Maternal Microvascular Dysfunction During and After Preeclamptic Pregnancy DOI
Kelsey S. Schwartz, Anna E. Stanhewicz

Comprehensive physiology, Journal Year: 2024, Volume and Issue: 14(4), P. 5703 - 5727

Published: Oct. 1, 2024

Abstract Preeclampsia, a pregnancy disorder characterized by de novo hypertension and maternal multisystem organ dysfunction, is the leading cause of mortality worldwide associated with fourfold greater risk cardiovascular disease throughout lifespan. Current understanding etiology preeclampsia remains unclear, due in part to varying phenotypical presentations disease, which has hindered development effective mechanism‐specific treatment or prevention strategies both during after affected pregnancy. These sequelae are symptoms systemic vascular dysfunction nonreproductive microvascular beds that drives progression adverse outcomes preeclampsia. Despite normalization disturbances delivery, subclinical persists beds, contributing an increased lifetime metabolic diseases all‐cause mortality. Given women history demonstrate despite absence traditional CVD factors, underlying mechanisms essential identify potential therapeutic avenues mitigate reverse overt disease. This article aims provide summary existing literature on pathophysiology preeclampsia, residual current treatments may reduce these high‐risk women. © 2024 American Physiological Society. Compr Physiol 14:5703‐5727, 2024.

Language: Английский

Urinary biomarkers of preeclampsia: An update DOI
Caio Ribeiro Vieira Leal,

Heloisa Botezelli,

Júlia Fernandes do Carmo Las Casas

et al.

Advances in clinical chemistry, Journal Year: 2024, Volume and Issue: unknown, P. 197 - 211

Published: Nov. 22, 2024

Language: Английский

Citations

1

The role of lung and cardiac ultrasound for cardiovascular hemodynamic assessment of women with preeclampsia DOI
Jana Ambrožič, Miha Lučovnik, Marta Cvijić

et al.

American Journal of Obstetrics & Gynecology MFM, Journal Year: 2024, Volume and Issue: 6(3), P. 101306 - 101306

Published: Jan. 30, 2024

Language: Английский

Citations

1

Decreased RSPO3 and β-Catenin in Preeclampsia: Correlation with Blood Pressure and Pregnancy Outcomes DOI Creative Commons
Yunyun Liu, Peishan Li, Juan Liao

et al.

Medical Science Monitor, Journal Year: 2024, Volume and Issue: 30

Published: Oct. 13, 2024

BACKGROUND This study aimed to investigate the expression of RSPO3 and ß-catenin in preeclampsia relationship between b-catenin levels maternal-fetal outcomes. MATERIAL AND METHODS We enrolled 60 pregnant women with without preeclampsia. collected peripheral blood from patients upon admission; placenta cord were after delivery. The maternal blood, was measured. used Spearman method examine correlations clinical characteristics RSPO3. Logistic regression modeling identify independent risk factors for RESULTS decreased placentas preeclampsia, significant differences (P<0.05). group had more adverse pregnancy level negatively correlated systolic pressure (r=-0.4654, P<0.001) diastolic (r=-0.4617, (r=-0.5373, P<0.05) (r=-0.4898, blood. CONCLUSIONS pressure, could be a factor development

Language: Английский

Citations

1

Single-nuclei RNA-sequencing fails to detect molecular dysregulation in the preeclamptic placenta DOI Creative Commons

Inbal Admati,

Niv Skarbianskis, Hannah Hochgerner

et al.

Placenta, Journal Year: 2024, Volume and Issue: 159, P. 170 - 179

Published: Dec. 19, 2024

Language: Английский

Citations

1

Overexpression of Human sFLT1 in the Spongiotrophoblast Is Sufficient to Induce Placental Dysfunction and Fetal Growth Restriction in Transgenic Mice DOI Open Access
Rebekka Vogtmann, Alina Riedel,

Ivanka Sassmannshausen

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(4), P. 2040 - 2040

Published: Feb. 7, 2024

Preeclampsia (PE) is characterized by maternal hypertension and placental dysfunction, often leading to fetal growth restriction (FGR). It associated with an overexpression of the anti-angiogenic sFLT1 protein, which originates from placenta serves as a clinical biomarker predict PE. To analyze impact on function growth, we generated transgenic mice placenta-specific human (hsFLT1) overexpression. Immunohistochemical, morphometrical, molecular analyses placentas 14.5 dpc 18.5 were performed focus angiogenesis, nutrient transport, inflammation. Additionally, development upon hsFLT1 was investigated. Dams exhibited mild increase in serum levels expression revealed fetuses sex-specific manner. Male FGR expressed higher amounts mRNA compared females. displayed altered morphology, hallmarked spongiotrophoblast layer changes labyrinthine vascularization. Further, showed significant reduction glycogen storage transporter expression. Moreover, signs hypoxia inflammation observed placentas. The spongiotrophoblast-specific mouse line demonstrates that low are sufficient induce alterations

Language: Английский

Citations

0

Cardio-Renal & Neurologic Complications of Preeclampsia: Current Concepts & Clinical Implications DOI Creative Commons

Zeth Oluwaremilekun,

Abe Temidayo,

Nandakumar Bangalore Vittal

et al.

