Comparison of angiotensin-converting enzyme, malonaldehyde, zinc, and copper levels in preeclampsia

Biol Trace Elem Res. 2006 Oct;113(1):1-8. doi: 10.1385/BTER:113:1:1.

Abstract

Preeclampsia is a syndrome of unknown etiopathogenesis. Recent studies carried out on preeclampsia have focused on the increase in free radicals in the feto-placental unit with poor perfusion. It is believed that the renin-angiotensin system (RAS) has a role in the poor perfusion of the placenta. It is uncertain whether there is a pre-existing impairment in RAS in pre-eclamptic pregnant women or not. In the present study, we measured angiotensin-converting enzyme (ACE), malonaldehyde (MDA), zinc, and copper levels in the placental tissue of 16 pre-eclamptic pregnant women and compared them with those in 20 healthy pregnant women. Whereas ACE activity and MDA were found to be high in the placentas of pre-eclamptic patients, zinc and copper levels were low and there was a negative correlation between ACE activity and zinc concentration. These findings suggest that high ACE activity might play a role in the increase in tissue hypoxia and consequent lipid peroxidation through vasoconstriction; zinc deficiency in the placental tissue might cause insufficiency of superoxide dismutase, an antioxidant enzyme. Furthermore, deficiency in placental zinc also plays a role in the biosynthesis of connective tissue, maintaining its integrity, which might have an impact on the structure of the spiral arteries.

MeSH terms

  • Adult
  • Copper / metabolism*
  • Female
  • Humans
  • Malondialdehyde / metabolism*
  • Peptidyl-Dipeptidase A / metabolism*
  • Placenta / metabolism*
  • Pre-Eclampsia / metabolism*
  • Pregnancy
  • Renin-Angiotensin System / physiology
  • Zinc / metabolism*

Substances

  • Malondialdehyde
  • Copper
  • Peptidyl-Dipeptidase A
  • Zinc