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Interleukin-6 levels in hyperemesis gravidarum

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Abstract

Introduction.

Hyperemesis gravidarum (HG) is associated with higher levels of serum β-hCG levels and hyperthyroidism. Interleukin-6 (IL-6), a pro-inflammatory cytokine, is reported to enhance secretion of β-hCG from trophoblastic cell line.

Methods.

We measured serum levels of IL-6, thyroid hormones and β-hCG of hyperemetic patients and gestational age-matched controls to search for a difference between the two groups.

Results.

There was a significant difference in β-hCG (p=0.028), though IL-6 levels were higher in the hyperemetic group, it did not reach a significant level. Interleukin-6 positively correlated with β-hCG (r=0.38 and p=0.13).

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References

  1. Agarwal R, Loganath A, Roy AC, Wong YC, Lindoff C, Ng SC (2000) Increased expression of interleukin 6 in term compared to the first trimester human placental villi. Horm Metab Res 332:164–168

    Article  Google Scholar 

  2. Asakura H, Watanabe S, Sekiguchi A, Power GC, Araki T (2000) Severity of hyperemesis gravidarum correlates with serum levels of reverse T3. Arch Gynecol Obstet 264:57–62

    Article  CAS  PubMed  Google Scholar 

  3. Fairweather DVI, Loraine JA (1968) Nausea and vomiting in pregnancy. Am J Obstet Gynecol 102:135–173

    Article  CAS  PubMed  Google Scholar 

  4. Goodwin TM, Montero M, Mestman JH (1992) Transient hyperthyroidism and hyperemesis gravidarum: clinical aspects. Am J Obstet Gynecol 167:648–652

    Article  CAS  PubMed  Google Scholar 

  5. Hershman JM (1999) Human chorionic gonadotropin and the thyroid: hyperemesis gravidarum and trophoblastic tumors. Thyroid 9:653–657

    Article  CAS  PubMed  Google Scholar 

  6. Jauniaux E, Gulbis B, Schandene L, Collette J, Hustin J (1996) Distribution of interleukin-6 in maternal and embryonic tissues during the first trimester. Mol Hum Reprod 2:239–243

    Article  CAS  PubMed  Google Scholar 

  7. Kameda T, Matsuzaki N, Sawai K, Okada T, Saji F, Matsuda T, Hirano T, Kishimoto T, Tanizawa O (1990) Production of interleukin-6 by normal human trophoblast. Placenta 11:205–213

    Article  CAS  PubMed  Google Scholar 

  8. Leylek OA, Tayaksi M, Ercelsan T, Dokmetas S (1999) Immunologic and biochemical factors in hyperemesis gravidarum with or without hyperthyroxinemia. Gynecol Obstet Invest 47:229–234

    Article  CAS  PubMed  Google Scholar 

  9. Masuhiro K, Matsuzaki N, Nishino E, Taniguchi T, Kameda T, Li Y, Saji F, Tanizawa O (1991) Trophoblast-derived interleukin-1 (IL-1) stimulates the release of human chorionic gonadotropin by activating IL-6 and IL-6-receptor system in the first trimester human trophoblasts. J Clin Endocrinol Metab 72:594–601

    Article  CAS  PubMed  Google Scholar 

  10. Matsuzaki N, Neki R, Sawai K, Shimoya K, Okada T, Sakata M, Saji F, Koishihara Y, Ida N (1995) Soluble interleukin-6 (IL-6) receptor in the sera of pregnant women forms a complex with IL-6 and augments human chorionic gonadotropin production by normal human trophoblasts through binding to the IL-6 signal transducer. J Clin Endocrinol Metab 80:2912–2917

    CAS  PubMed  Google Scholar 

  11. Meisser A, Cameo P, Islami D, Campana A, Bischof P (1999) Effects of interleukin-6 (IL-6) on cytotrophoblastic cells. Mol Hum Reprod 5:1055–1058

    Article  CAS  PubMed  Google Scholar 

  12. Nishino E, Matsuzaki N, Masuhiro K, Kameda T, Taniguchi T, Takagi T, Saji F, Tanizawa O (1990) Trophoblast-derived interleukin-6 (IL-6) regulates human chorionic gonadotropin release through IL-6 receptor on human trophoblasts. J Clin Endocrinol Metab 71:436–441

    Article  CAS  PubMed  Google Scholar 

  13. Rodien P, Bremont C, Sanson M-LR et al (1998) Familial gestational hyperthyroidism caused by a mutant thyrotropin receptor hypersensitive to human chorionic gonadotropin. N Engl J Med 339:1823–1826

    Article  CAS  PubMed  Google Scholar 

  14. Safari HR, Fassett MJ, Souter IC, Alsulyman OM, Goodwin TM (1998) The efficacy of methylprednisolone in the treatment of hyperemesis gravidarum: a randomized, double-blind, controlled study. Am J Obstet Gynecol 179:921–924

    Article  CAS  PubMed  Google Scholar 

  15. Taylor R (1996) Successful management of hyperemesis gravidarum using steroid therapy. QJM 89:103–107

    Article  CAS  PubMed  Google Scholar 

  16. Yanushpolsky EH, Ozturk M, Polgar K, Berkowitz RS, Hill JA (1993) The effects of cytokines on human chorionic gonadotropin (hCG) production by a trophoblast cell line. J Reprod Immunol 25:235–247

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Naci K. Kuscu.

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Kuscu, N.K., Yildirim, Y., Koyuncu, F. et al. Interleukin-6 levels in hyperemesis gravidarum. Arch Gynecol Obstet 269, 13–15 (2003). https://doi.org/10.1007/s00404-002-0412-6

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  • DOI: https://doi.org/10.1007/s00404-002-0412-6

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