Journal List > Korean J Perinatol > v.26(1) > 1013764

Kim, Kang, and Jun: Maternal Plasma Angiopoietin-1 and Angiopoietin-2 in Pregnant Women with Chronic Hypertension

Abstract

Purpose

The aim of this study was to investigate whether plasma angiopoietin-1 (Ang-1) and angiopoietin-2 (Ang-2) concentrations in pregnant women with chronic hypertension are different from those of normotensive pregnant women.

Methods

This hospital-based case-control study consisted of 35 pregnant women with chronic hypertension who delivered at Seoul National University Hospital. Normotensive pregnant women (n=70) were selected as controls, matched with maternal age, gestational age at delivery and birthweight. Maternal blood was drawn at the time of admission for delivery and plasma was separated and stored. The plasma Ang-1 and Ang-2 levels were measured by ELISA. Statistical analysis was done with Mann-Whitney U test, Fisher's exact test and Spearman rank correlation test using SPSS.

Results

Median (range) maternal age, gestational age and birthweight were 33 years (24–42), 38 weeks (32–41), and 3.08 kg (1.13–4.01). Pregnant women with chronic hypertension had significantly higher median Ang-1 and Ang-2 levels than normotensive pregnant women (for Ang-1: median 4,111 pg/mL, range 1,415–30,172 vs. median 2,824 pg/mL range 662–14,512, P=0.015, for Ang-2: median 5,637 pg/mL, range 1,131–29,327 vs. median 3,345 pg/mL, range 609–24,467, P=0.039).

Conclusion

Maternal plasma Ang-1 and Ang-2 levels were elevated in pregnant women with chronic hypertension compared with normotensive pregnant women. Further study is needed to determine if this change is a cause or a compensatory mechanism to chronic hypertension.

References

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Table 1.
Characteristics of study population
  Chronic hypertension (n=35) Control (n=70) P-value
Maternal age (year) 33.5 (25–42) 34.0 (24–42) 0.482
Nullipara (%) 18 (51.4) 34 (48.6) 0.838
Pregestational body weight (kg) 61 (41–98) 54 (41–83) 0.006
Body weight at admission (kg) 71 (54–112) 67 (52–110) 0.45
Systolic blood pressure (mmHg) 141 (100–220) 114 (92–140) <0.001
Diastolic blood pressure (mmHg) 91 (70–120) 71 (43–96) <0.001
Trial of labor (%) 24 (68.6) 48 (68.6) 1.000
Induction of labor (%) 20 (57.1) 13 (18.6) <0.001
Cesarean section (%) 14 (40.0) 25 (35.7) 0.675
Gestational at delivery (week) 38 (33–41) 38 (31–41) 0.969
Birth weight (kg) 3.08 (1.13–4.01) 3.12 (1.64–3.88) 0.842
Sex (male, %) 18 (51.4) 38 (54.3) 0.837

Data presented as median (range) or number (%) as appropriate.

Table 2.
Ang-1 & Ang-2 in pregnant women with chronic hypertension vs. control
  Chronic hypertension (n=35) Control (n=70) P-value
Ang-1 (pg/mL) 4,111 (1,415–30,172) 2,824 (662–14,512) 0.015
Ang-2 (pg/mL) 5,637 (1,131–29,327) 3,345 (609–24,467) 0.039

Data presented as median (range). Abbreviations: Ang-1, angiopoietin-1; Ang-2, angiopoietin-2.

Table 3.
Relationship of Ang-1 & Ang-2 with baseline characteristics
  Ang-1 Ang-2
R P-value R P-value
Maternal age –0.017 0.866 –0.123 0.213
Gestational age at delivery –0.057 0.569 –0.310 0.001
Birthweight –0.083 0.398 –0.241 0.013
Pregestational body weight 0.164 0.116 0.028 0.793
Body weight at admission 0.048 0.634 –0.050 0.621
Systolic blood pressure 0.179 0.068 0.183 0.061
Diastolic blood pressure 0.103 0.295 0.147 0.134

Abbreviations: Ang-1, angiopoietin-1; Ang-2, angiopoietin-2; R, regression coefficient.

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