Objective To investigate the selenium glutathione and glutathione peroxidase (glutathione-Px) levels in blood in women who experience miscarriage.Design An observational study. Participants Forty women with miscarriage occurring in the ®rst and second trimesters.Methods Concentrations were measured in whole blood and plasma. Glutathione was measured in red cells and glutathione-Px activity was measured in the red cells and plasma. The results were compared with 36 women in the same period of viable pregnancy and 28 age-matched, healthy, non-pregnant controls.Results The selenium concentrations in whole blood and plasma of women following abortion were the same as in viable pregnancy, but were signi®cantly lower compared with controls. The glutathione levels were significantly higher in women with miscarriage compared with viable pregnancies and with non-pregnant women.Red cell and plasma glutathione-Px activities of women who had had a miscarriage were signi®cantly lower than in both normal pregnancies and the control group.
ConclusionThe decreased activities of the antioxidant enzymes, red cell and plasma glutathione-Px, may play an important role in the aetrology of spontaneous abortion.