TY - JOUR TI - Maternal-neonatal 8-hydroxy-deoxyguanosine serum concentrations as an index of DNA oxidation in association with the mode of labour and delivery AU - Schulpis, Kleopatra H. AU - Lazaropoulou, Christina AU - Vlachos, George AU - D. AU - Partsinevelos, George A. AU - Michalakakou, Kelly AU - Gavrili, AU - Stavroula AU - Gounaris, Antonia AU - Antsaklis, Aris AU - Papassotiriou, AU - Ioannis JO - Acta Obstetricia et Gynecologica Scandinavica PY - 2007 VL - 86 TODO - 3 SP - 320-326 PB - Wiley SN - 0001-6349, 1600-0412 TODO - 10.1080/00016340601181706 TODO - 8-hydroxy-deoxyguanosine; labour; neonates; oxidative stress TODO - Aim. To investigate the effect of the mode of labour and delivery on the total antioxidant status (TAS), and the biomarker of DNA oxidation, 8-hydroxy-deoxyguanosine (8-OHdG) serum levels, in mothers and their newborns. Subjects and methods. Some 106 women with normal pregnancy and normal blood biochemical parameters were divided into 4 groups: Group A ( n = 28) with normal labour and vaginal delivery ( VG), Group B ( n = 25) with scheduled cesarean section ( CS), Group C ( n = 26) with ‘emergency’ CS, and Group D ( n = 27) with prolonged labour + VG. Blood was obtained fr? m the mothers at the beginning of labour, and immediately after delivery ( pre- and post-delivery), as well as from the umbilical cord ( CB). TAS, 8-OHdG and creatine kinase (CK) were measured in the sera with appropriate methodology. Results. TAS levels were almost similar in all the groups pre- delivery, and in CB irrespective of the mode of labour and delivery, and remarkably decreased in Groups C and D post-delivery. 8-OHdG levels in Group C ( 0.94 +/- 0.08 ng/ml) and Group D (0.98 +/- 0.08 ng/ml) were significantly higher than those in Group A (0.26 +/- 0.01 ng/ml, p < 0.001) and Group B (0.28 +/- 0.07 ng/ml, p < 0.001) post-delivery. 8-OHdG levels were low in CB, independent of the mode of labour. CK positively correlated with 8-OHdG ( r = 0.48, p < 0.001), the latter negatively correlated with TAS ( r = - 0.53, p < 0.01). Conclusions. The lowest TAS and the highest 8-OHdG levels were found in Groups C and D post-delivery, probably due to the long-term participation of the mothers’ skeletal and uterus muscles, whereas 8-OHdG levels were low in CB irrespective of the mode of delivery, possibly as a consequence of the antioxidant action of the placenta and/or the low lipid levels in the serum of the umbilical cord. ER -