Abstract
There is increasing evidence that an imbalance between products of arachidonic acid metabolism (such as prostaglandins, prostacyclin and thromboxane A2) and lipid peroxidation products might have a role in the pathogenesis of preeclampsia. In order to study some of the changes taking place in pre-eclampsia, the plasma concentrations of essential fatty acids and lipid peroxidation products [measured as thiobarbituric-acid (TBA)-reactive substance] were evaluated in 25 patients with severe pre-eclampsia and 20 normal pregnant control subjects. Arachidonic acid concentration (median and range) was significantly higher in the pre-eclamptic group (14·1; 11·0–19· μg/L) compared with the normal pregnant subjects (2·5; 2·0–4·4 μg/L). Plasma concentration of TBA-reactive substance was also significantly higher in the pre-eclamptic cases (14·8; 13·4–16·8 vs 11·4; 9·0–12·8). These results suggest that arachidonic acid and lipid peroxidation products may play a role in the pathogenesis of pre-eclampsia.