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Dissecting the Roles of Lipids in Preeclampsia
Yu Yang1, Yixiao Wang1, Yan Lv1
1Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, China.
Insights
Preeclampsia, a pregnancy disorder, involves placental issues and high blood pressure. Lipid metabolism abnormalities are key risk factors, suggesting lipid-targeting therapies for preeclampsia.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Research
- Metabolomics
Background:
- Preeclampsia is a severe pregnancy disorder causing maternal and perinatal mortality.
- It's linked to placental malperfusion and maternal vascular endothelial injury.
- Current treatment is limited to delivery, highlighting the need for new therapeutic targets.
Purpose of the Study:
- To review the role of lipids in preeclampsia pathogenesis.
- To examine lipid dysregulation in preeclampsia development and progression.
- To explore lipid-based therapeutic strategies for preeclampsia.
Main Methods:
- Comprehensive literature review of studies on lipids and preeclampsia.
- Analysis of lipid classes and their dysregulation in preeclampsia.
- Synthesis of current understanding of lipid roles in preeclampsia pathophysiology.
Main Results:
- Lipid metabolic abnormalities are identified as significant risk factors for preeclampsia.
- Dysregulation of various lipid classes is consistently observed in preeclampsia.
- Lipids play multifaceted roles in the pathogenic mechanisms of preeclampsia.
Conclusions:
- Lipid dysregulation is integral to preeclampsia development.
- Understanding lipid roles offers insights into preeclampsia pathophysiology.
- Targeting lipid pathways presents a promising therapeutic avenue for preeclampsia.
Abstract:
Preeclampsia is a multisystem pregnancy disorder that is characterized by different degrees of placental malperfusion, with release of antiangiogenic factors into the circulation, leading to maternal vascular endothelial injury and high blood pressure. As a major cause of maternal and perinatal mortality and morbidity worldwide, once preeclampsia has been diagnosed, there are no curative treatments except for delivery. Lipids serve as ubiquitous and multifunctional metabolites that are integral and essential to many diverse functions on both a cellular and organismal level. Lipid metabolic abnormalities have emerged as potential risk factors for the development and progression of preeclampsia. This review comprehensively examines decades of discovery to illuminate the roles of lipids and dysregulation in the levels of various lipid classes in preeclampsia. In addition, the roles of lipids are summarized to further understand the pathogenic mechanisms of preeclampsia. Overall, the review highlights the promising potential of pathophysiology and lipid-targeting therapeutic strategies in preeclampsia.
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