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Updated: May 7, 2026

The 4-vessel Sampling Approach to Integrative Studies of Human Placental Physiology In Vivo
Published on: August 2, 2017
High temperature requirement A1 in placental tissues and serum from pre-eclamptic pregnancies with or without fetal
Lu Zong1, Lijuan Wang, Pu Huang
1Department of Gynecology and Obstetrics, First Affiliated Hospital, Medical School, Xi'an Jiaotong University, China.
Insights
High temperature requirement A1 (HtrA1) shows increased expression in pre-eclampsia (PE) placentas and is linked to fetal growth restriction. Elevated serum HtrA1 levels in PE pregnancies may indicate its role in the condition's development.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Biology
- Pathology
Background:
- Pre-eclampsia (PE) is a severe pregnancy syndrome with potential risks for mother and fetus.
- High temperature requirement A1 (HtrA1) is investigated for its role in PE pathogenesis.
Purpose of the Study:
- To determine the role of HtrA1 in pre-eclampsia.
- To analyze HtrA1 expression in PE pregnancies and its correlation with fetal growth restriction.
Main Methods:
- Study included 100 pregnancies with PE and 100 normal controls.
- Serum HtrA1 levels and fetal growth were recorded.
- Placental tissues were analyzed post-delivery.
Main Results:
- HtrA1 expression was higher in PE placentas, increasing from control to PE with appropriate-for-gestational-age (AGA) and PE with fetal growth restriction (FGR) groups.
- Early-onset PE was more frequent in PE with AGA, while late-onset PE was more common in PE with AGA.
- Serum HtrA1 levels were significantly elevated in PE with AGA and PE with FGR between 28-32 weeks gestation compared to controls.
Conclusions:
- HtrA1 may influence trophoblast migration and invasion, contributing to shallow placentation in PE.
- HtrA1 appears to play a significant role in the etiology and severity of PE and FGR.
- Further research is needed to elucidate the precise mechanisms of HtrA1 in PE.
Introduction:
Pre-eclampsia (PE) is the most serious syndrome of human pregnancy and it is potentially life-threatening for both mother and fetus. The aim of the study was to identify the role of high temperature requirement A1 (HtrA1) in pre-eclampsia.
Material And Methods:
One hundred consecutive pregnancies complicated by PE and 100 normal controls were included in our study. The changes in serum HtrA1 and fetal growth restriction were recorded. The placentae after delivery was also obtained for laboratory analyses.
Results:
High temperature requirement A1 expressed positively in all placenta tissues, but showed higher expression from control, PE with AGA (pre-eclamptic pregnancies with appropriate-for-gestational-age newborns) to PE with fetal growth restriction (FGR) groups. Early-onset PE happened more frequently while in PE with AGA, late-onset PE was more common. Additionally, we found that only during ∼28-32 gestational weeks, sera HtrA1 level of PE with AGA and PE with FGR was increased significantly compared with the control group (p < 0.05). In contrast, there was no significant difference between groups in other gestational ages in the third trimester (p > 0.05).
Conclusions:
HtrA1 could potentially affect trophoblast migration and invasion during placentation, resulting in the shallow invasion noted in pre-eclampsia. HtrA1 may play an important role in the etiology and severity of PE and FGR. But the actual mechanism still needs deep research.
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