Immunological Status of Pregnant Women in Different Trimesters

Authors

  • Fikry Ali Qadir Department of Biology, College of Science, Salahaddin University-Erbil, Kurdistan Region, Iraq

DOI:

https://doi.org/10.21271/ZJPAS.35.4.17

Keywords:

Pregnancy, IFN- γ, IgG, IgA, Rheumatoid factor, MDA.

Abstract

This investigation done to evaluate the immunological status of pregnant women in different trimesters during pregnancy. After performing inclusion and exclusion criteria, this study included 40 pregnant women and 40 healthy women who had married but were not pregnant as a control group. The serum was obtained from pregnant women in three different trimesters and from control group. Interferon γ (IFN-γ), Immunoglobulin-G (IgG) IgA, Rheumatoid factor (RF) and Malondialdehyde (MDA) were measured. The results demonstrate a statistically significant reduction in IFN-γ with respect to the 2nd and 3rd trimesters in comparison to the control group, with no significant change between the control and 1st trimester and a statistical decrease in the 3rd trimester when compared to the 1st trimester. Regarding the total IgG, the result shows a significant decline in the level of IgG in the 1st trimester in comparison to the control group. At the same time, there is a significant elevation in the level of IgG in the 3rd trimester compared to the 2nd trimester. However, there is a significant increase of IgA in the 2nd trimester in comparison to the control group, meanwhile, its level decreases in the 3rd trimester in comparison to 1st and 2nd trimesters. RF increased significantly in the 1st and 2nd trimesters in comparison to the control group, but statistically, there is a significant decrease in 3rd trimester compared to 1st and 2nd trimesters. Finally, the level of MDA increases in all trimesters compared to the control group.

References

Abu-Raya, B., Michalski, C., Sadarangani, M., & Lavoie, P. M. 2020. Maternal immunological adaptation during normal pregnancy. Front Immunol, 2627.

Amino, N., Tanizawa, O., Miyai, K., Tanaka, F., Hayashi, C., Kawashima, M., & Ichihara, K. 1978. Changes of serum immunoglobulins IgG, IgA, IgM, and IgE during pregnancy. Obstet Gynecol, 52(4), 415-420.

AP, R. JS, & Jamieson, DJ (2014). Pregnancy and infection. N Engl J Med, 370, 2211-2218.

Banerjee, S., Smallwood, A., Moorhead, J., Chambers, A. E., Papageorghiou, A., Campbell, S., & Nicolaides, K. 2005. Placental expression of interferon-gamma (IFN-gamma) and its receptor IFN-gamma R2 fail to switch from early hypoxic to late normotensive development in preeclampsia. J Clin Endocrinol Metab, 90(2), 944-952. doi:10.1210/jc.2004-1113

Berkowitz, R. S., Hill, J. A., Kurtz, C. B., & Anderson, D. J. 1988. Effects of products of activated leukocytes (lymphokines and monokines) on the growth of malignant trophoblast cells in vitro. Am J Obstet Gynecol, 158(1), 199-203. doi:10.1016/0002-9378(88)90810-1

Best, J., Banatvala, J., & Watson, D. 1969. Serum IgM and IgG responses in postnatally acquired rubella. The Lancet, 294(7611), 65-68.

Bogavac, M., Lakic, N., Simin, N., Nikolic, A., Sudji, J., & Bozin, B. 2012. Biomarkers of oxidative stress in amniotic fluid and complications in pregnancy. The Journal of Maternal-Fetal & Neonatal Medicine, 25(1), 104-108.

Borzychowski, A. M., Croy, B. A., Chan, W. L., Redman, C. W., & Sargent, I. L. 2005. Changes in systemic type 1 and type 2 immunity in normal pregnancy and pre‐eclampsia may be mediated by natural killer cells. Eur J Immunol, 35(10), 3054-3063.

Bradley, L. M., Dalton, D. K., & Croft, M. 1996. A direct role for IFN-gamma in regulation of Th1 cell development. The Journal of Immunology, 157(4), 1350-1358.

