Comparison of Plasma Corin Levels in Gestational Hypertensive Patients, Normotensive Pregnant and Normotensive Non-Pregnant Women

Comparison of Plasma Corin Levels in Gestational Hypertensive Patients, Normotensive Pregnant and Normotensive Non-Pregnant Women

Authors

  • Humaira Fayyaz Department of Physiology, Federal Postgraduate Medical Institute (FPGMI), Lahore
  • Noora Hassan Hezam Al-Aqmer Department of Physiology, Federal Postgraduate Medical Institute (FPGMI), Lahore
  • , Sibgha Zulfiqar Department of Physiology, Amna Inayat Medical College, Lahore

DOI:

https://doi.org/10.21649/akemu.v30i3.5623

Keywords:

Gestational hypertension, hypertension, pregnancy

Abstract

Background:  Multiple factors play role in gestational hypertension including vasopressin production and Renin-angiotensin-aldosterone system activation. Opposing these effects, corin plays an important role in mediating natriuretic peptide biosynthesis cascade which is an important factor in regulating fluid balance and blood pressure. Corin levels have been studied in relation to gestational hypertension and results were controversial.
Objective:: This study aimed at comparing plasma corin levels in gestational hypertensive patients, normotensive pregnant women, and normotensive non-pregnant women.
Methods: This was a cross sectional comparative study conducted for one year at Shaikh Zayed Medical Complex. By convenient sampling, ninety women aged 18-45 years were included; thirty pregnant (primigravida and multigravida) with gestational hypertension, thirty pregnant (primigravida and multigravida) normotensive women, and thirty non-pregnant normotensive women. Patients with gestational diabetes, renal diseases, hypertension before pregnancy, and other cardiovascular diseases were excluded. Informed consent was taken and demographic data was recorded. Three ml of blood was taken from each participant and corin levels were measured using ELISA kit. Data was analysed using SPSS 24.
Results: A significant difference was found in BMI among the three groups with the gestational hypertensive patients having the highest BMI (p-value < 0.05). There was no significant difference in gravid and parity count between gestational hypertensive patients and pregnant normotensive women. No significant difference was found in corin levels among the three groups and there was no significant correlation between corin levels and age nor between corin levels and BMI.
Conclusion: There is no significant difference in plasma corin levels amongst gestational hypertensive patients, normotensive pregnant women, and normotensive non-pregnant women.

References

Ngene NC, Moodley J. Physiology of blood pressure relevant to managing hypertension in pregnancy. J Matern Fetal Neonatal Med. 2017;32(8):1368–77. https://doi.org/10.1080/14767058.2017.1404569

Croke L. Gestational hypertension and preeclampsia: a practice bulletin from ACOG. Am Fam Physician. 2019; 100(10):649–50.

Yu R, Han X, Zhang X, Wang Y, Wang T. Circulating soluble corin as a potential biomarker for cardiovascular diseases: a translational review. Clin Chim Acta. 2018;485(1):106–12. https://doi.org/10.1016/j.cca.2018.06.036

Zhou Y, Wu Q. Corin in natriuretic peptide processing and hypertension. Curr Hypertens Rep. 2014;16(2):415. https://doi.org/10.1007/s11906-013-0415-7

Zhang X, Gu X, Zhang Y, Dong N, Wu Q. Corin: a key mediator in sodium homeostasis, vascular remodeling, and heart failure. Biology. 2022;11(5):717. https://doi.org/10.3390/biology11050717

Niu Y, Zhang S, Gu X, Zhou T, Li F, Liu M, et al. Recombinant soluble corin improves cardiac function in mouse models of heart failure. J Am Heart Assoc. 2021;10(7):e019961. https://doi.org/10.1161/JAHA.120.019961

Gu X, Wang K, Li W, He M, Zhou T, Liu M, et al. Corin deficiency diminished intestinal sodium excretion in mice. Biology. 2023;12:945. https://doi.org/10.3390/biology12070945

Chen L, Zhang Q, Zhang M, Yu J, Ren L, Li J, et al. Soluble corin predicts the risk of cardiovascular disease: a 10-year follow-up study. JACC Asia. 2022; 2(4):490–501. https://doi.org/10.1016/j.jacasi.2022.01.004

Zhou X, Chen JC, Liu Y, Yang H, Du K, Kong Y, et al. Plasma corin as a predictor of cardiovascular events in patients with chronic heart failure. JACC Heart Fail. 2016;4(8):664-9. https://doi.org/10.1016/j.jchf.2016.03.006

Baird RC, Li S, Wang H, Naga Prasad SV, Majdalany D, Perni U, et al. Pregnancy-associated cardiac hypertrophy in corin-deficient mice: observations in a transgenic model of preeclampsia. Can J Cardiol. 2019;35(1):68-76. https://doi.org/10.1016/j.cjca.2018.11.001

