Skip to main content

Advertisement

Log in

Serum heme oxygenase-1 levels in patients with primary dysmenorrhea

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Primary dysmenorrhea effects the life-quality of women negatively. The aim of this study was to evaluate heme oxygenase-1 (HO1) activity together with malondialdehyde (MDA) and nitric oxide (NO) levels in patients with primary dysmenorrhea.

Methods

A total of 28 nulliparous women with the diagnosis of primary dysmenorrhea and 26 healthy controls were included in this study. On the first day of menstruation, all patients underwent ultrasound examination to exclude pelvic pathology and the visual analogue scale was applied to patients. Patient’s visual analogue scale (VAS) scores, age, body mass index (BMI), menstrual cycle length (day), length of bleeding (day) were recorded. In the same day, fasting blood samples were taken from each patient for biochemical analysis.

Results

Serum MDA, NO and HO1 levels were found to be higher in women with primary dysmenorrhea compared to healthy controls (p = 0.012, p = 0.009, p < 0.001, respectively). There were no correlation among serum levels of HO1, NO and MDA, age, BMI, cycle length, pain score and menses duration in both groups. In Pearson’s correlation analysis, positive correlation was found between HO1 levels with the NO levels (r = 0.316, p < 0.05) and VAS scores (r = 0.520, p < 0.01). Also, positive correlation was found between MDA levels and VAS scores (r = 0.327, p < 0.05).

Conclusions

Serum HO1, NO and MDA levels increase in patients with primary dysmenorrhea. Antioxidant support might be helpful to reduce pain severity in primary dysmenorrhea.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. De Sanctis V, Soliman A, Bernasconi S, Bianchin L, Bona G, Bozzola M, Buzi F, De Sanctis C, Tonini G, Rigon F, Perissinotto E (2015) Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev 13:512–520

    PubMed  Google Scholar 

  2. Esen I, Oğuz B, Serin HM (2016) Menstrual characteristics of pubertal adolescent girls: a questionnaire based study in Turkey. J Clin Res Pediatr Endocrinol 8:192–196

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ju H, Jones M, Mishra G (2014) The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 36:104–113

    Article  PubMed  Google Scholar 

  4. Habibi N, Huang MS, Gan WY, Zulida R, Safavi SM (2015) Prevalence of primary dysmenorrhea and factors associated with its intensity among undergraduate students: a cross-sectional study. Pain Manag Nurs 16:855–861

    Article  PubMed  Google Scholar 

  5. Liedman R, Hansson SR, Howe D, Igidbashian S, Russell RJ, Akerlund M (2008) Endometrial expression of vasopressin, oxytocin and their receptors in patients with primary dysmenorrhoea and healthy volunteers at ovulation. Eur J Obstet Gynecol Reprod Biol 137:189–192

    Article  CAS  PubMed  Google Scholar 

  6. Yang L, Cao Z, Yu B, Chai C (2015) An in vivo mouse model of primary dysmenorrhea. Exp Anim 64:295–303

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Turhan N, Celik H, Duvan Cİ, Onaran Y, Aydın M, Armutcu F (2012) Investigation of oxidative balance in patients with dysmenorrhea by multiple serum markers. J Turk Ger Gynecol Assoc 13:233–236

    Article  PubMed  PubMed Central  Google Scholar 

  8. Aksoy AN, Gözükara I, Kabil Kucur S (2014) Evaluation of the efficacy of Fructus agni casti in women with severe primary dysmenorrhea: a prospective comparative Doppler study. J Obstet Gynaecol Res 40:779–784

    Article  CAS  PubMed  Google Scholar 

  9. Shirvani MA, Motahari-Tabari N, Alipour A (2015) The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial. Arch Gynecol Obstet 291:1277–1281

    Article  CAS  PubMed  Google Scholar 

  10. Iacovides S, Baker FC, Avidon I (2014) The 24-h progression of menstrual pain in women with primary dysmenorrhea when given diclofenac potassium: a randomized, double-blinded, placebo-controlled crossover study. Arch Gynecol Obstet 289:993–1002

    Article  CAS  PubMed  Google Scholar 

  11. Otterbein LE, Mantell LL, Choi AM (1999) Carbon monoxide provides protection against hyperoxic lung injury. Am J Physiol 276:688–694

    Google Scholar 

  12. Ryter SW, Tyrrell RM (2000) The heme synthesis and degradation pathways: role in oxidant sensitivity. Heme oxygenase has both pro- and antioxidant properties. Free Radic Biol Med 28:289–309

