ABSTRACT
BACKGROUND AND OBJECTIVES: The aim of this study was to identify the association of pregnancy-induced hypertension (PIH) or gestational diabetes mellitus (GDM) with the development of venous thromboembolism (VTE). SUBJECTS AND METHODS: This was a retrospective study of 57,009 pregnancies during 2002-2008 at Cheil General Hospital, Kwandong University. The diagnosis of VTE {deep vein thrombosis or pulmonary embolism (PE)} was based on clot visualization via ultrasound or computed tomography. RESULTS: In total, 27 cases (PE, 20 cases) were detected. The incidence of VTE was 0.47 per 1,000 pregnancies. To determine risk factors associated with pregnancy-induced VTE, univariate analysis using a chi-square test was performed. Cesarean (C)-section, multiple pregnancy, PIH, placenta previa, and assisted reproduction technique (ART) were statistically significant compared to the controls (all, p=0.000). However, age, premature rupture of membrane, and GDM were not statistically related to VTE. Logistic regression analysis was used to calculate the odds ratios for the risk factors. Placenta previa showed a 12.6-fold higher risk, while PIH had a 9.8-fold higher risk for the occurrence of VTE. C-section and ART procedures increased the risk of VTE by 4.2 times compared to that of the controls. CONCLUSION: Placenta previa and PIH were significant risk factors for VTE, whereas the known traditional risk factors of increased age and GDM were not found to be associated with VTE.
ABSTRACT
The intestinal absorption of cadmium (Cd) is influenced by body iron (Fe) status in laboratory animals and humans. In this study we investigated the role of the apical Fe transporter divalent metal transporter 1 (DMT1) and the basolateral Fe exporter metal transporter protein 1 (MTP1) in Cd absorption. Rats were divided into the following groups; an Fe-sufficient (FeS) control group that was fed an FeS diet for 4 weeks (FeS, 4 weeks); an Fe-deficient (FeD) group that was fed an FeD diet for 4 weeks (FeD, 4 weeks); an FeS control group that was fed an FeS diet for 8 weeks (FeS, 8 weeks); an FeD/FeS group that was fed an FeD diet for 4 weeks and then an FeS diet for the following 4 weeks (FeD/FeS, 4 weeks/4 weeks); and an FeD group that was fed an FeD diet for 8 weeks (FeD, 8 weeks). After the 4- and 8-week feeding periods, rats were given a single oral gavage of Cd and were sacrificed 24 h later. The FeD (4 weeks) group developed Fe deficient anemia, but the parameters returned to control levels in the FeD/FeS group (4 weeks/4 weeks). The Cd body burden was greater in FeD (4 weeks) rats compared to FeS control (4 weeks), but returned to control Cd levels in FeD/FeS (4 weeks/4 weeks) rats. In addition, the expression of DMT1 and MTP1 was induced by Fe deficiency in the duodenum of FeD (4 weeks) rats, but was down-regulated to control values in FeD/FeS (4 weeks/4 weeks) rats. The correlation between duodenal DMT1 and MTP1 expression and Cd body burden in rats suggests an important role of DMT1 and MTP1 in Cd absorption.
