Clinicopathological Role of Adiponectin in Preeclampsia: Linkage with Placental Function and Maternal Health

Clinical-pathology of Adiponectin in Preeclampsia: Placental and Maternal Outcomes

Authors

  • Mohammedelfateh Adam Department of Obstetrics and Gynaecology, Galway University Hospital, Ireland
  • Sarfaraz Khan Department of Medicine and Endocrinology, Mercy Teaching Hospital, Peshawar, Pakistan
  • Memona Zia Department of Pathology, Abu Umara Medical and Dental College, Lahore, Pakistan
  • Anum Iftikhar Department of Pathology, Bahawalpur Medical and Dental College, Bahawalpur, Pakistan
  • Sajid Hussain Sherazi Department of Pediatric, Niazi Medical and Dental College, Sargodha, Pakistan
  • Naveed Ahsan Department of Biochemistry, Bhitai Dental and Medical College, Mirpurkhas, Pakistan
  • Ehsan Ul Haq Department of Allied Health Sciences, University of Health Sciences, Lahore Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i11.2398

Keywords:

Adiponectin, Preeclampsia, Placental Gene Expression, Maternal Health

Abstract

Preeclampsia is a hypertensive, multisystem disease in pregnancy, associated with dysfunction of the placenta. Emerging studies point toward the possibility that adiponectin, a hormone with anti-inflammatory and vasodilator properties, may contribute to the development of preeclampsia. Objectives: To systematically review the role of adiponectin in the pathophysiology of preeclampsia with limited evidence on the role of placental gene expression, providing clinicopathological insights into its role in maternal and fetal health. Methods: A comprehensive literature search was conducted across PubMed, Science Direct, and Google Scholar for articles published between 2017 and 2024. Included studies explored the relationship between Adiponectin levels and preeclampsia in relevance to placental pathology, and hormonal levels. Studies analyzed adiponectin's role in modulating insulin resistance, hypertension, placental growth, and vascular health in preeclampsia. Data from multiple regions, including Asia, Europe, and America, provided global perspectives. Results: An association between reduced adiponectin levels and increased severity of preeclampsia and its potential role in impaired placental physiology and adverse pregnancy outcomes were reviewed. Conclusions: It was concluded that adiponectin plays a crucial role in the pathophysiology of preeclampsia, affecting both maternal health and placental function. Understanding these mechanisms may offer insights for therapeutic interventions in managing preeclampsia and improving fetal outcomes.

References

Harrison MS, Betrán AP, Suresh K, Vogel JP, Goldenberg RL, Gülmezoglu AM. Risk Factors Associated with Adverse Maternal Outcomes Following Intrapartum Cesarean Birth: A Secondary Analysis of the WHO Global Survey On Maternal and Perinatal Health, 2004–2008. BioMed Central Pregnancy and Childbirth. 2020 Dec; 20: 1-1. doi: 10.1186/s12884-020-03390-0. DOI: https://doi.org/10.1186/s12884-020-03390-0

Overton E, Tobes D, Lee A. Preeclampsia Diagnosis and Management. Best Practice and Research Clinical Anaesthesiology. 2022 May; 36(1): 107-21. doi: 10.1016/j.bpa.2022.02.003. DOI: https://doi.org/10.1016/j.bpa.2022.02.003

Metcalfe A, Ahmed SB, Nerenberg K. Age-Period-Cohort Effects in Pre-Existing and Pregnancy-Associated Diseases Amongst Primiparous Women. Biology of Sex Differences. 2020 Dec; 11: 1-9. doi: 10.1186/s13293-020-00293-9. DOI: https://doi.org/10.1186/s13293-020-00293-9

Chang KJ, Seow KM, Chen KH. Preeclampsia: Recent Advances in Predicting, Preventing, and Managing the Maternal and Fetal Life-Threatening Condition. International Journal of Environmental Research and Public Health. 2023 Feb; 20(4): 2994. doi: 10.3390/ijerph20042994. DOI: https://doi.org/10.3390/ijerph20042994

Chappell LC, Cluver CA, Tong S. Pre-eclampsia. The Lancet. 2021 Jul; 398(10297): 341-54. doi: 10.1016/S0140-6736(20)32335-7. DOI: https://doi.org/10.1016/S0140-6736(20)32335-7

Mészáros B, Kukor Z, Valent S. Recent Advances in the Prevention and Screening of Preeclampsia. Journal of Clinical Medicine. 2023 Sep; 12(18): 6020. doi: 10.3390/jcm12186020. DOI: https://doi.org/10.3390/jcm12186020

Bawah AT, Yeboah FA, Nanga S, Alidu H, Ngala RA. Serum Adipocytokines and Adiposity as Predictive Indices of Preeclampsia. Clinical Hypertension. 2020 Dec; 26: 1-1. doi: 10.1186/s40885-020-00152-0.