Closa, D., & Folch‐Puy, E. 2004. Oxygen free radicals and the systemic inflammatory response. IUBMB life, 56(4), 185-191.

Crocker, I. P., Baker, P. N., & Fletcher, J. 2000. Neutrophil function in pregnancy and rheumatoid arthritis. Ann Rheum Dis, 59(7), 555-564. doi:10.1136/ard.59.7.555

Cyprian, F., Lefkou, E., Varoudi, K., & Girardi, G. 2019. Immunomodulatory effects of vitamin D in pregnancy and beyond. Front Immunol, 10, 2739.

D’souza, D., Subhas, B. G., Shetty, S. R., & Balan, P. 2012. Estimation of serum malondialdehyde in potentially malignant disorders and post-antioxidant treated patients: A biochemical study. Contemporary clinical dentistry, 3(4), 448.

Đukić, M., Ninković, M., & Jovanović, M. 2008. Oxidative stress: Clinical diagnostic significance. Journal of Medical Biochemistry, 27(4), 409-425.

Grazio, S., Grubišić, F., Kavanagh, H. S., Naglić, Đ. B., Anić, B., Bakula, M., Bobek, D., Kuna, A. T., & Cvijetić, S. 2015. Vitamin D serum level, disease activity and functional ability in different rheumatic patients. The American journal of the medical sciences, 349(1), 46-49.

Hazes, J. M., Coulie, P. G., Geenen, V., Vermeire, S., Carbonnel, F., Louis, E., Masson, P., & De Keyser, F. 2011. Rheumatoid arthritis and pregnancy: evolution of disease activity and pathophysiological considerations for drug use. Rheumatology, 50(11), 1955-1968.

Hunt, J. S. 2006. Stranger in a strange land. Immunological reviews, 213(1), 36-47.

Hussein, M. R., Abd-Elwahed, A. R., Abodeif, E. S., & Abdulwahed, S. R. 2009. Decidual immune cell infiltrate in hydatidiform mole. Cancer investigation, 27(1), 60-66.

Jikihara, H., Poisner, A. M., & Handwerger, S. 1996. Interferon-gamma inhibits the synthesis and release of renin from human decidual cells. Biol Reprod, 54(6), 1311-1316. doi:10.1095/biolreprod54.6.1311

Karthikeyan, J., & Rani, P. 2003. Enzymatic and non-enzymatic antioxidants in selected Piper specie s.

Kerr, G. S., Sabahi, I., Richards, J. S., Caplan, L., Cannon, G. W., Reimold, A., Thiele, G. M., Johnson, D., & Mikuls, T. R. 2011. Prevalence of vitamin D insufficiency/deficiency in rheumatoid arthritis and associations with disease severity and activity. The Journal of rheumatology, 38(1), 53-59.

Kindzelskii, A. L., Clark, A. J., Espinoza, J., Maeda, N., Aratani, Y., Romero, R., & Petty, H. R. 2006. Myeloperoxidase accumulates at the neutrophil surface and enhances cell metabolism and oxidant release during pregnancy. Eur J Immunol, 36(6), 1619-1628. doi:10.1002/eji.200535391

Kindzelskii, A. L., Huang, J. B., Chaiworapongsa, T., Fahmy, R. M., Kim, Y. M., Romero, R., & Petty, H. R. 2002. Pregnancy alters glucose-6-phosphate dehydrogenase trafficking, cell metabolism, and oxidant release of maternal neutrophils. J Clin Invest, 110(12), 1801-1811. doi:10.1172/jci15973

Kindzelskii, A. L., Ueki, T., Michibata, H., Chaiworapongsa, T., Romero, R., & Petty, H. R. 2004. 6-phosphogluconate dehydrogenase and glucose-6-phosphate dehydrogenase form a supramolecular complex in human neutrophils that undergoes retrograde trafficking during pregnancy. J Immunol, 172(10), 6373-6381. doi:10.4049/jimmunol.172.10.6373

Kourtis, A. P., Read, J. S., & Jamieson, D. J. 2014. Pregnancy and infection. New England Journal of Medicine, 370(23), 2211-2218.

