Evidence map›Paper›PMID 39301340›Full record

ArticleCureus2024

The Correlation Between Neutrophil Elastase and Neutrophil-Lymphocyte Ratio in Endothelial Dysfunction of Preeclampsia.

Sheema Wazib, Huma Quasimi, Saumya Bhagat, Ayaan Alam, Arifa A Ealhi, Sumedha Sharma, Gausal Azam Khan, Iqbal Alam

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sheema WazibPhysiology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.
Huma QuasimiPhysiology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.
Saumya BhagatInternal Medicine, Division of Bone and Mineral Diseases, Washington University School of Medicine, St. Louis, UMI.
Ayaan AlamPhysiology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.
Arifa A EalhiObstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.
Sumedha SharmaObstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.
Gausal Azam KhanClinical Nutrition, College of Applied Medical Sciences, King Faisal University, Alhasa, SAU.
Iqbal AlamPhysiology, Hamdard Institute of Medical Sciences and Research (HIMSR), New Delhi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia (PE) is a serious inflammatory process that is unique to pregnancy, occurring at or after the 20th week of pregnancy, and leading to maternal and neonatal illness and systemic disruptions. Placental hypoxia leads to increased levels of cytokines and inflammatory syncytiotrophoblast microvillus membrane microparticles (STBM) which activates neutrophils leading to oxidative stress and endothelial dysfunction in preeclampsia. The mechanisms that cause PE in people remain unknown. To understand the pathophysiology of PE, numerous theories have been given. There is currently no proven treatment or early detecting marker for PE available so far.

methodsThe present study includes 40 patients (20 controls and 20 PE patients) aged 20-45 years hospitalized at the Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR) and Hakeem Abdul Hameed Centenary (HAHC) Hospital, Jamia Hamdard, New Delhi. Nitric oxide (NO), neutrophil elastase (NE), and the neutrophil-to-lymphocyte ratio were measured. The blood and biochemical parameters in PE patients were also analyzed.

resultsThe neutrophil-to-lymphocyte ratio (NLR) was significantly increased in PE patients as compared to healthy pregnant. All the biochemical and hemodynamic parameters were assessed. The serum NO concentrations were lower in PE patients and endothelial dysfunction markers (NE and von Willebrand factor {vWF}) were markedly increased in PE patients. The difference was statistically significant with a p-value <0.05.

conclusionsNLR is greatly increased in PE patients. An increase in NLR in PE patients occurs due to an increase in inflammatory markers and endothelial damage. Hence, the NLR could act as a novel diagnostic biomarker for depicting PE progression.

Indexed as

endothelial dysfunctionhypertensionneutrophil-lymphocyte ratiopreeclampsiaproteinuria

Identifiers

PMID39301340
PMCPMC11412614

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