Gutaj P, Sibiak R, Jankowski M, Awdi K, Bryl R, Mozdziak P et al. The Role of the Adipokines in the Most Common Gestational Complications. International Journal of Molecular Sciences. 2020 Dec; 21(24): 9408. doi: 10.3390/ijms21249408. DOI: https://doi.org/10.3390/ijms21249408

Ali EA, Helmi ZR, Nori W. What Do We Know about Adiponectin in Preeclampsia? A Comprehensive Review. Libyan Medical Journal. 2022 Mar; 14(1): 15-20. doi: 10.4135/9781529756647.n3 DOI: https://doi.org/10.4135/9781529756647.n3

Adu‐Gyamfi EA, Fondjo LA, Owiredu WK, Czika A, Nelson W, Lamptey J et al. The Role of Adiponectin in Placentation and Preeclampsia. Cell Biochemistry and Function. 2020 Jan; 38(1): 106-17. doi: 10.1002/cbf.3458.

Lappas M, Permezel M, Rice GE. Leptin and Adiponectin Stimulate the Release of Proinflammatory Cytokines and Prostaglandins from Human Placenta and Maternal Adipose Tissue Via Nuclear Factor-Κb, Peroxisomal Proliferator-Activated Receptor-Γ and Extracellularly Regulated Kinase 1/2. Endocrinology. 2005 Aug; 146(8): 3334-42. doi:10.1210/en.2005-0406 DOI: https://doi.org/10.1210/en.2005-0406

Tan L, Ouyang Z, Chen Z, Sun F, Guo H, Wang F et al. Adipokine Chemerin Overexpression in Trophoblasts Leads to Dyslipidemia in Pregnant Mice: Implications for Preeclampsia. Lipids in Health and Disease. 2023 Jan; 22(1): 12. doi: 10.1186/s12944-023-01777-4. DOI: https://doi.org/10.1186/s12944-023-01777-4

Golańska-Wróblewska M, Fryczak J, Siejka A. Serum Levels of Sirtuins, Leptin and Adiponectin in Women with Pregnancy-Induced Hypertension. Cytokine. 2024 Jul; 179: 156612. doi: 10.1016/j.cyto.2024.156612. DOI: https://doi.org/10.1016/j.cyto.2024.156612

Abraham AJ, Bobby Z, Chaturvedula L, Vinayagam V, Jacob SE, Habeebullah S. Maternal Adverse Outcomes in Hypertensive Disorders of Pregnancy and Their Association with Serum Adiponectin and Redox Markers. Fetal and Pediatric Pathology. 2022 Feb; 41(1): 1-7. doi: 10.1080/15513815.2020.1745973. DOI: https://doi.org/10.1080/15513815.2020.1745973

Ullah Z, Bashir F, Kalsum Fatima SA, Tahir BH, Irshad F. Changes in Serum Adiponectin and Serum Leptin Levels Can Predict Pre-Eclampsia in Pregnant Women: A Prospective Study. Pakistan Journal of Medical and Health Sciences. 2022; 16(12): 610-. doi: 10.53350/pjmhs20221612610. DOI: https://doi.org/10.53350/pjmhs20221612610

De Knegt VE, Hedley PL, Eltvedt AK, Placing S, Wøjdemann K, Shalmi AC et al. Adiponectin/Leptin Ratio-A Marker of Insulin Sensitivity in Pre-Eclampsia and Fetal Growth. MedRxiv. 2022 Oct: 2022-10. doi: 10.1101/2022.10.13.22281056. DOI: https://doi.org/10.1101/2022.10.13.22281056

Lomakova YD, Chen X, Stein TP, Steer RA. Decreased Adiponectin Levels in Early Pregnancy Are Associated with High Risk of Prematurity for African American Women. Journal of Clinical Medicine. 2022 Jun; 11(11): 3213. doi: 10.3390/jcm11113213. DOI: https://doi.org/10.3390/jcm11113213

Makker K, Zhang M, Wang G, Hong X, Aziz KB, Wang X. Maternal and Fetal Factors Affecting Cord Plasma Leptin and Adiponectin Levels and Their Ratio in Preterm and Term Newborns: New Insight On Fetal Origins of Metabolic Dysfunction. Precision Nutrition. 2022 Nov; 1(2): e00013. doi: 10.1097/PN9.0000000000000013.