Kuby, J. P. J. S. S. A. J. P. P. O. J. A. 2019. Immunology.

Larsson, A., Palm, M., HANSSON, L. O., Basu, S., & Axelsson, O. 2008. Reference values for α1‐acid glycoprotein, α1‐antitrypsin, albumin, haptoglobin, C‐reactive protein, IgA, IgG and IgM during pregnancy. Acta Obstet Gynecol Scand, 87(10), 1084-1088.

Lima, J., Cambridge, G., Vilas‐Boas, A., Martins, C., Borrego, L. M., & Leandro, M. 2019. Serum markers of B‐cell activation in pregnancy during late gestation, delivery, and the postpartum period. American journal of reproductive immunology, 81(3), e13090.

Malek, A. 2013. Role of IgG antibodies in association with placental function and immunologic diseases in human pregnancy. Expert review of clinical immunology, 9(3), 235-249.

Malek, A., Sager, R., Kuhn, P., Nicolaides, K. H., & Schneider, H. 1996. Evolution of maternofetal transport of immunoglobulins during human pregnancy. American journal of reproductive immunology, 36(5), 248-255.

Malek, A., Sager, R., & Schneider, H. 1994. Maternal—fetal transport of immunoglobulin G and its subclasses during the third trimester of human pregnancy. American journal of reproductive immunology, 32(1), 8-14.

Mendenhall, H. W. 1970. Serum protein concentrations in pregnancy: I. Concentrations in maternal serum. Am J Obstet Gynecol, 106(3), 388-399.

Micallef, A., Grech, N., Farrugia, F., Schembri-Wismayer, P., & Calleja-Agius, J. 2014. The role of interferons in early pregnancy. Gynecological Endocrinology, 30(1), 1-6.

Müller-Ladner, U., Ospelt, C., Gay, S., Distler, O., & Pap, T. 2007. Cells of the synovium in rheumatoid arthritis. Synovial fibroblasts. Arthritis Res Ther, 9(6), 1-10.

Mutinati, M., Piccinno, M., Roncetti, M., Campanile, D., Rizzo, A., & Sciorsci, R. 2013. Oxidative stress during pregnancy in the sheep. Reproduction in Domestic Animals, 48(3), 353-357.

Muzzio, D., Zenclussen, A. C., & Jensen, F. 2013. The role of B cells in pregnancy: the good and the bad. American journal of reproductive immunology, 69(4), 408-412.

Muzzio, D. O., Soldati, R., Ehrhardt, J., Utpatel, K., Evert, M., Zenclussen, A. C., Zygmunt, M., & Jensen, F. 2014. B cell development undergoes profound modifications and adaptations during pregnancy in mice. Biol Reprod, 91(5), 115, 111-111.

Naccasha, N., Gervasi, M. T., Chaiworapongsa, T., Berman, S., Yoon, B. H., Maymon, E., & Romero, R. 2001. Phenotypic and metabolic characteristics of monocytes and granulocytes in normal pregnancy and maternal infection. Am J Obstet Gynecol, 185(5), 1118-1123. doi:10.1067/mob.2001.117682

Patil, S., Kodliwadmath, M., & Kodliwadmath, S. M. 2007. Study of oxidative stress and enzymatic antioxidants in normal pregnancy. Indian Journal of Clinical Biochemistry, 22(1), 135-137.

Pazos, M., Sperling, R. S., Moran, T. M., & Kraus, T. A. 2012. The influence of pregnancy on systemic immunity. Immunol Res, 54(1), 254-261.

Piccinni, M.-P., Giudizi, M.-G., Biagiotti, R., Beloni, L., Giannarini, L., Sampognaro, S., Parronchi, P., Manetti, R., Annunziato, F., & Livi, C. 1995. Progesterone favors the development of human T helper cells producing Th2-type cytokines and promotes both IL-4 production and membrane CD30 expression in established Th1 cell clones. The Journal of Immunology, 155(1), 128-133.