    Article  CAS  PubMed  Google Scholar 

  13. Wagener FA, Volk HD, Willis D, Abraham NG, Soares MP, Adema GJ, Figdor CG (2003) Different faces of the heme-heme oxygenase system in inflammation. Pharmacol Rev 55:551–571

    Article  CAS  PubMed  Google Scholar 

  14. Tanaka S, Akaike T, Fang J, Beppu T, Ogawa M, Tamura F, Miyamoto Y, Maeda H (2003) Antiapoptotic effect of haem oxygenase-1 induced by nitric oxide in experimental solid tumour. Br J Cancer 88:902–909

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Soares MP, Marguti I, Cunha A, Larsen R (2009) Immunoregulatory effects of HO-1: how does it work? Curr Opin Pharmacol 9:482–489

    Article  CAS  PubMed  Google Scholar 

  16. Gaweł S, Wardas M, Niedworok E, Wardas P (2004) Malondialdehyde (MDA) as a lipid peroxidation marker. Wiad Lek 57:453–455

    PubMed  Google Scholar 

  17. Waltz P, Escobar D, Botero AM, Zuckerbraun BS (2015) Nitrate/nitrite as critical mediators to limit oxidative injury and inflammation. Antioxid Redox Signal 23:328–339

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Lee SJ, Zhang J, Choi AM, Kim HP (2013) Mitochondrial dysfunction induces formation of lipid droplets as a generalized response to stress. Oxid Med Cell Longev 2013: 327167.

  19. Dikensoy E, Balat O, Pençe S, Balat A, Cekmen M, Yurekli M (2008) Malondialdehyde, nitric oxide and adrenomedullin levels in patients with primary dysmenorrhea. J Obstet Gynaecol Res 34:1049–1053

    Article  PubMed  Google Scholar 

  20. Crichton N (2000) Information point: Visual Analogue Scale (VAS). J Clin Nurse 10:706

    Google Scholar 

  21. Ohkawa H, Ohishi N, Yagi K (1979) Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 95:351–358

    Article  CAS  PubMed  Google Scholar 

  22. Lundberg JO, Weitzberg E (2005) NO generation from nitrite and its role in vascular control. Arterioscler Thromb Vasc Biol 25:915–922

    Article  CAS  PubMed  Google Scholar 

  23. Erdemli HK, Yıldırımlar P, Alper TY, Kocabaş R, Salis O, Bedir A (2014) Increased serum heme oxygenase-1 levels as a diagnostic marker of oxidative stress in preeclampsia. Hypertens Pregnancy 33:488–497

    Article  CAS  PubMed  Google Scholar 

  24. Lenth RV (2006) Java applets for power and sample size (computer software). http://www.stat.uiowa.edu/~rlenth/Power

  25. Yeh ML, Chen HH, So EC, Liu CF (2004) A study of serum malondialdehyde and interleukin-6 levels in young women with dysmenorrhea in Taiwan. Life Sci 75:669–673

    Article  CAS  PubMed  Google Scholar 

  26. Facchinetti F, Sgarbi L, Piccinini F, Volpe A (2002) A comparison of glyceryl trinitrate with diclofenac for the treatment of primary dysmenorrhea: an open, randomized, cross-over trial. Gynecol Endocrinol 16:39–43

    Article  CAS  PubMed  Google Scholar 

  27. Sun MF, Huang HC, Lin SC, Chang LP, Liu CF (2005) Evaluation of nitric oxide and homocysteine levels in primary dysmenorrheal women in Taiwan. Life Sci 76:2005–2009

    Article  CAS  PubMed  Google Scholar 

  28. Akdemir N, Cinemre H, Bilir C, Akin O, Akdemir R (2010) Increased serum asymmetric dimethylarginine levels in primary dysmenorrhea. Gynecol Obstet Invest 69:153–156

    Article  CAS  PubMed  Google Scholar 

  29. Xin G, Du J, Wang YT, Liang TT (2014) Effect of oxidative stress on heme oxygenase-1 expression in patients with gestational diabetes mellitus. Exp Ther Med 7:478–482

    CAS  PubMed  Google Scholar 

Download references

Author contributions

ANA: project development, data collection, manuscript writing and editing. EL: project development, data collection and management, manuscript editing. ALO: project development, data analysis, manuscript editing. EPTY: project development, data collection, manuscript writing and editing.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ayse Nur Aksoy.

Ethics declarations

Funding

This study was not funded.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aksoy, A.N., Laloglu, E., Ozkaya, A.L. et al. Serum heme oxygenase-1 levels in patients with primary dysmenorrhea. Arch Gynecol Obstet 295, 929–934 (2017). https://doi.org/10.1007/s00404-017-4312-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-017-4312-1

Keywords

Navigation