Mihai M, Vladut S, Sonia-Teodora L, Mihaela SL, Victoria N, Elena MI et al. Correlation between Overweight, Obesity, Gestational Diabetes Mellitus, Adipokines (Adipolin and Adiponectin), and Adverse Pregnancy Outcomes: A Pilot Study. Medicina. 2024 Sep; 60(9): 1544. doi: 10.3390/medicina60091544. DOI: https://doi.org/10.3390/medicina60091544

Rao S, Kumari A, Sharma M, Kabi BC. Predicting Maternal Serum Adiponectin and Leptin Level as Biomarkers of Pre-Eclampsia: A Prospective Study. The Journal of Obstetrics and Gynecology of India. 2021 Feb; 71: 58-65. doi: 10.1007/s13224-020-01378-6. DOI: https://doi.org/10.1007/s13224-020-01378-6

Tijani BA, Agyemang YF, Salifu N, Huseini A. Serum Adipocytokines and Adiposity as Predictive Indices of Preeclampsia. Clinical Hypertension. 2021 Jan; 27(1): 8-18. doi: 10.1186/s40885-020-00152-0. DOI: https://doi.org/10.1186/s40885-020-00152-0

Thagaard IN, Hedley PL, Holm JC, Lange T, Larsen T, Krebs L et al. Leptin and Adiponectin as Markers for Preeclampsia in Obese Pregnant Women, A Cohort Study. Pregnancy Hypertension. 2019 Jan; 15: 78-83. doi: 10.1016/j.preghy.2018.12.002. DOI: https://doi.org/10.1016/j.preghy.2018.12.002

Zhang Z, Liu F, Zhang Q, Li D, Cai L. Umbilical Artery Ultrasound Haemodynamics Combined with Serum Adiponectin Levels Can Aid in Predicting Adverse Pregnancy Outcomes in Patients with Severe Pre-Eclampsia. Journal of Obstetrics and Gynaecology. 2023 Dec; 43(2): 2232656. doi: 10.1080/01443615.2023.2232656. DOI: https://doi.org/10.1080/01443615.2023.2232656

Dimitriadis E, Rolnik DL, Zhou W, Estrada-Gutierrez G, Koga K, Francisco RP et al. Pre-eclampsia. Nature Reviews Disease Primers. 2023 Feb; 9(1): 8. doi: 10.1038/s41572-023-00417-6. DOI: https://doi.org/10.1038/s41572-023-00417-6

Gaoxia DO, Ying TI, Xinqin LI. Adiponectin Participates in Preeclampsia by Regulating the Biological Function of Placental Trophoblasts Through P38 MAPK-STAT5 Pathway. Iranian Journal of Public Health. 2018 Dec; 47(12): 1838.

Pheiffer C, Dias S, Jack B, Malaza N, Adam S. Adiponectin as a Potential Biomarker for Pregnancy Disorders. International Journal of Molecular Sciences. 2021 Jan; 22(3): 1326. doi:10.3390/ijms22031326.

Adu‐Gyamfi EA, Fondjo LA, Owiredu WK, Czika A, Nelson W, Lamptey J et al. The Role of Adiponectin in Placentation and Preeclampsia. Cell Biochemistry and Function. 2020 Jan; 38(1): 106-17. doi: 10.1002/cbf.3458 DOI: https://doi.org/10.1002/cbf.3458

Mazaki-Tovi S, Romero R, Vaisbuch E, Kusanovic JP, Erez O, Gotsch F et al. Maternal Serum Adiponectin Multimers in Preeclampsia. 2009; 37: 349-363. doi:10.1515/JPM.2009.085 DOI: https://doi.org/10.1515/JPM.2009.085

Daskalakis G, Bellos I, Nikolakea M, Pergialiotis V, Papapanagiotou A, Loutradis D. The Role of Serum Adipokine Levels in Preeclampsia: A Systematic Review. Metabolism. 2020 May; 106: 154172. doi: 10.1016/j.metabol.2020.154172. DOI: https://doi.org/10.1016/j.metabol.2020.154172

