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[The male's role in the etiology of preeclampsia]
Guy Gutman1, Ohad Hilly, Joseph B Lessing
1Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel. gutguy10@yahoo.com
Insights
Preeclampsia affects 5%-10% of births globally. New research highlights the significant role of paternal, relational, and sexual factors in the development of this pregnancy disorder.
Area of Science:
- Reproductive Immunology
- Maternal-Fetal Medicine
- Obstetrics
Context:
- Preeclampsia is a leading cause of maternal and neonatal morbidity and mortality worldwide.
- Affects 5%-10% of human births, with uncertain etiology and management controversies.
- Pathophysiology involves inadequate trophoblast invasion of uterine spiral arteries, impairing placental vascular exchange.
Purpose:
- To review current literature on preeclampsia etiology.
- To elucidate the role of paternal, relational, and sexual factors in preeclampsia development.
- To highlight the immunological placental-maternal interaction in pregnancy.
Summary:
- Preeclampsia pathogenesis is linked to insufficient endovascular trophoblast invasion.
- Recent findings implicate the male partner in the causation of preeclampsia.
- Paternal, relational, and sexual factors are explored as key etiological contributors.
Impact:
- Provides insights into the underappreciated role of the male partner in preeclampsia.
- May inform future research directions for understanding and managing preeclampsia.
- Contributes to the broader understanding of pregnancy disorders and reproductive health.
Abstract:
Preeclampsia is a major cause of morbidity and mortality in mothers, fetuses, and neonates worldwide, with 5%-10% of human births being affected. The cause is still uncertain, and many controversies exist concerning its management. Preeclampsia-eclampsia is due to the failure of extra-villous cytotrophoblast to invade the maternal uterine spiral arteries to a sufficient depth, inducing poor vascular exchanges between the mother and the placenta. This physiological endovascular trophoblast invasion represents a remarkable immunological placental-maternal interaction. Recent data strongly indicate an important role for the male partner in the causation of this common pregnancy disorder. This review aims to discuss the relevant literature and to explain how paternal, relational and sexual factors play an important role in the etiology of preeclampsia.
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