Journal of Pregnancy and Child Health, Journal Year: 2024, Volume and Issue: 6(1)

Published: Feb. 29, 2024

Preeclampsia, which afflicts 3-5% of pregnancies worldwide, has recently being recognized to be a cardio-renal syndrome, in neurologic complications contribute the morbidity and mortality this syndrome. The precise pathogenesis preeclampsia, itself, is not definitely elucidated, but an imbalance angiogenic & anti-angiogenic factors appear at play. acute preeclampsia such as seizures, cerebral edema, stroke, posterior reversible leukoencephalopathy syndrome (PRES) are leading contributors obstetric many low middle some high income countries. In addition these devastating complications, registry other long-term data, over recent decades now reveal that chronic cardiovascular mothers well offspring preeclamptic also future morbidity. review, we evaluate putative biophysical mechanisms both mother child, clinical implications new findings. We outline rational monitoring strategy for late children born from pregnancies. Preventive strategies, encompassing aspirin, calcium-vitamin D supplementation, exercise, pravastatin, metformin, offer insights into mitigating risks. Active management, balancing antihypertensives planned delivery, appears yield positive outcomes. Future pathways emphasize advancements research, early predictive biomarkers, personalized therapeutic approaches, global health initiatives. role wearable devices, telemedicine, continuous maternal-fetal surveillance paramount. Specific attention unraveling neurological establishing follow-up programs crucial comprehensive care.

Language: Английский

Citations

0

Characterization of Mild Delayed Gestational Hypertension in Rats Following Ozone Exposure DOI

Russell Hunter,

Thomas W. Wilson,

Selitá Lucas

et al.

Cardiovascular Toxicology, Journal Year: 2024, Volume and Issue: 24(9), P. 843 - 851

Published: July 4, 2024

Language: Английский

Citations

0

Biomarkers and diagnostic significance of non-coding RNAs in extracellular vesicles of pathologic pregnancy DOI

Cen Tang,

Wanqin Hu

Journal of Assisted Reproduction and Genetics, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 24, 2024

Language: Английский

Citations

0

SARS-CoV-2 Infection in Late Pregnancy and Childbirth from the Perspective of Perinatal Pathology DOI Creative Commons
Larisa V. Debelenko

Journal of Developmental Biology, Journal Year: 2023, Volume and Issue: 11(4), P. 42 - 42

Published: Nov. 16, 2023

This review focuses on SARS-CoV-2 infection in placental and fetal tissues. Viremia is rare infected pregnant women, the virus seldom amplified from Definite probable requires demonstration of viral RNA or proteins using situ hybridization (ISH) immunohistochemistry (IHC). Small subsets (1.0–7.9%, median 2.8%) placentas SARS-CoV-2-positive women showed definite accompanied by a characteristic histopathology named placentitis (SP). The conventionally accepted histopathological criteria for SP include triad intervillositis, perivillous fibrin deposition, trophoblast necrosis. was shown to be independent clinical severity infection, but associated with stillbirth cases where destructive lesions affecting more than 75% tissue resulted insufficiency severe hypoxic–ischemic injury. An association between maternal thrombophilia subset cases, suggesting synergy deficient coagulation cascade as one mechanisms pathologic accumulation affected placentas. tissues approximately 40% involvement demonstrated ISH IHC exceptionally rare. pathology also includes chronic malperfusion absence infection. direct causation vascular placenta COVID-19 debatable, common predispositions (hypertension, diabetes, obesity) may play role.

Language: Английский

Citations

1

Characterization of Mild Delayed Gestational Hypertension in Rats Following Ozone Exposure DOI Creative Commons

Russell Hunter,

Thomas W. Wilson,

Selitá Lucas

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 23, 2024

Abstract The contribution of air pollution induced cardio-pulmonary damage on the development hypertensive disorders pregnancy and other adverse outcomes has gained increased attention as epidemiological data continues to highlight spatiotemporal trends related exposure. However clinical mechanistic surrounding gestational complications remains sparse, necessitating need for use animal models study these types pregnancy. current seeks examine real-time effects mid-gestational ozone exposure maternal blood pressure body temperature through radiotelemetry in a rat model. resulted acute depression heart rate core compared control animals. Ozone exposed animals also presented with slight but significant increase arterial which was perpetuated until term. here illustrates feasibility murine assess cardiovascular caused by inhaled toxicants during window

Language: Английский

Citations

0