Tejera E, Sánchez ME, Henríquez-Trujillo AR, Pérez-Castillo Y, Coral-Almeida M. A Population-Based Study of Preeclampsia and Eclampsia in Ecuador: Ethnic, Geographical and Altitudes Differences. BioMed Central Pregnancy and Childbirth. 2021 Dec; 21: 1-0. doi: 10.1186/s12884-021-03602-1 DOI: https://doi.org/10.1186/s12884-021-03602-1

Pheiffer C, Dias S, Jack B, Malaza N, Adam S. Adiponectin as a Potential Biomarker for Pregnancy Disorders. International Journal of Molecular Sciences. 2021 Jan; 22(3): 1326. doi: 10.3390/ijms22031326. DOI: https://doi.org/10.3390/ijms22031326

Gök S, Gök BC, Enli Y. Evaluation of the Adipokine Levels of Pregnant Women with Preeclampsia. Journal of Obstetrics and Gynaecology Research. 2023 Jan; 49(1): 154-63. doi: 10.1111/jog.15463. DOI: https://doi.org/10.1111/jog.15463

Hafiane A. Adiponectin-mediated Regulation of the Adiponectin Cascade in Cardiovascular Disease: Updates. Biochemical and Biophysical Research Communications. 2023 Dec; 694: 149406. doi: 10.1016/j.bbrc.2023.149406. DOI: https://doi.org/10.1016/j.bbrc.2023.149406

Karrasch T, Höpfinger A, Schäffler A, Schmid A. The Adipokine C1q/TNF-related Protein-3 (CTRP-3) Inhibits Toll-Like Receptor (TLR)-Induced Expression of Cathelicidin Antimicrobial Peptide (CAMP) in Adipocytes. Cytokine. 2021 Dec; 148: 155663. doi: 10.1016/j.cyto.2021.155663. DOI: https://doi.org/10.1016/j.cyto.2021.155663

Stefaniak M and Dmoch-Gajzlerska E. Maternal Serum and Cord Blood Leptin Concentrations at Delivery in Normal Pregnancies and in Pregnancies Complicated by Intrauterine Growth Restriction. Obesity Facts. 2022 Jan; 15(1): 62-9. doi: 10.1159/000519609. DOI: https://doi.org/10.1159/000519609

Chen X, Liu Z, Cui J, Chen X, Xiong J, Zhou W. Circulating Adipokine Levels and Preeclampsia: A Bidirectional Mendelian Randomization Study. Frontiers in Genetics. 2022 Aug; 13: 935757. doi: 10.3389/fgene.2022.935757. DOI: https://doi.org/10.3389/fgene.2022.935757

Nugrahani AD, Aziz MA, Santoso DP, Siddiq A, Pramatirta AY, Irianti S et al. Adiponectin and Leptin Profiles among Obese Pregnant Women with Preeclampsia Vs. Non-Preeclampsia: A Systematic Review and Meta-Analysis. European Review for Medical and Pharmacological Sciences. 2024 Jul; 28: 3922-33 doi: 10.1016/j.clinbiochem.2024.110778. DOI: https://doi.org/10.1016/j.clinbiochem.2024.110778

de Knegt VE, Hedley PL, Eltvedt AK, Placing S, Wøjdemann K, Shalmi AC et al. First-Trimester Maternal Serum Adiponectin/Leptin Ratio in Pre-Eclampsia and Fetal Growth. Life. 2023 Jan; 13(1): 130. doi: 10.3390/life13010130. DOI: https://doi.org/10.3390/life13010130

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Published

2024-11-30
CITATION
DOI: 10.54393/pjhs.v5i11.2398
Published: 2024-11-30

How to Cite

Adam, M., Khan, S., Zia, M., Iftikhar, A., Sherazi, S. H., Ahsan, N., & Haq, E. U. (2024). Clinicopathological Role of Adiponectin in Preeclampsia: Linkage with Placental Function and Maternal Health: Clinical-pathology of Adiponectin in Preeclampsia: Placental and Maternal Outcomes. Pakistan Journal of Health Sciences, 5(11), 270–277. https://doi.org/10.54393/pjhs.v5i11.2398

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Systematic Review

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