Increased oxidative stress and endothelial activation in umbilical veins from pregnancies diagnosed with preeclampsia

Tamara Sáez1, Camille Wiley2, Anita Quon1

  • 1Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Canada; Women and Children's Health Research Institute, University of Alberta, Edmonton, Canada.

Pregnancy Hypertension
|October 10, 2021
PubMed

Insights

Preeclampsia impacts fetal vasculature, showing increased oxidative stress and inflammation markers in umbilical veins. This suggests a potential link to cardiovascular disease (CVD) risk in offspring later in life.

Area of Science:

  • Obstetrics and Gynecology
  • Cardiovascular Research
  • Developmental Biology

Background:

  • Vascular dysfunction is central to cardiovascular disease (CVD).
  • Offspring born after preeclamptic pregnancies face elevated risks of developing CVD later in life.
  • The specific impact of preeclampsia on fetal vasculature and its long-term implications remain unclear.

Purpose of the Study:

  • To investigate whether fetal vasculature in preeclamptic pregnancies exhibits signs of dysfunction.
  • To assess markers of oxidative/nitrosative stress and endothelial activation.
  • To examine the expression of lectin-like oxidized LDL receptor-1 (LOX-1) and angiotensin-II type-1 receptor (AT1) in fetal umbilical vessels.

Main Methods:

  • Analysis of umbilical vein tissues from preeclamptic and normal pregnancies.
  • Measurement of superoxide, nitrotyrosine, and intercellular adhesion molecule-1 (ICAM-1) levels.
  • Quantification of LOX-1 and AT1 receptor expression.

Main Results:

  • Significantly elevated levels of superoxide, nitrotyrosine, and ICAM-1 were observed in umbilical vein tissues from preeclamptic pregnancies compared to normal pregnancies.
  • No significant differences in LOX-1 and AT1 receptor levels were found between the two groups.
  • These findings indicate increased oxidative and nitrosative stress, along with endothelial activation, in the fetal vasculature during preeclampsia.

Conclusions:

  • The fetal vasculature appears to be affected by preeclampsia, exhibiting markers of stress and activation.
  • These vascular changes in the fetus may contribute to the increased predisposition to cardiovascular disease in offspring later in life.
  • Further research is warranted to elucidate the mechanisms linking fetal vascular dysfunction in preeclampsia to long-term offspring cardiovascular health.

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