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Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Angiotensin II type 1 receptor autoantibody (AT1-AA)-mediated pregnancy hypertension
Florian Herse1, Babbette LaMarca
1Experimental and Clinical Research Center, a joint cooperation between the Charité Medical Faculty and the Max-Delbrueck Center for Molecular Medicine, Berlin, Germany.
Insights
Agonist autoantibodies against the angiotensin II type 1 receptor (AT1-AA) are linked to preeclampsia, a serious pregnancy complication. These autoantibodies contribute to cardiovascular risks and other pregnancy issues.
Area of Science:
- Reproductive immunology
- Cardiovascular research
- Autoimmune disorders
Background:
- Preeclampsia is a leading cause of maternal and fetal mortality, affecting 5-10% of pregnancies globally.
- Women with preeclampsia and their children face increased long-term cardiovascular disease risk.
- Agonistic autoantibodies against the angiotensin II type 1 receptor (AT1-AA) are implicated in preeclampsia pathogenesis.
Purpose of the Study:
- To review current knowledge on AT1-AA.
- To discuss the signaling pathways activated by AT1-AA.
- To explore the impact of AT1-AA in pregnancy complications and other autoimmune disorders.
Main Methods:
- Literature review of studies on AT1-AA.
- Analysis of AT1-AA detection in preeclampsia models and patients.
- Examination of AT1-AA signaling pathways (NADPH oxidase, MAPK/ERK, NF-κB).
Main Results:
- AT1-AA induce key pathways involved in preeclampsia.
- AT1-AA elevate markers like sFlt1 and sEng, increase oxidative stress, and enhance endothelin-1.
- AT1-AA are found in pregnancies with abnormal perfusion and in conditions like systemic sclerosis and renal allograft rejection.
Conclusions:
- AT1-AA play a significant role in the pathophysiology of preeclampsia.
- Understanding AT1-AA mechanisms offers insights into pregnancy complications and autoimmune diseases.
- AT1-AA represent a potential target for therapeutic interventions in related disorders.
Abstract:
Autoantibodies can cause complications in pregnancy. Preeclampsia is the leading cause of maternal and fetal morbidity and mortality during pregnancy. Overall, 5-10% of all pregnancies worldwide develop preeclampsia. Women who developed preeclampsia and their children have an increased risk to suffer from cardiovascular diseases later in life. In preeclampsia, agonistic autoantibodies against the angiotensin II type 1 receptor autoantibodies (AT1-AA) are described. They induce NADPH oxidase and the MAPK/ERK pathway leading to NF-κB and tissue factor activation. AT1-AA are detectable in animal models of preeclampsia and are responsible for elevation of soluble fms-related tyrosine kinase-1 (sFlt1) and soluble endoglin (sEng), oxidative stress, and endothelin-1, all of which are enhanced in preeclamptic women. AT1-AA can be detected in pregnancies with abnormal uterine perfusion and increased resistance index as well as in patients with systemic sclerosis and renal allograft rejection. This review discusses the current knowledge about the AT1-AA, its signaling, and their impact in pregnancy complications and other autoimmune disorders.
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