Piccinni, M.-P., Scaletti, C., Maggi, E., & Romagnani, S. 2000. Role of hormone-controlled Th1-and Th2-type cytokines in successful pregnancy. Journal of neuroimmunology, 109(1), 30-33.

Pitcher-Wilmott, R., Hindocha, P., & Wood, C. 1980. The placental transfer of IgG subclasses in human pregnancy. Clin Exp Immunol, 41(2), 303.

Power, D., Mason, R., Stewart, G., Catto, G., Macleod, A. M., Stewart, K. N., & Shewan, W. 1983. The fetus as an allograft: evidence for protective antibodies to HLA-linked paternal antigens. The Lancet, 322(8352), 701-704.

Schnarr, J., & Smaill, F. 2008. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. European journal of clinical investigation, 38, 50-57.

Sheffield, J. S., & Cunningham, F. G. 2009. Community-acquired pneumonia in pregnancy. Obstetrics & Gynecology, 114(4), 915-922.

Singh, S. P., Sharma, P., Kumar, P., & Sharma, R. 2020. Estimation of malondialdehyde and catalase in pregnant & non-prenant women.

Smeele, H., & Dolhain, R. (2019). Current perspectives on fertility, pregnancy and childbirth in patients with rheumatoid arthritis. Paper presented at the Seminars in arthritis and rheumatism.

Straub, R. H., Buttgereit, F., & Cutolo, M. 2005. Benefit of pregnancy in inflammatory arthritis. Ann Rheum Dis, 64(6), 801-803.

Tabibzadeh, S. 1994. Regulatory roles of IFN-gamma in human endometrium. Ann N Y Acad Sci, 734, 1-6. doi:10.1111/j.1749-6632.1994.tb21729.x

Tandon, R., Bhatia, B., & Narang, P. 1984. Neonatal infections: I—Maternal and cord serum IgG levels in relation to gestation and intrauterine growth. The Indian Journal of Pediatrics, 51(5), 521-527.

Toescu, V., Nuttall, S., Martin, U., Kendall, M., & Dunne, F. 2002. Oxidative stress and normal pregnancy. Clin Endocrinol (Oxf), 57(5), 609-613.

Tominaga, K., Yoshimoto, T., Torigoe, K., Kurimoto, M., Matsui, K., Hada, T., Okamura, H., & Nakanishi, K. 2000. IL-12 synergizes with IL-18 or IL-1β for IFN-γ production from human T cells. International immunology, 12(2), 151-160.

Upadhyaya, C., Mishra, S., Singh, P., & Sharma, P. 2005. Antioxidant status and peroxidative stress in mother and newborn—A pilot study. Indian Journal of Clinical Biochemistry, 20(1), 30-34.

Weissgerber, T. L., & Wolfe, L. A. 2006. Physiological adaptation in early human pregnancy: adaptation to balance maternal-fetal demands. Applied physiology, nutrition, and metabolism, 31(1), 1-11.

Yui, J., Garcia-Lloret, M., Wegmann, T. G., & Guilbert, L. J. 1994. Cytotoxicity of tumour necrosis factor-alpha and gamma-interferon against primary human placental trophoblasts. Placenta, 15(8), 819-835. doi:10.1016/s0143-4004(05)80184-5

Ziegler, S. M., Feldmann, C. N., Hagen, S. H., Richert, L., Barkhausen, T., Goletzke, J., Jazbutyte, V., Martrus, G., Salzberger, W., & Renné, T. 2018. Innate immune responses to toll-like receptor stimulation are altered during the course of pregnancy. J Reprod Immunol, 128, 30-37.

Published

2023-08-30

How to Cite

Ali Qadir, F. . (2023). Immunological Status of Pregnant Women in Different Trimesters. Zanco Journal of Pure and Applied Sciences, 35(4), 171–179. https://doi.org/10.21271/ZJPAS.35.4.17

Issue

Section

Biology, Chemistry and Medical Researches