Peng H, Zhang Q, Cai X, Liu Y, Ding J, Tian H, et al. Association between high serum soluble corin and hypertension: a cross-sectional study in a general population of China. Am J Hypertens. 2015;28(9):1141–9. https://doi.org/10.1093/ajh/hpv002

Peng H, Yu J, Ren L, He Y, Li J, Ma S, et al. Abstract P145: Associations of corin protein and its coding gene methylation with hypertension in Chinese adults: a mediation analysis in the Gusu cohort. Circulation. 2020;141(Suppl_1):AP145. https://doi.org/10.1161/circ.141.suppl_1.P145

Degrelle SA, Chissey A, Stepanian A, Fournier T, Guibourdenche J, Mandelbrot L, et al. Placental overexpression of soluble corin in preeclampsia. Am J Pathol. 2020; 190(5): 970–6. https://doi.org/10.1016/j.ajpath.2019.12.012

Wang C, Wang Z, He M, Zhou T, Niu Y, Sun S, et al. Kruppel-like factor 17 upregulates uterine corin expression and promotes spiral artery remodeling in pregnancy. Proc Natl Acad Sci U S A. 2020;117(32):19425-34. https://doi.org/10.1073/pnas.2003913117

Liu Y, Hu J, Yu Q, Zhang P, Han X, Peng H. Increased serum soluble corin in mid pregnancy is associated with hypertensive disorders of pregnancy. J Womens Health. 2015;24(7):572–7. https://doi.org/10.1089/jwh.2015.5199

Lin Y, Dong YB, Liu YR, Zhang Y, Li HY, Song W. Correlation between corin, N-terminal pro-atrial natriuretic peptide and neonatal adverse prognostic in hypertensive disorders of pregnancy. Pregnancy Hypertens. 2021;23(1):73-8. https://doi.org/10.1016/j.preghy.2020.11.007

Kumari M, Kovach T, Sheehy B, Zabell A, Morales R, Moodley SJ, et al. Circulating NT-proBNP but not soluble corin levels were associated with preeclampsia in pregnancy-associated hypertension. Clin Biochem. 2019;67(1):12–5. https://doi.org/10.1016/j.clinbiochem.2019.03.005

Badrov MB, Park SY, Yoo JK, Hieda M, Okada Y, Jarvis SS, et al. Role of corin in blood pressure regulation in normotensive and hypertensive pregnancy. Hypertension. 2019;73(2):432–9. https://doi.org/10.1161/HYPERTENSIONAHA.118.12137

Zhou T, Zhang S, Du C, Wang K, Gu X, Sun S, et al. Renal corin is essential for normal blood pressure and sodium homeostasis. Int J Mol Sci. 2022;23(19):11251. https://doi.org/10.3390/ijms231911251

Niu Y, Zhou T, Zhang S, Li W, Wang K, Dong N, et al. Corin deficiency impairs cardiac function in mouse models of heart failure. Front Cardiovasc Med. 2023;10(1):1164524. https://doi.org/10.3389/fcvm.2023.1164524

Boron D, Kornacki J, Gutaj P, Mantaj U, Wirstlein P, Wender-Ozegowska E. Corin-the early marker of preeclampsia in pregestational diabetes mellitus. J Clin Med. 2022;12(1):61. https://doi.org/10.3390/jcm12010061

Gu Y, Thompson D, Xu J, Lewis DF, Morgan JA, Cooper DB, et al. Aberrant pro-atrial natriuretic peptide/corin/natriuretic peptide receptor signaling is present in maternal vascular endothelium in preeclampsia. Pregnancy Hypertens. 2018;11(1):1–6. https://doi.org/10.1016/j.preghy.2017.12.001

Yavuz BG, Söğüt Ö, Çolak Ş, Koldaş M, Yücetaş E, Bari O. Low serum corin levels predict end-organ damage in patients with hypertensive crisis. Anatol J Cardiol. 2021;25(8):536–43. https://doi.org/10.5152/AnatolJCardiol.2021.06698

Li H, Zhang Y, Wu Q. Role of corin in the regulation of blood pressure. Curr Opin Nephrol Hypertens. 2017;26(2):67–73. https://doi.org/10.1097/MNH.0000000000000297

Khalil A, Maiz N, Garcia-Mandujano R, Elkhouli M, Nicolaides KH. Longitudinal changes in maternal corin and mid-regional proatrial natriuretic peptide in women at risk of pre-eclampsia. Ultrasound Obstet Gynecol. 2015;45(2):190–8. https://doi.org/10.1002/uog.14685

Downloads

Published

09/30/2024

How to Cite

Humaira Fayyaz, Al-Aqmer, N. H. H., & , Sibgha Zulfiqar. (2024). Comparison of Plasma Corin Levels in Gestational Hypertensive Patients, Normotensive Pregnant and Normotensive Non-Pregnant Women. Annals of King Edward Medical University, 30(3), 302–306. https://doi.org/10.21649/akemu.v30i3.5623

Issue

Section

Research Articles

Similar Articles

> >> 

You may also start an advanced similarity search for this article.

Loading...