite hormone, and negatively associated with third trimester maternal leptin, a pro-satiety hormone. Early Hum Dev. 2014; 90 (9): 487–2. DOI: 10.1016/j.earlhumdev.2014.07.001.

27. Ulman-Włodarz I, Irzyniec T, Galbierz Kwiatkowska E, Maciejewska-Paszek I. Determination of Ghrelin’s Role in the Pathogenesis of Pregnancy Induced Hypertension. J Hypertens. 2015; 4: 201. DOI: 10.4172/2167–1095.1000201.

28. Müller TD, Nogueiras R, Andermann ML, Andrews ZB, Anker SD, Argente J, et al. Ghrelin. Molecular metabolism. 2015; 4 (6): 437–460. doi.org/10.1016/j.molmet.2015.03.005.

29. Shiimura Y, Ohgusu H, Sato T, Kojima M. Regulation of the Human Ghrelin Promoter Activity by Transcription Factors, NF-κB and Nkx 2.2. Int J Endocrinol. 2015. DOI: 10.1155/2015/580908.

30. Takagi K, Legrand R, Asakawa A, Amitani H, François M, Tennoune N, et al. Anti-ghrelin immunoglobulins modulate ghrelin stability and its orexigenic effect in obese mice and humans. Nat Commun. 2013; 4: 2685.

31. Передеряева Е.Б., Пшеничникова Т.Б., Макацария А.Д. Принципы профилактической терапии у беременных женщин с метаболическим синдромом. Акушерство, гинекология и репродукция. 2015; 4: 36–45.

32. Christian LM, Porter K. Longitudinal changes in serum proinflammatory markers across pregnancy and postpartum: effects of maternal body mass index. Cytokine. 2014; 70: 134–140.

33. Chau A, Markley JC, Juang J, Tsen LC. Cytokines in the perinatal period – Part I. Int. J Obstet Anesth. 2016; 26: 39–47.

34. Hassiakos D, Eleftheriades M, Papastefanou I, et al. Increased maternal serum interleukin-6 concentrations at 11 to 14 weeks of gestation in low risk pregnancies complicated with gestational diabetes mellitus: development of a prediction model. Horm Metab Res. 2016; 48: 35–41.

35. Minuz P, Fava C, Hao S, et al. Differential regulation of TNF receptors in maternal leukocytes is associated with severe preterm preeclampsia. J Matern Fetal Neonatal Med. 2015; 28: 869–875.

36. Illan Gomez F, Gonzalvez Ortega M, Orea-Soler I, et al. Obesity and inflammation: change in adiponectin, Creactive protein, tumour necrosis factor-alpha and interleukin-6 after bariatric surgery. Obes Surg. 2012; 22: 950–5.

37. Christian L.M., Porter K. Longitudinal changes in serum pro-inflammatory markers across pregnancy and postpartum: effects of maternal body mass index. Cytokine. 2014; 70: 134–140.

38. Ma X, Yan W, Zheng H. et al. Regulation of IL10 and IL12 production and function in macrophages and dendritic cells. F1000 Research. 2015; 4: 1–29.

39. Thaxton J.E, Sharma S. Interleukin10: a multi-faceted agent of pregnancy. Am J Reprod Immunol. 2010; 63: 482–1.

40. Mitrovic M, Ilic T, Stokic E, et al. Influence of glucoregulation quality on C-reactive protein, interleukin-6 and tumor necrosis factor alpha level in patients with diabetes type 1. Vojnosanit. Pregl. 2011; 68: 756–1.

41. Okuno Y, Sakaguchi K, Komada H, et al. Correlation of serum CRP to plasma glucose ratio with various indices of insulin secretion and diseases duration in type 2 diabetes. Kobe J Med Sci. 2013; 59: 44–3.

42. Conroy S. M., Chai W., Lim U., Franke A. A., Cooney R. V., Maskarinec G. Leptin, adiponectin, and obesity among Caucasian and Asian women. Mediators Inflamm. 2011; 11: DOI: 10.1155/2011/253580.

43. Friis C.M., Paasche Roland M.C., Godang K., et al. Adiposity-related inflammation: effects of pregnancy. Obesity. Silver Spring. 2013; 21: 124–0.

44. Lim C. C., Mahmood T. Obesity in pregnancy. Best Practice & Research Clinical Obstetrics and Gynaecology. 2015; 29: 309–9. DOI: 10.1016/j.bpobgyn.2014.10.008.

45. Макацария А. Д., Акиньшина С. В. Тромбозы редкой локализации и тромбофилия. Акушерство, гинекология и репродукция. 2014; 8 (2): 97–1.

46. Галайко М. В., Рыбина О. В., Литвиненко М. С., Климов Ю.В., Альтшулер Б.Ю., Губкин А.В. Тромбофилия и беременность. 2017; 10 (3): 409–2.

47. Дубоссарская З.М., Дука Ю.М. Роль генных полиморфизмов в генезе гестационных осложнений у беременных женщин с ожирением. Акушерство, гинекология и репродукция. 2014; 8 (4): 6–11.

48. Буштырева И.О. Кузнецова Н.Б., Ковалева А.В., Баринова В.В., Сундеева А.Г. Распространенность тромбофилитических полиморфизмов у женщин с привычным невынашиванием беременности в анамнезе. Акушерство, гинекология и репродукция. 2015; 9 (2): 13–8.

49. Townsley D. M. Hematologic complications of pregnancy. Semin Hematol. 2013; 50 (3): 222–231.

50. Larciprete G. F., Rossi T., Deaibess Larciprete G. Double inherited thrombophilias and adverse pregnancy outcomes: fashion or science? J Obstet Gynaecol Res. 2010; 36 (5): 996–2.


Review

For citations:


Mukhtarova M.M., Аbusueva Z.A., Hashaeva T.Kh. Obesity and thrombophilia as double threat of gestational complications. Medical alphabet. 2020;(26):57-61. (In Russ.) https://doi.org/10.33667/2078-5631-2020-26-57-61

Views: 279


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)