ADVERSE EFFECTS OF OXIDATIVE STRESS DURING PREGNANCY

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Oxidative damage has been implicated in the pathology of several diseases, but only recently has it been suggested to have a role in adverse reproductive conditions. Many environmental and occupation exposures are know pro-oxidants (e.g., many solvents and metals), and they may adversely affect reproduction by causing oxidative damage. This research project explores the relationship between environmental exposures, oxidative stress, and adverse reproductive conditions. We are now conducting pilot work with two major aims. First is continuing analysis of small samples of existing data concerning levels of metals and other industrial pollutants, markers of oxidative damage, and reproductive outcome in pregnant women and maternal-infant pairs living in the vicinity of industrial enterprises in various areas of Bulgaria. This year we have completed studies of areas with metal and with nitrogen oxides pollution. The second aim of the pilot work is to resolve the amount of variability in the markers of anti-oxidant and oxidant status due to seasonal and intra-individual variation and to storage procedures. Twenty non-pregnant women have given serial blood samples; the results indicated that the samples could not be stored at all for more than a few hours without altering the level of glutathione and lipid peroxides significantly. The level of intra-individual variability has also been established. Also, 11 pregnant women to date have been enrolled at booking and are being observed for changes in biomarkers as pregnancy progresses. An instrument to measure diet and to convert to Bulgarian RDA's has been developed.